Jeffrey R B, Laing F C, Schechter W P, Markison R E, Barton R M
Radiology. 1987 Mar;162(3):741-2. doi: 10.1148/radiology.162.3.3544036.
The sonographic findings in seven patients with surgically proved acute tenosynovitis of the hand (bacterial in six cases, of presumed viral origin in one) were reviewed. In the six patients with bacterial tenosynovitis the affected flexor tendon was larger than that of the contralateral normal digit. In five patients hypoechoic areas were identified surrounding the flexor tendon that proved to be pus at surgery. Sonography failed to depict a small amount of pus in the tendon sheath in one patient. The affected tendon of the single patient with tenosynovitis thought to be of viral origin was normal in size, but a focal tendon sheath fluid collection was detected that proved to be sterile at surgery. Sonography appears to be a useful imaging technique in the early diagnosis of acute suppurative tenosynovitis of the hand.
回顾了7例经手术证实为手部急性腱鞘炎患者的超声检查结果（6例为细菌性，1例推测为病毒源性）。在6例细菌性腱鞘炎患者中，患侧屈肌腱比健侧同名手指的屈肌腱粗大。5例患者的屈肌腱周围可见低回声区，手术证实为脓液。1例患者腱鞘内少量脓液超声检查未显示。1例推测为病毒源性腱鞘炎患者的患侧肌腱大小正常，但检测到腱鞘局部有积液，手术证实为无菌性。超声检查似乎是手部急性化脓性腱鞘炎早期诊断的一种有用的影像学技术。
