Department of Orthopaedics, Max Smart Hospital, Saket, New Delhi, 110017, India.
Sitaram Bhartia Institute of Science & Research, New Delhi, India.
J Ultrasound. 2023 Jun;26(2):577-581. doi: 10.1007/s40477-022-00680-5. Epub 2022 May 16.
Ultrasound is a useful adjunctive intra-operative imaging modality for soft tissue pathologies. It is readily available in the operating theater and has the distinct advantage of being more portable than an MRI, with no harmful radiation. It is especially useful for determining if any extra articular cysts have been decompressed through arthroscopic surgery, if a parameniscal cyst has been removed completely or if extrusion has been reduced adequately in a meniscus root repair. In our series, intra-operative ultrasound was used for two cases of medial meniscus horizontal tear with meniscus cyst excision, one case of lateral parameniscal cyst without a communicating tear, and five cases of meniscus root repairs. Ultrasound has the potential to be an important intra-operative diagnostic modality not only in diagnosing pathologies but also accurately localizing the soft tissue pathology, which is critical in arthroscopic surgery where the incisions are small. It also has the added advantage of guiding portal placements, especially in areas where there are neurovascular structures, to avoid injuring them. However, training in its effective use by the surgeon is important.
超声是软组织病变术中有用的辅助成像方式。它在手术室中易于获得，并且具有比 MRI 更便携的明显优势，没有有害辐射。它特别适用于确定关节外囊肿是否已通过关节镜手术减压，半月板囊肿是否已完全切除，或者半月板根部修复是否已充分减少挤出。在我们的系列中，术中超声用于两例内侧半月板水平撕裂伴半月板囊肿切除，一例外侧半月板旁囊肿无交通撕裂，五例半月板根部修复。超声有可能成为一种重要的术中诊断方式，不仅可以诊断病变，还可以准确定位软组织病变，这在切口较小的关节镜手术中至关重要。它还有一个额外的优点，即引导入路的放置，特别是在有神经血管结构的区域，以避免损伤它们。然而，重要的是要对术者进行其有效使用的培训。
