Poenaru Daniela
Department of Rehabilitation, Carol Davila University of Medicine and Pharmacy, Romania.
Curr Med Imaging. 2023 Aug 31. doi: 10.2174/1573405620666230831143837.
Ultrasound is extensively used for soft tissue pathology. Scanning bone superficial structures may reveal clear pathologic features to aid diagnosis.
We present the case of a stress fracture in the second metatarsal, with the clinical aspect of a gouty attack. Ultrasound examination showed cortical thickening and disruption, hypoechoic periosteal swelling, hyperemia, soft tissue edema, and displacement of the extensor tendon. The diagnosis was confirmed by X-ray and MRI. The value of different diagnostic tools is discussed, and the importance of gray-scale and color Doppler ultrasound as a first-hand modality is underlined.
Sonography clearly identifies cortical and periosteal abnormalities, differentiates surrounding soft tissue pathologies, and offers dynamic evaluation, and follow-up possibility with low cost, high accessibility, and no risks. Periosteal and cortical irregularities are important diagnostic issues when performing ultrasound examinations for soft tissue pathology.
超声广泛应用于软组织病理学检查。扫描骨骼浅表结构可能会发现清晰的病理特征以辅助诊断。
我们报告一例第二跖骨应力性骨折病例，临床表现为痛风发作。超声检查显示皮质增厚、中断，低回声骨膜肿胀、充血，软组织水肿以及伸肌腱移位。X线和磁共振成像（MRI）确诊了该病例。文中讨论了不同诊断工具的价值，并强调了灰阶及彩色多普勒超声作为首选检查方式的重要性。
超声能够清晰识别皮质和骨膜异常，鉴别周围软组织病变，并提供动态评估以及低成本、高可及性且无风险的随访可能性。在对软组织病理学进行超声检查时，骨膜和皮质不规则是重要的诊断要点。
