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上肢动态肌肉骨骼超声技术操作图谱指南。

A pictorial guide for performing dynamic musculoskeletal ultrasound techniques of the Upper Limb.

机构信息

Royal Surrey NHS Foundation Trust, UK.

出版信息

Radiography (Lond). 2024 May;30(3):745-752. doi: 10.1016/j.radi.2024.02.009. Epub 2024 Feb 29.

Abstract

INTRODUCTION

Dynamic techniques should be used to compliment static imaging in the field of Musculoskeletal ultrasound. Performing limb movements and imaging simultaneously, allows for diagnosing certain musculoskeletal conditions not otherwise confirmed by still images. This article aims to provide guidance on how to perform a selection of these dynamic musculoskeletal ultrasound techniques with a focus on the upper limb.

METHODS

This pictorial guide features techniques gathered from literature review and experience gained in the field.

RESULTS

Application of dynamic ultrasound techniques has been evidenced in the literature to diagnose conditions such as trigger finger, dislocating tendons and causes of peripheral neuropathy.

CONCLUSION

Musculoskeletal conditions only elicited during limb movement can be difficult to diagnose. Appropriate use of dynamic techniques increases likelihood of correct diagnosis of the described conditions.

IMPLICATIONS FOR PRACTICE

Ultrasound provides a unique opportunity to visualise these conditions thus ultrasound users should aim to familiarise themselves with dynamic ultrasound techniques to improve patient outcomes.

摘要

简介

在肌肉骨骼超声领域,应使用动态技术来补充静态成像。同时进行肢体运动和成像,可以诊断出某些肌肉骨骼疾病,如果仅通过静态图像则无法确诊。本文旨在提供如何进行一系列此类动态肌肉骨骼超声技术的指导,重点是上肢。

方法

本图像指南中的技术是从文献综述和在该领域获得的经验中收集的。

结果

文献中已经证明,动态超声技术可用于诊断扳机指、脱位肌腱和周围神经病变等疾病。

结论

仅在肢体运动期间出现的肌肉骨骼疾病可能难以诊断。适当使用动态技术可提高对所描述疾病的正确诊断的可能性。

实践意义

超声提供了可视化这些疾病的独特机会,因此超声使用者应努力熟悉动态超声技术,以改善患者的治疗效果。

相似文献

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Musculoskeletal interventional ultrasonography: the upper limb.肌肉骨骼介入超声:上肢。
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Imaging of Peripheral Nerves of the Upper Extremity.上肢周围神经成像
Radiol Clin North Am. 2019 Sep;57(5):1063-1071. doi: 10.1016/j.rcl.2019.04.001. Epub 2019 Jun 5.
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Musculoskeletal sonography: important imaging pitfalls.肌肉骨骼超声:重要的影像学误区。
AJR Am J Roentgenol. 2010 Jan;194(1):216-25. doi: 10.2214/AJR.09.2712.

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