Gehlen Martin, Schwarz-Eywill Michael, Mahn Karin, Pfeiffer Andreas, Bauer Jürgen M, Maier Anna
Fachklinik für Rheumatologie, Orthopädie und Osteologie, Ausbildungsabteilung Sonographie DEGUM, Osteologisches Schwerpunkt- und Forschungszentrum DVO, Klinik Der FÜRSTENHOF, Am Hylligen Born 7, 31812, Bad Pyrmont, Deutschland.
Abteilung für Neurologie, St. Josefs-Hospital Cloppenburg, Cloppenburg, Deutschland.
Z Rheumatol. 2024 Dec;83(10):829-843. doi: 10.1007/s00393-024-01541-8. Epub 2024 Aug 14.
Muscle sonography is used in rheumatology, neurology, geriatrics, sports medicine and orthopedics. Muscular atrophy with fatty and connective tissue degeneration can be visualized and must be interpreted in conjunction with the sonographic findings of the supplying nerves. Sonography is becoming increasingly more important for the early diagnosis of sarcopenia in rheumatology, geriatrics and osteology. Even if its significance has not yet been conclusively clarified, many publications confirm the high reliability of the method. Sonography can ideally be used in addition to magnetic resonance imaging (MRI) in the diagnostics of myositis as it can speed up the diagnosis, muscle groups that were not imaged by MRI can also be assessed sonographically and all muscle groups can be examined during the course of the procedure. Sonography also helps to make a quick and uncomplicated diagnosis of many sports injuries in addition to MRI and is therefore the basis for a targeted therapeutic approach.
肌肉超声检查应用于风湿病学、神经病学、老年医学、运动医学和骨科。伴有脂肪和结缔组织变性的肌肉萎缩可以通过超声显示出来，并且必须结合供应神经的超声检查结果进行解读。在风湿病学、老年医学和骨科学中，超声检查对于肌少症的早期诊断变得越来越重要。即使其意义尚未得到最终明确，但许多出版物证实了该方法的高度可靠性。在肌炎的诊断中，超声检查理想情况下可与磁共振成像（MRI）联合使用，因为它可以加快诊断速度，未被MRI成像的肌肉群也可以通过超声进行评估，并且在检查过程中可以对所有肌肉群进行检查。除了MRI之外，超声检查还有助于快速、简便地诊断许多运动损伤，因此是针对性治疗方法的基础。
