超声与手术所见在桡骨茎突狭窄性腱鞘炎解剖变异中的对比分析
Comparative Analysis of Ultrasound and Surgical Findings in Anatomical Variations of de Quervain's Disease.
作者信息
Lee Young Seok, Choi Wan-Sun, Baek Seung Hun, Kang Hyunwoo, Lee Chang-Hun
机构信息
Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, Korea.
Department of Orthopedic Surgery, Ajou University School of Medicine, Suwon, Korea.
出版信息
Clin Orthop Surg. 2025 Apr;17(2):308-316. doi: 10.4055/cios24127. Epub 2025 Mar 14.
BACKGROUND
This study compares ultrasound and surgical findings of anatomical variations in de Quervain's disease.
METHODS
Seventy-four wrists from patients with unilateral de Quervain's disease were examined through ultrasonography and surgery. Presence of intracompartment septum, abductor pollicis longus (APL) slips, and selective stenosis were verified by both methods. Two orthopedic surgeons assessed ultrasound findings for intra- and interobserver reliability.
RESULTS
Amongst 74 participants (43 women and 31 men), 60.8% had a complete septum, 31.1% had an incomplete septum, and 8.1% had no septum; 70.3% had multi-slip APL and 66.2% had extensor pollicis brevis stenosis. Surgical and ultrasonographic findings displayed a high level of sensitivity and specificity. Intraobserver reliability was high, and interobserver reliability was substantial.
CONCLUSIONS
The study confirms ultrasonography's reliability in identifying anatomical variations in de Quervain's disease, with high sensitivity, specificity, and substantial intra- and interobserver reliability, emphasizing its usefulness in preoperative assessment and planning.
背景
本研究比较了超声检查与手术检查在桡骨茎突狭窄性腱鞘炎解剖变异方面的结果。
方法
对74例单侧桡骨茎突狭窄性腱鞘炎患者的手腕进行了超声检查和手术。两种方法均验证了腕管内间隔、拇长展肌（APL）肌腱束以及选择性狭窄的存在情况。两名骨科医生评估了超声检查结果的观察者内及观察者间可靠性。
结果
在74名参与者（43名女性和31名男性）中，60.8%有完整间隔，31.1%有不完整间隔，8.1%无间隔；70.3%有拇长展肌多肌腱束，66.2%有拇短伸肌狭窄。手术和超声检查结果显示出高度的敏感性和特异性。观察者内可靠性高，观察者间可靠性强。
结论
该研究证实了超声检查在识别桡骨茎突狭窄性腱鞘炎解剖变异方面的可靠性，具有高敏感性、特异性以及较强的观察者内和观察者间可靠性，强调了其在术前评估和规划中的实用性。
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