Kramer M, Gerwing M
Chirurgische Veterinárklinik der Justus-Liebig-Universität Giessen.
Berl Munch Tierarztl Wochenschr. 1996 Apr;109(4):130-5.
For the ultrasonographic examination of the musculoskeletal system in dogs a 7,5 MHz linear scanner is used best, in some cases with a standoff pad. Radiography is the technique of choice to detect bone abnormalities. For certain circumstances the sonography can be used to give additional information (e.g. surrounding tissue with osteomyelitis or bone tumors). For the diagnostic of joint diseases ultrasonography is an excellent completion for the radiographic examination. Joint effusion and thickened capsule can be detected. Defects of articular cartilage like osteochondrosis dissecans in the knee or shoulder joint can be well seen. Instabilities of the joint can be identified with a dynamic examination. For evaluating the soft tissue areas ultrasonography is the optimal imaging procedure. Tears of muscles or tendons (e.g. achilles or biceps tendon), partial or complete ones, are seen in the sonographic examination. The process of healing with consolidation of the tendon can be controlled and documented. The tendon of the biceps brachii muscle is often affected in the soft tissue area of the shoulder. Luxation of the tendon, old injuries with scar formation, free dissections in the biceps tendon sheath and a tendovaginitis can be seen. Abscesses, foreign bodies, hematomas and soft tissue tumors in the musculoskeletal system can be well presented in the echotomogram. A tumor in the region of the brachial plexus can be detected directly with ultrasound.
对于犬类肌肉骨骼系统的超声检查,最好使用7.5兆赫的线性扫描仪,某些情况下可搭配水囊垫。放射摄影是检测骨骼异常的首选技术。在某些情况下,超声检查可用于提供额外信息(例如骨髓炎或骨肿瘤周围的组织)。对于关节疾病的诊断,超声检查是放射摄影检查的极佳补充。可以检测到关节积液和增厚的关节囊。关节软骨的缺陷,如膝关节或肩关节的分离性骨软骨炎,可以清晰地看到。通过动态检查可以识别关节的不稳定性。对于评估软组织区域,超声检查是最佳的成像方法。在超声检查中可以看到肌肉或肌腱的撕裂(例如跟腱或肱二头肌肌腱),部分或完全撕裂。可以控制和记录肌腱愈合并形成硬结的过程。肱二头肌肌腱在肩部软组织区域常受影响。可以看到肌腱脱位、有瘢痕形成的陈旧损伤、肱二头肌肌腱鞘内的游离剥离以及腱鞘炎。肌肉骨骼系统中的脓肿、异物、血肿和软组织肿瘤在超声图像中可以很好地显示出来。可以直接用超声检测臂丛神经区域的肿瘤。