Zanetti M, Hodler J
Abteilung Radiologie, Orthopädische Universitätsklinik Balgrist, Zürich.
Ther Umsch. 1997 Jan;54(1):18-23.
Beside standard radiographs, bone scintigraphy and MR imaging, ultrasonography plays an important role in assessing abnormalities of the musculoskeletal system. Ultrasonography is widely available, inexpensive and provides high-contrast resolution; however, interobserver variability is a major problem. Ultrasonography should only be employed by experienced examiners and for proven indications in order to prevent inadequate results. Most peer-reviewed publications have evaluated the role of ultrasonography for abnormalities of the rotator cuff and the achilles tendon. Ultrasonography also commonly provides useful information in hip, knee, foot, and wrist abnormalities as well as in the initial work-up in suspected infection or neoplasm; moreover, the role of ultrasonography in some less accepted indications is discussed, such as in meniscal and cruciate ligament injuries as well as in Morton's neuroma.
除了标准X线片、骨闪烁显像和磁共振成像外,超声检查在评估肌肉骨骼系统异常方面也发挥着重要作用。超声检查应用广泛、价格低廉且提供高对比度分辨率;然而,观察者间的差异是一个主要问题。超声检查应由经验丰富的检查人员进行,且仅用于已证实的适应症,以防止出现不充分的结果。大多数同行评审的出版物都评估了超声检查在肩袖和跟腱异常方面的作用。超声检查在髋、膝、足和腕部异常以及疑似感染或肿瘤的初步检查中也通常能提供有用信息;此外,还讨论了超声检查在一些不太被认可的适应症中的作用,如半月板和交叉韧带损伤以及 Morton 神经瘤。