2010, Number 4
<< Back Next >>
Anales de Radiología México 2010; 9 (4)
Ultrasound evaluation of soft tissue injuries and musculoskeletal
Cano MI, Ávila AA
Language: Spanish
References: 28
Page: 174-184
PDF size: 735.96 Kb.
ABSTRACT
Introduction: Since 1979, when the first article on the use of ultrasound was published, it has gained popularity as a diagnostic tool for revision of soft tissue.
Objective: To determine the usefulness of ultrasound in the diagnosis of musculotendinous injuries.
Material and methods: We studied 150 patients on the Department of Radiology and Imaging at Hospital San José, which were considered clinically and by ultrasonography. The study was performed with two Siemens Antares ultrasound equipment with linear transducers of 7-13 and 4-9 MHz. We selected 150 patients who underwent ultrasound as a diagnostic method, and were classified by anatomical region and type of injury described by ultrasound.
Results: 52% (n = 78) of ultrasound identified a type of muscle-tendon injury, 24.6% (n = 37) of patients had tears, 10% had contusion (n = 15), rupture and tendinitis, both with 8.6% (n = 13) each, and hand with 15.3% (n = 23).
Conclusion: Ultrasound is a useful tool in evaluating a wide variety of muscle-tendon injuries because of their versatility, accessibility, real-time review and direct visualization of the affected site.
REFERENCES
Robinson P. Sonography of common tendon injuries. AJR Am J Roentgenol 2009; 193: 607-618.
Lin J, Jacobson JA, Fessell DP, et al. An illustrated tutorial of musculoskeletal sonography. AJR Am J Roentgenol 2000; 175: 1071-1079.
Lund PJ, Nisbet JK, Valencia FG, Ruth JT. Current sonographic applications in orthopedics. AJR Am J Roentgenol 1996; 166(4): 889-895.
Towers JD, Russ EV, Golla SK. Biomechanics of tendons and tendon failure. Semin Musculoskelet Radiol 2003; 7: 59-65.
Jacobson JA, Lancaster S, Prasad A, et al. Full-thickness and partial-thickness supraspinatus tendon tears: value of US signs in diagnosis. Radiology 2004; 230: 234-242.
McNally E. Practical musculoskeletal ultrasound. London, UK: Churchill Livingston, 2004.
Dillon EM, Erasmus PJ, Muller JH, et al. Differential forces within the proximal patellar tendon as an explanation for the characteristic lesion of patellar tendinopathy: an in vivo descriptive experimental study. Am J Sports Med 2008; 36: 2119-2127.
Shetty M, Fessell DP, Femino JE, et al. Sonography of ankle tendon impingement with surgical correlation. AJR Am J Roentgenol 2002;179: 949-953.
Shetty M, Fessell DP, Femino JE, et al. Sonography of ankle tendon impingement with surgical correlation. AJR Am J Roentgenol 2002;179:949-953.
Lund PJ, Heikal A, Maricic MJ, et al. Ultrasound imaging of the hand an wrist in rheumatoid arthritis. Skeletal Radiol 1995; 24: 591-596.
Murrell GA, Walton JR. Diagnosis of rotator cuff tears (letter). Lancet 2001; 357: 769-770.
Bae DK, Kwon OS. Snapping knee caused by the gracilis and semitendinosus tendon: a case report. Bull Hosp Jt Dis 1997; 56: 177-179.
Fornage BD, Touche H, Segal P, Rifkin MD. Ultrasonography in the evaluation of muscular trauma. J Ultrasound Med 1983; 2: 549-554.
Moosikasuwan JB, Miller TT, Burke BJ. Rotator cuff tears: clinical, radiographic, and US findings. Radiographics 2005; 25: 1591-1607.
Cheung Y, Rosenberg ZS, Magee T, Chinitz L. Normal anatomy and pathologic conditions of ankle tendons: current imaging techniques. Radiographics 1992; 12: 429-444.
Sommer OJ, Kladosek A, Weiler V, et al. Rheumatoid arthritis: a practical guide to state-of-the-art imaging, image interpretation, and clinical implications. Radiographics 2005; 25: 381-398.
Allen GM. The Royal Orthopaedic Hospitals NHS Trust, Bristol Road South, Northfield, Birmingham, B31 2AP, UK.
Soto P, Salazar L. Clasificación ecográfica de los desgarros musculares. Anales de Radiología de México 2008; 121-128.
Loyer EM, DuBrow RA, David CL, et al. Imaging of superficial soft-tissue infections: sonographic findings in cases of cellulitis and abscess. AJR Am J Roentgenol 1996; 166: 149-152.
Pourcelot L, Lefebure E. Ultrasonido musculoesquelético. Masson, 1996.
Kransdorf MJ, Moser RP Jr, Meis JM, Meyer CA. Fat-containing soft-tissue masses of the extremities. Radiographics 1991; 11: 81-106.
Fornage BD, Tassin GB. Sonographic appearance of superficial lipomas. J Clin Ultrasound 1991; 19: 215-220.
Inampudi P, Jacobson A, Fessell DP, et al. Soft tissue lipomas: accuracy of sonography in diagnosis with pathologic correlation. Radiology 2004; 233(3): 763-767.
Fornage BD. Soft tissue masses: the underutilization of sonography. Semin Musculoskeletal Radiol 1999; 3: 115-133.
Adler RS, Sofka CM. Percutaneous ultrasound-guided injections in the musculoskeletal system. Ultrasound Q 2005; 19: 3-12.
Luchs JS, Sofka CM, Adler RS. Contrast effect of combined steroid an anesthetic injections. J Ultrasound Med 2007; 2: 227-231.
Ernberg LA, Adler RS. Ultrasound in the detection and treatment of a painful stump neuroma. Skeletal Radiol 2003; 32: 306-309.
Boyse TD, Fessell DP, Jacobson JA, et al. US of soft-tissue foreign bodies and associated complications with surgical correlation. Radiographics 2001; 21: 1251-1256.