engleski

Ultrasound in locomotor injuries

Real-time, high-resolution sonography offers many advantages in diagnosing musculoskeletal injuries: it is rapidly performed, accurate with a possibility of dynamic study of tendons and muscles in motion, noninvasive, does not have inherent side effects and the study can be repeated without risk from radiation. Subcutaneous tissue, muscles and muscle fascia, tendons and ligaments, joints, bursa and to some extent cartilage and cortical bone can be assessed in patients with acute and chronic trauma, aiding in diagnosis and treatment. Pathologic findings include contusions, lacerations, tears (partial or complete) with accompanying haematomas, healing scars and ectopic calcifications, intraarticular fluid collections, bone infractions and apophyseal avulsions. Being operator dependable is the main disadvantage of ultrasound imaging. A detailed knowledge of the anatomy of each region is necessary to distinguish normal from abnormal. Doppler sonography adds valuable information in cases when vascular pathology mimics trauma and vice versa. Sonography is also accurate in follow- up of injuries that have been primarily diagnosed either by ultrasound or other imaging methods. Sonography should be used in all cases of suspected locomotor injuries when bone fractures have been excluded.

ultrasound; locomotor injuries

nije evidentirano