|
|
The application value of the ultrasound in the evaluation of triangular fibrocartilage injuries |
HUO Min-zhong, LIANG Tong |
Foshan Hospital of Guangzhou Traditional Chinese Medicine, Foshan Guangdong 528000, China |
|
|
Abstract Objective: To investigate the application value of the ultrasound in the evaluation of triangular fibrocartilage (TFC) injuries. Methods: Fifty-seven patients with ulnar wrist pains were examined by ultrasonography to determine whether there was a TFC injury and to classify the degree of injury. Results: Fifty-seven cases of ulnar wrist pains were confirmed by arthroscopy in 53 cases of triangulatrial disc injury, 50 cases were detected by conventional ultrasound, and the diagnostic accuracy was about 87.72%, 3 cases were missed, 2 cases of type ⅠD and 1 case type ⅠC. And in 4 cases, 1 case of type ⅠB, 2 type ⅠC and 1 type ⅠD were misdiagnosed as type ⅠA. The ultrasound has a good consistency with arthroscopy in the classification of injuries. Conclusion: The ultrasound can clearly display TFC injuries which has a good consistency with arthroscopy in the classification of injuries and can be regarded as an important screening method to diagnose TFC injuries.
|
Received: 01 December 2017
|
|
|
|
|
[1]任杰,郑荣琴,黄冬梅,等. 膝关节软骨退行性变的声像学表现[J]. 中国超声医学杂志,2006,22(2):151-153.
[2]Disler DG, Raymond E, May DA, et al. Articular cartilage defects: In vitro evaluation of accuracy and interobserver reliability for detection and grading with ultrasound[J]. Radiology, 2000, 215(3): 846-851.
[3]Palmer AK. Triangular fibrocartilage complex lesions: a classification[J]. J Hand Surg Am, 1989, 14(4): 594-606.
[4]Slutsky DJ, Nagle DJ. Wrist arthroscopy: current concepts[J]. J Hand Surg Am, 2008, 33(7): 1228-1244.
[5]Schweitzer ME, Natale P, Winalski CS, et al. Indirect wrist MR arthrography: the effects of passive motion versus active exercise[J]. Skeletal Radiol, 2000, 29(1): 10-14.
[6]Grassi W, Lamanna G, Farina A, et al. Sonographic imaging of normal and osteoartritic cartilage[J]. Semin Arthritis Rheum, 1999, 28(6): 398-403.
[7]Yoon CH, Kim HS, Ju JH, et al. Validity of the sonographic longitudinal sagittal image for assessmenl of the cartilage thickness in the knee osteoarthritis[J]. Clin Rheumatol, 2008, 27(12): 1507-1516.
[8]黄继峰,钟世镇,徐传达. 三角纤维软骨复合体的血供及临床意义[J]. 中国临床解剖学杂志,2001,19(2):118-119. |
|
|
|