浏览全部资源
扫码关注微信
动态及应力条件下超声对膝关节半月板损伤的诊断价值
Diagnostic value of ultrasound on meniscus injury under dynamic activity and stress
- 第三军医大学学报 2018年40卷第11期 页码：1017-1021
- 作者机构：
- 作者简介：
- 基金信息：
DOI：10.16016/j.1000-5404.201801259
中图分类号：收稿：2018-01-31，
纸质出版：2018-06-15
- 稿件说明：
移动端阅览
张雷, 郭林, 马超, 等. 动态及应力条件下超声对膝关节半月板损伤的诊断价值[J]. 第三军医大学学报, 2018,40(11):1017-1021.
Lei ZHANG, Lin GUO, Chao MA, et al. Diagnostic value of ultrasound on meniscus injury under dynamic activity and stress[J]. Journal of Third Military Medical University, 2018, 40(11): 1017-1021.
张雷, 郭林, 马超, 等. 动态及应力条件下超声对膝关节半月板损伤的诊断价值[J]. 第三军医大学学报, 2018,40(11):1017-1021. DOI： 10.16016/j.1000-5404.201801259.
Lei ZHANG, Lin GUO, Chao MA, et al. Diagnostic value of ultrasound on meniscus injury under dynamic activity and stress[J]. Journal of Third Military Medical University, 2018, 40(11): 1017-1021. DOI： 10.16016/j.1000-5404.201801259.
摘要
Abstract
Objective
2
To evaluate the value of dynamic stress ultrasound in the diagnosis of meniscus injury of knee joint.
Methods
2
A total of 40 consecutive patients (80 menisci) with anterior cruciate ligament (ACL) tear diagnosed by MRI and undergoing arthroscopic surgery in our hospital from December 2016 to June 2017 were enrolled in this study. They were 31 males and 9 females
at an age of 28.0±5.4(15~40) years
and at a BMI of 23.2±2.9(19.8 to 25.2) kg/m
2
. Static and stress dynamic ultrasound examinations were performed preoperatively on the medial and lateral meniscus of the double knees in all patients
and the results were compared with the arthroscopic exploration results. The value of static
dynamic and stress ultrasound were evaluated for meniscus tear and diagnosis of instability.
Results
2
The results of arthroscopy indicated that there were 42 cases of meniscus tear in the 40 patients. And static ultrasound had the sensitivity
specificity
and positive and negative predictive value for the diagnosis of meniscus were 78.6%
78.9%
80.5%
and 76.9%
respectively. The values were 42.9%
97.4%
94.7% and 60.6% respectively for the stress dynamic ultrasound. When the results of static and stress dynamic ultrasound were combined together
the values were 92.8%
89.5%
83.3% and 90.6%. For MRI
the values were 95.2%
97.4%
97.6%
97.6% and 94.5%. Combination of dynamic and stress ultrasound effectively improved the specificity and positive predictive value in the diagnosis of meniscus injury
and in addition with the static ultrasound
the sensitivity
specificity and negative predictive value of the diagnosis were further improved.
Conclusion
2
Stress dynamic ultrasound examination is an effective supplement in the diagnosis of meniscus injury.
关键词
Keywords
references
邓 奎 许 亮 熊 曼丽 关节镜技术下足球运动员半月板损伤的临床研究 广州体育学院学报 2016 36 5 105 107 http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=gztyxyxb201605026 邓奎, 许亮, 熊曼丽, 等.关节镜技术下足球运动员半月板损伤的临床研究[J].广州体育学院学报, 2016, 36(5): 105-107.
DENG K XU L XIONG M L Clinical study on meniscus injury of football players under arthroscopy J Guangzhou Sport Univ 2016 36 5 105 107 http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=gztyxyxb201605026 DENG K, XU L, XIONG M L, et al . Clinical study on meniscus injury of football players under arthroscopy[J ] . J Guangzhou Sport Univ, 2016, 36(5): 105-107.
AKATSU Y YAMAGUCHI S MUKOYAMA S Accuracy of high-resolution ultrasound in the detection of meniscal tears and determination of the visible area of menisci J Bone Joint Surg Am 2015 97 10 799 806 10.2106/JBJS.N.01055 http://cn.bing.com/academic/profile?id=c33abb39ecbc8aa13e7708df30b4e4cb&encoded=0&v=paper_preview&mkt=zh-cn AKATSU Y, YAMAGUCHI S, MUKOYAMA S, et al . Accuracy of high-resolution ultrasound in the detection of meniscal tears and determination of the visible area of menisci[J ] . J Bone Joint Surg Am, 2015, 97(10):799-806. DOI:10.2106/JBJS.N.01055.
VAQUERO J FORRIOL F Meniscus tear surgery and meniscus replacement Muscles Ligaments Tendons J 2016 6 1 71 89 10.11138/mltj/2016.6.1.071 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4915465/ VAQUERO J, FORRIOL F. Meniscus tear surgery and meniscus replacement[J]. Muscles Ligaments Tendons J, 2016, 6(1):71-89. DOI:10.11138/mltj/2016.6.1.071.
BEHAIRY N H DORGHAM M A KHALED S A Accuracy of routine magnetic resonance imaging in meniscal and ligamentous injuries of the knee:comparison with arthroscopy Int Orthop 2009 33 4 961 967 10.1007/s00264-008-0580-5 https://www.researchgate.net/profile/Sherif_Khaled/publication/5345375_Accuracy_of_routine_magnetic_resonance_imaging_in_meniscal_and_ligamentous_injuries_of_the_knee_Comparison_with_arthroscopy/links/543918100cf2d6698be03547.pdf BEHAIRY N H, DORGHAM M A, KHALED S A. Accuracy of routine magnetic resonance imaging in meniscal and ligamentous injuries of the knee:comparison with arthroscopy[J]. Int Orthop, 2009, 33(4):961-967.DOI:10.1007/s00264-008-0580-5.
LEFEVRE N NAOURI J F HERMAN S A current review of the meniscus imaging: Proposition of a useful tool for its radiologic analysis Radiol Res Pract 2016 2016 8329296 10.1155/2016/8329296 http://cn.bing.com/academic/profile?id=38c08ac6dafad7238af6576e85dd8d36&encoded=0&v=paper_preview&mkt=zh-cn LEFEVRE N, NAOURI J F, HERMAN S, et al . A current review of the meniscus imaging: Proposition of a useful tool for its radiologic analysis[J ] . Radiol Res Pract, 2016, 2016:8329296. DOI:10.1155/2016/8329296.
HOFFELNER T RESCH H FORSTNER R Arthroscopic all-inside meniscal repair-Does the meniscus heal? A clinical and radiological follow-up examination to verify meniscal healing using a 3-T MRI Skeletal Radiol 2011 40 2 181 187 10.1007/s00256-010-0965-6 http://cn.bing.com/academic/profile?id=859315cb039d5fbe1889194a83414ed9&encoded=0&v=paper_preview&mkt=zh-cn HOFFELNER T, RESCH H, FORSTNER R, et al . Arthroscopic all-inside meniscal repair-Does the meniscus heal? A clinical and radiological follow-up examination to verify meniscal healing using a 3-T MRI[J ] . Skeletal Radiol, 2011, 40(2):181-187. DOI:10.1007/s00256- 010-0965-6.
PUJOL N TARDY N BOISRENOULT P Magnetic resonance imaging is not suitable for interpretation of meniscal status ten years after arthroscopic repair Int Orthop 2013 37 12 2371 2376 10.1007/s00264-013-2039-6 http://cn.bing.com/academic/profile?id=72b63dacece0130d999ffcd218e5c750&encoded=0&v=paper_preview&mkt=zh-cn PUJOL N, TARDY N, BOISRENOULT P, et al . Magnetic resonance imaging is not suitable for interpretation of meniscal status ten years after arthroscopic repair[J ] . Int Orthop, 2013, 37(12):2371-2376. DOI:10.1007/s00264 -013-2039-6.
KLAUSER A S TAGLIAFICO A ALLEN G M Clinical indications for musculoskeletal ultrasound: a Delphi-based consensus paper of the European Society of Musculoskeletal Radiology Eur Radiol 2012 22 5 1140 1148 10.1007/s00330-011-2356-3 https://link.springer.com/article/10.1007%2Fs00330-011-2356-3 KLAUSER A S, TAGLIAFICO A, ALLEN G M, et al .. Clinical indications for musculoskeletal ultrasound: a Delphi-based consensus paper of the European Society of Musculoskeletal Radiology[J ] .Eur Radiol, 2012, 22(5):1140-1148.DOI: 10.1007/s00330-011- 2356-3.
DE MAESENEER M LENCHIK L STAROK M Normal and abnormal medial meniscocapsular structures: MR imaging and sonography in cadavers AJR Am J Roentgenol 1998 171 4 969 976 10.2214/ajr.171.4.9762977 http://cn.bing.com/academic/profile?id=e67bc5b6a5b2f4e09e4a4a836d7be953&encoded=0&v=paper_preview&mkt=zh-cn DE MAESENEER M, LENCHIK L, STAROK M, et al . Normal and abnormal medial meniscocapsular structures: MR imaging and sonography in cadavers[J ] . AJR Am J Roentgenol, 1998, 171(4): 969-976.DOI:10.2214/ajr.171.4.9762977.
Nogueira M H Gregio E Lorenzato M M Ultrasound assessment of medial meniscal extrusion: a validation study using MRI as reference standard AJR Am J Roentgenol 2015 204 3 584 588 10.2214/AJR.14.12522 https://www.ajronline.org/doi/pdf/10.2214/AJR.14.12522 Nogueira M H, Gregio E, Lorenzato M M, et al . Ultrasound assessment of medial meniscal extrusion: a validation study using MRI as reference standard[J ] . AJR Am J Roentgenol, 2015, 204(3):584-588. DOI: 10.2214/AJR.14.12522.
GERNGROSS H SOHN C Ultrasound scanning for the diagnosis of meniscal lesions of the knee joint Arthroscopy 1992 8 1 105 110 10.1016/0749-8063(92)90143-y http://cn.bing.com/academic/profile?id=0fd6815667e57ee9a4f7204d9803544c&encoded=0&v=paper_preview&mkt=zh-cn GERNGROSS H, SOHN C. Ultrasound scanning for the diagnosis of meniscal lesions of the knee joint[J].Arthroscopy, 1992, 8(1): 105-110. DOI:10.1016/0749-8063(92)90143-y.
CHEN H Diagnosis and treatment of a lateral meniscal cyst with musculoskeletal ultrasound Case Rep Orthop 2015 2015 432187 10.1155/2015/432187 http://cn.bing.com/academic/profile?id=02536aaf4195ffa53dfb4eb7b634ac3c&encoded=0&v=paper_preview&mkt=zh-cn CHEN H. Diagnosis and treatment of a lateral meniscal cyst with musculoskeletal ultrasound[J]. Case Rep Orthop, 2015, 2015:432187. DOI:10.1155/2015/432187.
张 永克 赵 骏 王 健 脂肪抑制质子加权成像和磁敏感加权成像诊断膝关节半月板损伤对比研究 第三军医大学学报 2013 35 23 2586 2589 http://aammt.tmmu.edu.cn/oa/DArticle.aspx?type=view&id=201306085 张永克, 赵骏, 王健, 等.脂肪抑制质子加权成像和磁敏感加权成像诊断膝关节半月板损伤对比研究[J].第三军医大学学报, 2013, 35(23):2586-2589.
ZHANG Y K ZHAO J WANG J Fat-suppressed proton density-weighted imaging vs susceptibility weighted imaging in diagnosis of meniscal tear J Third Mil Med Univ 2013 35 23 2586 2589 http://aammt.tmmu.edu.cn/oa/DArticle.aspx?type=view&id=201306085 ZHANG Y K, ZHAO J, WANG J, et al . Fat-suppressed proton density-weighted imaging vs susceptibility weighted imaging in diagnosis of meniscal tear[J ] .J Third Mil Med Univ, 2013, 35(23):2586-2589.
KAWAGUCHI K ENOKIDA M OTSUKI R Ultrasonographic evaluation of medial radial displacement of the medial meniscus in knee osteoarthritis Arthritis Rheum 2012 64 1 173 180 10.1002/art.33319 http://cn.bing.com/academic/profile?id=1bef2bb243ee45f9534a27de722f4006&encoded=0&v=paper_preview&mkt=zh-cn KAWAGUCHI K, ENOKIDA M, OTSUKI R, et al . Ultrasonographic evaluation of medial radial displacement of the medial meniscus in knee osteoarthritis[J ] . Arthritis Rheum, 2012, 64(1):173-180. DOI:10.1002/art.33319.
WARELUK P SZOPINSKI K T Value of modern sonography in the assessment of meniscal lesions Eur J Radiol 2012 81 9 2366 2369 10.1016/j.ejrad.2011.09.013 http://cn.bing.com/academic/profile?id=405444cb3bbfd473d5ece6b5a4330807&encoded=0&v=paper_preview&mkt=zh-cn WARELUK P, SZOPINSKI K T. Value of modern sonography in the assessment of meniscal lesions[J].Eur J Radiol, 2012, 81(9):2366-2369.DOI:10.1016/j.ejrad.2011.09.013.
DAI H HUANG Z G CHEN Z J Diagnostic accuracy of ultrasonography in assessing meniscal injury: meta-analysis of prospective studies J Orthop Sci 2015 20 4 675 681 10.1007/s00776-015-0728-2 http://cn.bing.com/academic/profile?id=31a92be641aa3132f8067526e5641c91&encoded=0&v=paper_preview&mkt=zh-cn DAI H, HUANG Z G, CHEN Z J, et al . Diagnostic accuracy of ultrasonography in assessing meniscal injury: meta-analysis of prospective studies[J ] . J Orthop Sci, 2015, 20(4):675-681. DOI: 10.1007/s00776-015-0728-2.
ACEBES C ROMERO F I CONTRERAS M A Dynamic ultrasound assessment of medial meniscal subluxation in knee osteoarthritis 2013 52 8 1443 1447 10.1093/rheumatology/ket110 http://cn.bing.com/academic/profile?id=d0d1ff158cbad9f96d5d99d40071fc4e&encoded=0&v=paper_preview&mkt=zh-cn ACEBES C, ROMERO F I, CONTRERAS M A, et al . Dynamic ultrasound assessment of medial meniscal subluxation in knee osteoarthritis[J ] . 2013, 52(8):1443-1447. DOI: 10.1093/rheumatology/ket110.
ALIZADEH A BABAEI JANDAGHI A KESHAVARZ ZIRAK A Knee sonography as a diagnostic test for medial meniscal tears in young patients Eur J Orthop Surg Traumatol 2013 23 8 927 931 10.1007/s00590-012-1111-z http://cn.bing.com/academic/profile?id=1b80e47329d3015cf48fa95073096df4&encoded=0&v=paper_preview&mkt=zh-cn ALIZADEH A, BABAEI JANDAGHI A, KESHAVARZ ZIRAK A, et al . Knee sonography as a diagnostic test for medial meniscal tears in young patients[J ] . Eur J Orthop Surg Traumatol, 2013, 23(8):927-931. DOI: 10.1007/s00590-012-1111-z.
0
浏览量
0
下载量
0
CSCD
- Meta-XML下载
- BibTeX下载
- Endnote下载
- RefMan 下载
- NoteExpress下载
- NoteFirst下载
关联资源
相关文章
相关作者
相关机构
- 技术支持由北京北大方正电子有限公司提供 京ICP备09064830号-19
京公网安备11010802024621 - 本系统建议在Chrome、 IE9+ 以上版本浏览器阅读本站内容，360浏览器请切换至极速模式
- Cookies帮助我们提供服务并提供个性化体验。使用本网站，即表示您同意我们使用Cookies
