High-resolution ultrasound in the diagnosis of upper limb disorders - A tertiary referral centre experience

被引:5
作者
Allen, Gina M. [2 ]
Drakonaki, Eleni E. [1 ]
Tan, Melissa Ley H. [3 ]
Dhillon, Manpreet [3 ]
Rajaratnam, Vaikunthan [3 ,4 ]
机构
[1] Univ Hosp Heraklion, Dept Radiol, Sch Med Crete, Iraklion 71110, Greece
[2] Selly Oak & Royal Orthopaed Hosp, Dept Radiol, Birmingham, W Midlands, England
[3] Royal Orthopaed Hosp, Hand Surg Unit, Birmingham B31 2AP, W Midlands, England
[4] Selly Oak Hosp, Hand Surg Unit, Birmingham B29 6JD, W Midlands, England
关键词
ultrasound; hand; wrist; elbow; accuracy;
D O I
10.1097/SAP.0b013e31815bfe68
中图分类号
R61 [外科手术学];
学科分类号
摘要
The purpose of this study is to determine the reliability of high-resolution ultrasound (HRUS) in the diagnosis of upper limb disorders compared with the initial clinical opinion. We prospectively studied 178 patients referred for HRUS examination (47.2%, hand, 34.8% wrist, and 18% elbow examinations) by recording the clinical opinion, the specific ultrasound diagnosis, and the final diagnosis, as established by surgery (79.9%) or follow-up (20.1%). HRUS examination was highly reliable in diagnosing cystic lesions, synovial disease, ligament injury and foreign bodies (100%,), and slightly less reliable for solid lesions (82.1%) and nerve, bone, and tendon disorders (97%, 91.7%, 86.5%, respectively). HRUS examination resulted in significantly more correct diagnoses (92.1%) than the clinical opinion (70.8%) (McNemar test, P = 0.001). The agreement between the HRUS diagnosis and the clinical opinion was slight (Kappa test, k = 0.16). HRUS examination is more reliable than clinical examination in diagnosing upper limb disorders.
引用
收藏
页码:259 / 264
页数:6
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