The accuracy of diagnostic ultrasound imaging for musculoskeletal soft tissue pathology of the extremities: A comprehensive review of the literature

被引：49
作者：
Henderson R.E.A. [1 ,4 ]
Walker B.F. [2 ]
Young K.J. [3 ]
机构：
[1] Private Practice of Chiropractic, Spearwood, WA
[2] Murdoch University, Associate Professor, Discipline of Chiropractic, School of Health Professions, Murdoch, WA
[3] Murdoch University, Senior Lecturer, Discipline of Chiropractic, School of Health Professions, Murdoch, WA
[4] 253 Winterfold Road, Coolbellup, 6163, WA
来源：
Chiropractic & Manual Therapies | / 23卷 / 1期
关键词：
Rotator Cuff; Carpal Tunnel Syndrome; Ulnar Collateral Ligament; Patella Tendinopathy; Hamstring Injury;
D O I：
10.1186/s12998-015-0076-5
中图分类号：
学科分类号：
摘要：
Musculoskeletal diagnostic ultrasound imaging (MSK-DUSI) has been growing outside the traditional radiology speciality. Increased use of this technology has been reported in several healthcare settings, however an apparent gap in the knowledge of the accuracy of this diagnostic technology indicated a review was warranted. We undertook a structured review of the literature to assess the accuracy of MSK-DUSI for the diagnosis of musculoskeletal soft tissue pathology of the extremities. An electronic search of the National Library of Medicine's PubMed database (1972 to mid-2014) was conducted. All relevant systematic reviews of diagnostic studies, all diagnostic studies published after the date of the latest systematic reviews and relevant diagnostic studies outside the scope the systematic reviews that directly compared the accuracy of MSK-DUSI (the index test) to an appropriate reference standard for the target condition were included. A fundamental appraisal of the methodological quality of studies was completed. The individual sensitivity, specificity and likelihood ratio data were extracted and entered into diagnostic accuracy tables. A total of 207 individual studies were included. The results show that MSK-DUSI has acceptable diagnostic accuracy for a wide spectrum of musculoskeletal conditions of the extremities. However, there is a lack of high quality prospective experimental studies in this area and as such clinicians should interpret the results with some caution due to the potential for overestimation of diagnostic accuracy. © 2015 Henderson et al.
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共 178 条
[71]  
Armstrong A., Teefey S.A., Wu T., Clark A.M., Middleton W.D., Yamaguchi K., Et al., The efficacy of ultrasound in the diagnosis of long head of the biceps tendon pathology, J Shoulder Elbow Surg, 15, 1, pp. 7-11, (2006)
[72]  
Khoury V., Cardinal E., Brassard P., Atrophy and fatty infiltration of the supraspinatus muscle: sonography versus MRI, Am J Roentgenol, 190, 4, pp. 1105-1111, (2008)
[73]  
Read J.W., Perko M., Shoulder ultrasound: diagnostic accuracy for impingement syndrome, rotator cuff tear, and biceps tendon pathology, J Shoulder Elbow Surg, 7, 3, pp. 264-271, (1998)
[74]  
Skendzel J.G., Jacobson J.A., Carpenter J.E., Miller B.S., Long head of biceps brachii tendon evaluation: accuracy of preoperative ultrasound, Am J Roentgenol, 197, 4, pp. 942-948, (2011)
[75]  
Strobel K., Hodler J., Meyer D.C., Pfirrmann C.W., Pirkl C., Zanetti M., Fatty Atrophy of Supraspinatus and Infraspinatus Muscles: Accuracy of US 1, Radiology, 237, 2, pp. 584-589, (2005)
[76]  
Dones V.C., Grimmer K., Thoirs K., Suarez C.G., Luker J., The diagnostic validity of musculoskeletal ultrasound in lateral epicondylalgia: a systematic review, BMC Med Imaging, 14, (2014)
[77]  
Beekman R., Schoemaker M., Plas J., Berg L., Franssen H., Wokke J., Et al., Diagnostic value of high-resolution sonography in ulnar neuropathy at the elbow, Neurology, 62, 5, pp. 767-773, (2004)
[78]  
Lobo Lda G., Fessell D.P., Miller B.S., Kelly A., Lee J.Y., Brandon C., Et al., The role of sonography in differentiating full versus partial distal biceps tendon tears: correlation with surgical findings, AJR Am J Roentgenol, 200, 1, pp. 158-162, (2013)
[79]  
Park G.Y., Lee S.M., Lee M.Y., Diagnostic value of ultrasonography for clinical medial epicondylitis, Arch Phys Med Rehabil, 89, 4, pp. 738-742, (2008)
[80]  
Beekman R., Visser L.H., Sonography in the diagnosis of carpal tunnel syndrome: a critical review of the literature, Muscle Nerve, 27, 1, pp. 26-33, (2003)
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