THE USE OF ULTRASONOGRAPHY IN DETECTION OF SYNOVITIS IN CARPAL-TUNNEL SYNDROME

被引：25

作者：

NAKAMICHI, K

TACHIBANA, S

机构：

[1] Department of Orthopaedic Surgery, Torano-mon Hospital, Minato-ku, Tokyo

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1993年 / 18B卷 / 02期

关键词：

D O I：

10.1016/0266-7681(93)90100-T

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The findings of pre-operative ultrasonography of the carpal tunnel were compared with synovial histology in 50 surgically treated wrists with carpal tunnel syndrome. Eight wrists with a massive hypoechoic area (group 3) had synovitis. 28 with a minimal hypoechoic area (group 1) had no evidence of inflammation. 14 with a moderately increased hypoechoic area (group 2) consisted of three with synovitis, four with lymphocytic infiltration and seven without inflammation. Group 3 strongly indicates synovitis, in which case one should consider aetiology other than the idiopathic cause. Bilateral synovial thickening suggests carpal tunnel syndrome as the initial clinical picture of rheumatoid arthritis, and group 1 indicates idiopathic carpal tunnel syndrome provided that there are no primary causes.

引用

页码：176 / 179

页数：4

共 6 条

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