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揭开Syndesmotic Malreduction:对于便携式超声波检测的概念验证

Samir Ghandour^1,2, Atta Taseh^1,2, Siddhartha Sharma^1,2,3

¹Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

The archives of bone and joint surgery

|April 5, 2024

概括

便携式手持式超声波可以准确地检测到经过综合性乱后的状骨的恶性旋转. 从后脚测量后间隙穿透标志,显示出高特异性和积极的预测价值,用于检测旋转性缩.

科学领域:

整形外科手术整形外科手术
放射学放射学是一门学科.
医疗成像医学成像

背景情况:

综合性损伤是关节骨折中常见的一种损伤.
准确评估远端支柱体综合症的完整性对于最佳的患者结果至关重要.
当前的诊断方法在评估旋转不对齐时可能存在局限性.

研究的目的:

评估便携式手持式超声波 (P-US) 的诊断性能,以检测远端骨关节的骨旋转.
评估一种新的"差距透标志"在识别综合性缩症时的有用性.

主要方法:

四个尸体标本经历了综合性干扰和模拟的旋转失调 (内部和外部).
两名失明的观察员对远距离的带关节进行了P-US检查,评估了前后"隙透度".
隙透度被定义为超声波穿透综合性空间的能力.

主要成果:

后隙穿透性在检测内部和外部旋转性减弱方面表现良好.
后腔透实现了高特异性 (87.5%) 和正预测值 (90.0%).
前隙透率在检测旋转缩时显示出有限的效用.

结论:

"差距穿透标志",特别是当从后部测量时,是一种新的,准确的方法来检测使用P-US.US的综合性恶性减少.
这个标志不需要复杂的定量测量,使得它可供早期P-US用户使用.
便携式手持式超声波提供了一个有价值的工具,用于评估在综合性损伤中状骨的旋转.

关键词:

脚不稳定脚不稳定关节减伤疗法脚减伤疗法综合症的不稳定性综合症不稳定性带关节的关节.创伤是一个创伤.

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