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超声波用于诊断中部侧脚不稳定性在位外旋脚骨折

Jirawat Saengsin^1,2, Pongpanot Sornsakrin³, Pichitchai Atthakomol⁴

¹Foot and Ankle Research and Innovation Lab, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. Jsaengsin@gmail.com.

Journal of orthopaedic surgery and research

|March 10, 2025

概括

便携式超声波有效地检测到中部脚不稳定性在置-外部旋转伤害. 这种非侵入性方法准确地分阶段伤害的严重程度,有助于诊断和治疗计划的带关节损伤.

科学领域:

整形外科手术整形外科手术
诊断成像诊断成像诊断成像
运动医学运动医学

背景情况:

带带损伤的传统诊断依赖于放射性压力视图.
便携式超声波为评估脚不稳定提供了一个动态的,非侵入性的,即时治疗的替代方案.
Supination-外部旋转脚损伤是中间侧不稳定的常见原因.

研究的目的:

评估便携式超声波在检测中部脚不稳定的有效性.
评估超声波测量与置-外部旋转 (SER) 脚损伤阶段之间的相关性.
为了确定超声波是否可以区分伤害严重程度.

主要方法:

十个新冷的尸体脚经历了连续的带和骨损伤.
在四种负载条件下,使用便携式超声波测量了中间清空空间 (MCS) 距离.
负载条件包括重力应力 (中性/横向曲),外部旋转应力和模拟承重.

主要成果:

在所有负载条件下,MCS测量随着损伤阶段的渐进而显著增加.
便携式超声波显示,MCS在完整状态和IVb阶段 (完全的三角形损伤) 状态之间显著扩大.
超声波区分了第三阶段 (部分骨损伤) 和第四阶段 (b) 的损伤.

结论:

便携式超声波是诊断中部脚不稳定性在SER损伤的一个可行的工具.
超声波评估的MCS测量与SER损伤阶段化有很好的相关性.
这项技术可以区分不同严重程度的带带复合损伤.

关键词:

脚骨折脚骨折在脚骨折脚不稳定脚不稳定部分带带带带中间清晰的空间.超声波超声波是指超声波的使用.

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