Die dreidimensionale Sonographie in der Diagnostik von Meniscusläsionen Eine experimentelle und klinische Studie

Abstract

There is no consensus regarding the clinical significance of conventional two-dimensional ultrasound in the diagnosis of meniscal tears of the knee. Three-dimensional ultrasound spatially reconstructs a transparent image of subsequent ultrasound scans. In an experimental study of 96 menisci, radial and oblique tears were detected more often by three-dimensional ultrasound. In a clinical study of 60 menisci the two- and three-dimensional ultrasound reached a sensitivity of 92% and 100%, a specificity of 83% and 88%, a positive predictive value of 58% and 67%, and a negative predictive value of 98% and 100%, respectively. Altogether, there was no statistically significant difference between both methods. The high negative predictive value, however, shows that the three-dimensional ultrasound may be a clinically relevant examination for special questions in the diagnostics of meniscal tears.

Optimising Wound Closure Following a Fasciotomy: A narrative review

“…Riedl et al . first described an alternative approach for wound approximation, where a subcuticular suture was placed directly following fasciotomy without applying tension 38. Within 3–5 days, progressive traction was applied and the patients were usually not required to undergo a secondary operation.…”

Zgodność oceny stopnia uszkodzenia ścięgna mięśnia nadgrzebieniowego w ultrasonografii 3D – kwestia doświadczenia?

“…Three-dimensional (3D) US with the advantages of multiplanar imaging facility with three perpendicular planes observed in any position, plus direction, has been an established prenatal diagnostic technique since the early 90's ( 8 ) . The use of this technique in musculoskeletal diagnostics has been reported in the examination of the neonatal hip and in the diagnosis of meniscus lesions ( 9 , 10 ) . However, the role of 3D US in the diagnosis of shoulder pathologies is not clear with only few studies, and on small populations, investigating the rater dependency in 3D US ( 11 – 13 ) .…”