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The aim of this paper is to report on the possibilities of ultrasonography of the musculoskeletal system following traumatic injuries. Subsequent to clinical and radiologic examination, ultrasonography is able to confirm the primary diagnosis by dynamic comparison with a minimal expenditure of time and costs. The size, extent, and anatomic topography of tissue lesions are depicted. This paper focuses especially on the diagnosis of fluid within joints and soft tissues, the identification of foreign bodies, the diagnosis and follow-up of fractures, the diagnosis of infections (possibility of sonographically guided puncture), and musculotendinous injuries. Furthermore, the use of ultrasonography for the evaluation of postoperative pain and complications, the preoperative planning of metal removals, and its performance during spinal surgery are discussed. This paper deals with indications and technical tips for sonography as well as methodological limitations and sources of error in the evaluation of ultrasonographic findings.
The aim of this paper is to report on the possibilities of ultrasonography of the musculoskeletal system following traumatic injuries. Subsequent to clinical and radiologic examination, ultrasonography is able to confirm the primary diagnosis by dynamic comparison with a minimal expenditure of time and costs. The size, extent, and anatomic topography of tissue lesions are depicted. This paper focuses especially on the diagnosis of fluid within joints and soft tissues, the identification of foreign bodies, the diagnosis and follow-up of fractures, the diagnosis of infections (possibility of sonographically guided puncture), and musculotendinous injuries. Furthermore, the use of ultrasonography for the evaluation of postoperative pain and complications, the preoperative planning of metal removals, and its performance during spinal surgery are discussed. This paper deals with indications and technical tips for sonography as well as methodological limitations and sources of error in the evaluation of ultrasonographic findings.
The Question is: What are the indications for ultrasonography of the hip joint following trauma, except the investigation in children, and in which cases does ultrasonography provide a useful improvement within the diagnostic cascade? Considering the limitations in evaluation of boney structures and also soft tissues (due to anatomic topography) and if CT and MRI is not available, the moin indications are: Suspected soft tissue lesions (articular effusion, bursitis, muscle tears etc.) and vascular disorders (deep venous thromboses, vascular tears and occlusions). Both in preoperative planning and in postoperative follow up, ultrasonography provides useful information (e.g. after shunt surgery or as a screening method for venous thrombosis). There is also tho option for sonographically guide punction, drainage or even treatment (e.g. block anaesthesia). Performed by an experienced clinician, ultrasonography of the hip joint has a lot of indications to gain quick information. Using this non-invasive technique, demanding and invasive diagnostic investigations (for example phlebography) may even by saved.
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