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Stellenwert der Sonographie in Traumatologie und Orthopädie

Teil 1: Sonographie des Bewegungsapparats

Significance of sonography in traumatology and orthopedics

Part 1: Ultrasonography of the musculoskeletal system

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Zusammenfassung

Sonographische Untersuchungen in Unfallchirurgie und Orthopädie werden mit modernen Geräten unter Verwendung von Linearschallköpfen (7,5–15 MHz), Curved-Array-Schallköpfen (3,5–7,5 MHz), mit Farbdoppler- und Duplexmöglichkeit sowie „harmonic-imaging“ in nahezu allen Körperregionen durchgeführt. Prinzipiell sind alle Gelenke der Ultraschalldiagnostik zugänglich; am Ellenbogen, Hüft-, Knie- und Sprunggelenk sind valide Untersuchungsabläufe publiziert. Für den klinisch tätigen Traumatologen und Orthopäden ist der Ultraschall an den Gelenken wie Schulter und Kniegelenk und der Achillessehne am besten belegt, v. a. dynamische Untersuchungen im Seitenvergleich sind von wesentlicher Bedeutung. Die nahezu uneingeschränkte Verfügbarkeit macht die Ultraschalluntersuchung für Screening und Kontrolluntersuchungen sehr wertvoll, insbesondere auch bei der Untersuchung von Sehnen-Muskel-Erkrankungen/-Verletzungen sowie der Ausschlussdiagnostik von Thrombosen.

Abstract

A wide variety of modern ultrasound systems – including linear probes (7.5–15 MHz) and curved array probes (3.5–7.5 MHz), with color Doppler and duplex as well as harmonic imaging are used in trauma surgery and orthopedics to image and investigate almost all regions of the body. It is generally possible to assess all joints by ultrasonography. Valid procedures for ultrasonographic examination of the elbow, hip, knee, and ankle joints have been described in the literature. In the clinical setting, the use of ultrasound to examine the Achilles tendon and joints such as the shoulder and knee is particularly well documented. An important feature of ultrasound is that it allows dynamic examinations and side-to-side comparisons. Because ultrasonography is a very widely used imaging modality, it is a useful tool for screening and monitoring and especially for investigating venous thrombosis and diseases and injuries of the tendons and muscles.

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  1. Chirurgische Gemeinschaftspraxis, Große Bleichen 32, 20354, Hamburg, Deutschland

    C. Tesch

  2. Abteilung für Orthopädie und Unfallchirurgie, Bundeswehrkrankenhaus Ulm, Ulm, Deutschland

    B. Friemert

  3. Abteilung Unfall-, Hand und Wiederherstellungschirurgie, Asklepios-Klinik Altona, Hamburg, Hamburg, Deutschland

    J. Huhnholz & J.V. Wening

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Tesch, C., Friemert, B., Huhnholz, J. et al. Stellenwert der Sonographie in Traumatologie und Orthopädie. Unfallchirurg 111, 659–669 (2008). https://doi.org/10.1007/s00113-008-1441-9

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