Muscular bone ultrasound is a method of muscle bone and peripheral nervous system examination that has gradually developed with the continuous innovation of ultrasound diagnostic instruments and the continuous improvement of instrument resolution in recent years.
Its application scope mainly covers orthopedic science, sports medicine, rehabilitation medicine, pain medicine , rheumatology and immunology, peripheral neurology, and endocrinology. It has also made certain application progress in the fields of dermatology and plastic surgery.
Muscular bone ultrasound is a test method that uses high-frequency probes to diagnose musculoskeletal system diseases. With the 18MHz high-frequency ultrasonic probe with a maximum resolution ability of 0.1mm, combined with the characteristics of ultrasound that can be dynamic, multi-angle, and multi-sectional scanning, its recognition of microstructure lesions is much higher than that of conventional radiological examinations. It can not only clearly display the structures and relationships of various parts of muscles, tendons, ligaments, joint cavity, synovium, peripheral nerves, and other parts, determine the scope, type and degree of the lesion, but also evaluate the functional status of tendons and ligaments and the micro-lesions that occur, such as inflammation, trauma, tumors, etc.
Muscular bone ultrasound has become one of the imaging techniques that orthopedics and rheumatologists need to master in developed countries. At present, the latest international rheumatology guidelines are one of the diagnostic criteria that must be referred to in clinical diagnosis and treatment endpoints.
In the orthopedic outpatient clinic of our hospital, there are more and more arthritis, sports injuries and trauma diseases. Such patients often need routine radiology or MRI examinations, but there are still some special patients who cannot undergo routine radiology examinations due to physical constitution, in vivo implants, etc. Therefore, the current diagnostic model can no longer meet the needs of clinicians. In fact, many people don’t know that muscular bone ultrasound is comparable to and complementary to traditional X-rays and MRIs. Ultrasound can also play an important role in diagnosing diseases in the direction of muscular bones.
muscular bone ultrasound is not only free of radiation, it is very safe, has low cost, no reservation is required, the inspection time is short, and the report results are obtained at the time. In addition, the ultrasound of the muscle bone is simple, flexible and efficient, and can compare multiple parts on both sides at the same time. In particular, it can dynamically observe image changes in the motion state in real time and provide lesion blood flow information, which is incomparable to other imaging methods. It is very suitable for pregnant mothers and children, as well as patients who cannot cooperate with the examination due to clinical reasons such as pain, limb swelling, and posture.
Indications and diagnostic range of muscular bone ultrasound
1. Injuries of muscles, tendons, and ligaments around the joint caused by acute trauma and exercise, such as rupture of the anterior talobular ligament, rupture of the Achilles tendon, rotator cuff tear, tennis legs, etc.
2. Peri-articular tendonitis caused by acute and chronic injuries, such as tennis elbow, golf elbow, radial styloid process stenosis tendonitis, end tendon disease, etc.
3. Cartilage and bone lesions, such as occult fractures, simple bone cysts, osteochondroma, etc., bone tumors, and postoperative evaluation.
4. Rheumatoid immune and metabolic diseases, such as rheumatoid arthritis, gout and other joint lesions.
5. Peripheral neuropathy, nerve impairment or nerve-derived tumors, such as carpal tunnel syndrome , cubital tube syndrome, schwannoma , etc.
6. Tumor lesions of limb soft tissues, such as lipoma , hemangioma , tendon sheath giant cell tumor and other soft tissue tumors.
Department Introduction
Functional Examination Department
Guangzhou University of Traditional Chinese Medicine’s Third Affiliated Hospital is located in three campuses. It is a professional team integrating diagnosis, teaching, and scientific research. Its major covers routine electrocardiogram examination, ultrasound diagnosis , etc. In addition to clinical practice, it also undertakes undergraduate teaching and clinical teaching work of the Third Clinical Medical College. In recent years, he has presided over a provincial-level project, presided over and participated in many bureau-level and school-level projects, and published dozens of papers.
Functional Department now carried out specific projects:
1. Routine electrocardiogram: used to diagnose various arrhythmia , myocardial infarction and angina pectoris, atrial ventricular enlargement, drug effects and electrolyte disorders and other diseases.
2. Routine ultrasound examination
Ultrasound medical imaging With the increasing improvement of new ultrasound technologies, it continues to integrate and develop with clinical departments, plays an important role in the diagnosis and treatment of diseases, and occupies an increasingly important position in the medical service system. Ultrasound examination is a safe diagnosis method, which has the advantages of painless, simple, rapid, radioactive, radiation-free, trauma-free, cheap, repeatable examination, strong real-time performance, etc. It can be used as a routine clinical examination.
1. Suitable for muscle bone direction - peripheral nerve stump syndrome (carpal tunnel syndrome, cubital canal syndrome, etc.), peripheral nerve traumatic lesions, peripheral nerve placeholder lesions, etc. Subcutaneous soft tissue tumors, foreign bodies, inguinal hernia , tendon rupture , muscle tear, bursal lesions, bone tumors. Diagnosis of injuries such as shoulder joint, elbow joint, wrist joint, hip joint , knee joint , ankle joint , etc.
2. Suitable for large blood vessels of the heart - congenital heart disease , heart valve disease , cardiomyopathy , coronary heart disease , heart failure , pericardial effusion , heart thrombosis, heart tumor, etc.
3. Suitable for digestive system: liver, gallbladder, pancreatic, spleen, appendix , gastrointestinal system - fatty liver, liver cystic lesions, hepatic hemangioma , liver cancer , hepatitis, gallbladder stones , cholecystitis, gallbladder polyps , gallbladder cancer , bile duct stones , pancreatitis , pancreatitis , pancreatic cancer , splenomegaly , splenal trauma, appendicitis , intestinal obstruction, etc.
4. Suitable for urinary (male) reproductive system: kidney, ureter, bladder , prostate, scrotal testicles - kidney stones , hydronephrosis, renal cystic lesions, kidney tumor , ureteral stones , bladder stones, bladder diverticulum , bladder cancer , prostate cancer , prostate hyperplasia with calcification, epididymitis, testicular torsion, testicular tumor , varicocele, etc.
5. Suitable for obstetrics and gynecology: uterine , attachment, fetus - uterine malformation, uterine fibroids, cervical cancer , cervical polyps , endometrial polyps, endometrial cancer, uterine adhesions, ovarian tumor , corpus luteal rupture, fallopian tube hydrops , early pregnancy, ectopic pregnancy , fetal residue, hydatidiform molar, etc.
6. Suitable for superficial organs: eye, thyroid , parotid gland, breast , lymph node , testicles, etc. - vitreal turbidity, retinal detachment, lens turbidity, choroid detachment, intraocular tumor, thyroid tumor, hyperthyroidism, Hashimoto's thyroiditis, mumps , parotid hybrid tumor , breast hyperplasia , mastitis , breast tumor , breast tumor , lymph node reactive hyperplasia, lymphoma , lymph node metastasis carcinoma, etc.
7. Suitable for cervical blood vessels, limb blood vessels, and large abdominal blood vessels - atherosclerosis with plaque formation, subclavian artery blood thief syndrome, aneurysms, venous thrombosis , arteriovenous fistula, venous valve insufficiency, etc.).
8. Under ultrasound guidance, puncture positioning and puncture of thyroid nodules , veins, pleural fluid, ascites, hydronephrosis, joint effusion and were performed.
Contributed by Cai Qinglian | Preliminary review: Zhang Suping
Typesetting editing (intern): Wang Yunyan
Text editor: Ye Meiqi | Proofreading editor: Li Longhao
Review: Wang Jian | Review and release: Fan Linyan
