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骨骼肌肉超音波檢查與導引注射:開創疼痛控制新紀元

摘要


骨骼肌肉系統超音波,是目前於肌肉疼痛,最新發展的影像診斷工具。此工具提供表淺部的肌肉、肌腱、韌帶、骨頭與神經,及細緻的影像表現,除可協助分辨正常與病態的組織,也可以協助將注射針導引入病變的部位。同時因為不具放射線的緣故,可以反覆的掃描,提供治療之後追蹤。其動態的影像,更可以提供檢查者了解構造之間,是否存在動態的不穩定。在以下的文章中,我們將簡要介紹超音波,在肩膀、手肘、手腕、髖關節、膝關節與踝關節上的應用,包含常見病態構造介紹以及治療上的發展,希望能夠藉由此文章,讓讀者了解這個疼痛治療上的新利器!

參考文獻


Chang KV, Chen WS, Wang TG, et al.Quantitative ultrasound facilitates the exploration of morphological association of the long head biceps tendon with supraspinatus tendon full thickness tear. PLoS One 2014;9:e113803.
Chang KV, Hung CY, Özçakar L. Ultrasound imaging for precise diagnosis and injection of isolated extensor pollicis brevis tenosynovitis: it is not always a simple de Quervain disease. Am J Phys Med Rehabil 2015;94:255.
Hung CY, Chang KV, Özçakar L. Snapping Hip due to Gluteus Medius Tendinopathy: Ultrasound Imaging in the Diagnosis and Guidance for Prolotherapy. Pain Med 2015;16:2040-1.
Chang KV, Hsiao MY, Hung CY, et al. An Uncommon Cause of Posterior Knee Pain: Diagnosis and Injection for Popliteus Strain Using Ultrasonography. Pain Med 2016;17:795-6.
Hsiao MY, Hung CY, Chang KV, et al. Comparative effectiveness of autologous blood-derived products, shock-wave therapy and corticosteroids for treatment of plantar fasciitis: a network meta-analysis. Rheumatology (Oxford) 2015;54:1735-43.

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