Ultrasonography of diseases of bone and muscular system

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Abstract

As many as 1500 patients with various pathology of bone and muscular system were examined. The comparative study of traditional roentgenography, ultrasound examination, computer and magnetoresonance tomography was carried out to determine the optimum application in examining bone and muscular system. In many cases of the bone and muscular system diseases (bone fractures, osteomyelitis, bone tumors, soft tissue fistulas) the ultrasound examination successfully competes with other methods and in some cases, it is the method of choice.

About the authors

I. V. Klyushkin

Kazan State Medical University; Kazan Military Hospital

Email: info@eco-vector.com
Russian Federation

D. V. Pasynkov

Kazan State Medical University; Kazan Military Hospital

Email: info@eco-vector.com
Russian Federation

V. A. Tikhonov

Kazan State Medical University; Kazan Military Hospital

Author for correspondence.
Email: info@eco-vector.com
Russian Federation

G. A. Nafikov

Kazan State Medical University; Kazan Military Hospital

Email: info@eco-vector.com
Russian Federation

R. R. Tazeev

Kazan State Medical University; Kazan Military Hospital

Email: info@eco-vector.com
Russian Federation

References

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2. Fig. 1. Sonogram of the site of a gunshot fracture of the lower third of the right humerus. One month after injury, delayed consolidation of the fracture: 1 - echo pattern of unchanged bone; + + - bone defect.

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3. Fig. 2. Sonograms of the right VI rib fracture site along the midclavicular line (1): a - when scanning perpendicularly to the surface of the chest wall; b - when scanning along the upper edge of the rib at a 45° angle to the anterior chest wall. There is a slight displacement of fragments: 2 - hematoma at the fracture site.

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4. Fig. 3. Sonogram of the right shoulder fracture site 1 month after injury. The formation of a bone callus is noted: 1, 2 - central and peripheral fragments; 3 - callus.

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5. Fig. 4. Sonograms of the location (1) of X-ray-negative foreign body (wooden chip) in the soft tissues of the foot: a - longitudinal scan; b - cross-sectional scan.

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6. Fig. 5. Sonogram of a fistulous passage of the anterior abdominal wall before the injection of contrast agent: + + - fistula lumen.

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7. Fig. 6. Sonogram of a fistulous passage of the anterior abdominal wall after injection of contrast agent (Echovist-200): + + - fistula lumen.

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8. Fig. 7. Sonograms of the tendon ganglion on the dorsal surface of the wrist joint (subsequently, the diagnosis was confirmed intraoperatively): 1 - tendon ganglion: a - longitudinal scan; b - transverse scan.

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9. Fig. 8. Sonograms of the tibial tuberosity in Osgood-Schlatter disease: a, left; b, right; 1, area of changes. The changes on the right side were more pronounced, as evidenced by both clinical and radiological findings (the diagnosis was confirmed intraoperatively).

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10. Fig. 9. Echograms of the iliac regions of the anterior abdominal wall: а - right (place of surgical intervention); b - left (intact side); 1 - skin; 2 - subcutaneous fatty tissue; 3 - muscles; ----- (1+2+3) - soft tissue thickness.

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11. Fig. 10. Sonograms of the inflammatory infiltrate of the postoperative wound: a - on the side of the postoperative scar; b - intact side.

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12. Fig. 11. Echograms of the postoperative wound suppuration: а - longitudinal scan; b - transverse scan; 1 - pus cavity; 2 - dorsal echo-signal enhancement.

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13. Fig. 12. Echograms of both suprapubic arms: a - right side (intact side); b - left side, gas bubbles are visualized (1).

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14. Fig. 13. Echograms of postoperative wound hematoma: a - transverse scan; b - longitudinal scan: 1 - hematoma cavity; 2 - dorsal echo-signal enhancement.

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15. Fig. 14. Echograms of seroma of postoperative wound: а - area of postoperative scar; b - intact side; 1 - soft tissue swelling; 2 - seroma cavity; 3 - infiltration of surrounding seroma tissues; 4 - depth of occurrence from skin surface.

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