Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie
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Randomized Controlled Trial Comparative Study Clinical Trial
[Validity of ultrasound examinations of disorders of the shoulder joint].
The objective of the present study was to assess the validity of ultrasound diagnosis of shoulder disorders in relation to examiner experience. ⋯ Preoperative ultrasound examination of the shoulder permits a reliable diagnosis of complete rotator cuff tears and calcium deposits (calcific tendinitis). The method is less sensitive but sufficiently reliable for the diagnosis of partial rotator cuff tears and pathology of the long biceps tendon. Examiner experience plays an important role in these special cases. Permanent continuous training in the field of ultrasound diagnosis is a prerequisite for sufficient reliability of ultrasound diagnosis of shoulder disorders.
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Aim of the study was to determine the rate of injuries detectable by ultrasonography in patients suffering from blunt thoracic trauma. ⋯ Rib fractures and pleural effusions are commonly diagnosed by ultrasonography in patients with blunt thoracic trauma. Concerning the diagnosis of rib fractures (65% versus 36%) and pleural effusions (37% versus 11%), ultrasonography is superior to chest-x-ray. A new and remarkable result is that subpleural infiltrates which are supposed to be lung contusions are also detectable by ultrasonography.
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Mallet finger is a flexion deformity of the distal interphalangeal joint (DIPJ) caused by a disruption of the extensor mechanism. The deformity can b e caused by active trauma, minor trauma or other conditions like rheumatoid arthritis or osteoarthritis. ⋯ Sonographic examination of patients with traumatic mallet finger is an important diagnostic tool and can differentiate between traumatic mallet finger and flexion deformity of rheumatoid arthritis or osteoarthritis.
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High resolution ultrasound is a new method for detecting anatomical structures in the axilla. The visualisation of nerves can improve the quality of nerve blocks. The aim of our study was to investigate the feasibility of hand held ultrasound to perform sonographically guided blockades of the axillary plexus. ⋯ Performing axillary nerve blockade using ultrasound guidance provides excellent anaesthesia and fast onset times.
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The first ultrasound examinations of the lung were performed 30 years ago. In contrast to abdominal ultrasound, lung examination by ultrasound is not established as a routine method, due to a nearly complete sound reflection by the bones of the thorax and the aerated lung. ⋯ Colour Doppler sonography (CDS) further extends the diagnostic potential of ultrasound in chest disease. This article will review qualitative and quantitative CDS patterns of different pulmonary lesions.