[Ultrasound diagnosis of the elbow joint in fracture of the head of the radius].
Imaging guidelines have been proposed by the German Society of Ultrasonography (DEGUM, 1996) for the locomotor apparatus using five standardized sections of the elbow that allow a reproducible presentation of the surrounding soft tissues and cortical landmarks of this joint. Intra-articular fractures form a variable amount of hematoma, which is easily detected by ultrasound using the proposed standardized sectional planes. Ultrasonography is a cost-effective, easy-to-use and radiation-free method to exclude intra-articular fractures of the elbow. Intra-articular effusions and effusions besides the radial head are indirect signs of bony involvement. Suspected radial head injuries in children and adults can easily be examined by ultrasound. Detection of intra-articular effusions may then lead to further investigation with magnetic resonance imaging (MRI) when needed. MRI is unnecessary when ultrasonography shows no effusions in elbow injuries.
Kessler
T
T
Unfallchirurgische Klinik, Westpfalz-Klinikum, Hellmut-Hartert-Strasse 1, 67655 Kaiserslautern. tkessler@westpfalz-klinikum.de
Winkler
H
H
Weiss
C
C
Konermann
W
W
Gruber
G
G
D000328:Adult; D002648:Child; D003362:Cost-Benefit Analysis; D004551:Elbow Joint / Q000000981:diagnostic imaging; D006406:Hematoma / Q000000981:diagnostic imaging; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000191:economics; D017410:Practice Guidelines as Topic; D011885:Radius Fractures / Q000000981:diagnostic imaging*; D015203:Reproducibility of Results; D014463:Ultrasonography / Q000191:economics; D000092464:Elbow Injuries