超声与外科诊断Quervain病解剖变异的比较分析。

IF 1.9 2区 医学 Q2 ORTHOPEDICS
Clinics in Orthopedic Surgery Pub Date : 2025-04-01 Epub Date: 2025-03-14 DOI:10.4055/cios24127
Young Seok Lee, Wan-Sun Choi, Seung Hun Baek, Hyunwoo Kang, Chang-Hun Lee
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引用次数: 0

摘要

背景:本研究比较了超声和手术在de Quervain病解剖变异方面的表现。方法:对74例单侧de Quervain病患者进行超声检查和手术检查。两种方法均证实存在室间隔、拇长外展肌滑移和选择性狭窄。两位骨科医生评估了超声检查结果在观察者内部和观察者之间的可靠性。结果:74名参与者(43名女性和31名男性)中,60.8%患有完全鼻中隔,31.1%患有不完全鼻中隔,8.1%没有鼻中隔;70.3%为多滑脱型APL, 66.2%为拇短伸肌狭窄。手术和超声检查结果显示高水平的敏感性和特异性。观察者内部的信度很高,观察者之间的信度很大。结论:本研究证实了超声在识别de Quervain病的解剖变异方面的可靠性,具有高灵敏度、特异性和较高的观察者内和观察者间可靠性,强调了超声在术前评估和计划中的有用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative Analysis of Ultrasound and Surgical Findings in Anatomical Variations of de Quervain's Disease.

Background: This study compares ultrasound and surgical findings of anatomical variations in de Quervain's disease.

Methods: Seventy-four wrists from patients with unilateral de Quervain's disease were examined through ultrasonography and surgery. Presence of intracompartment septum, abductor pollicis longus (APL) slips, and selective stenosis were verified by both methods. Two orthopedic surgeons assessed ultrasound findings for intra- and interobserver reliability.

Results: Amongst 74 participants (43 women and 31 men), 60.8% had a complete septum, 31.1% had an incomplete septum, and 8.1% had no septum; 70.3% had multi-slip APL and 66.2% had extensor pollicis brevis stenosis. Surgical and ultrasonographic findings displayed a high level of sensitivity and specificity. Intraobserver reliability was high, and interobserver reliability was substantial.

Conclusions: The study confirms ultrasonography's reliability in identifying anatomical variations in de Quervain's disease, with high sensitivity, specificity, and substantial intra- and interobserver reliability, emphasizing its usefulness in preoperative assessment and planning.

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来源期刊
CiteScore
3.50
自引率
4.00%
发文量
85
审稿时长
36 weeks
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