Clinical value of lower extremity venous ultrasonography in diagnosis of musculoskeletal diseases
10.13929/j.1672-8475.201805009
- Author:
Lu ZHU
1
Author Information
1. Department of Ultrasonography, Hunan Provincial People's Hospital, First Affiliated Hospital of Hunan Normal University
- Publication Type:Journal Article
- Keywords:
Lower extremity;
Musculoskeletal diseases;
Ultrasonography;
Venous thrombosis
- From:
Chinese Journal of Interventional Imaging and Therapy
2019;16(3):158-161
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of detection of musculoskeletal diseases during lower extremity venous ultrasonography. Methods Data of 8 288 patients who underwent venous ultrasonography of the lower extremities suspected for venous thrombosis were retrospectively analyzed. Ultrasonic images for detection of musculoskeletal diseases and coexisting deep venous thrombosis were analyzed. Results There were 134 patients with musculoskeletal diseases detected with lower extremity venous ultrasonography. Popliteal cyst was the most common musculoskeletal disease (90/134, 67.16%), followed by hematoma (31/134, 23.13%), muscle tear (5/134, 3.73%), abscess (2/134, 1.49%), tumor (2/134, 1.49%), muscular cyst (2/134, 1.49%), postoperative popliteal effusion (1/134, 0.75%) and knee synovial hyperplasia (1/134, 0.75%). Different musculoskeletal diseases showed different ultrasonic manifestations. The maximum diameter of not-ruptured popliteal cyst was larger than that of ruptured cyst (F=5.266, P=0.024). A total of 20 patients had deep venous thrombosis. The highest rate of coexisting deep venous thrombosis was found in patients with muscle tear (1/5, 20.00%). Conclusion Lower extremity venous ultrasonography can be used to diagnose deep venous thrombosis and musculoskeletal diseases simultaneously. The detection of musculoskeletal diseases during venous ultrasonography of lower extremities is helpful to correct or supplement the clinical diagnosis and the following treatment, which has high clinical application value.
