腓肌腱相关结构正常超声解剖及脱位的超声表现  

The Sonographic Anatomy and the Ultrasonography of Dislocation of the Peroneal Tendons

作　　者：蒋洁[1] 崔立刚[1] 傅先水[1] 贾建文[1] 王金锐[1] 

机构地区：[1]北京大学第三医院超声诊断科,北京市100191

出　　处：《中国超声医学杂志》2013年第6期546-548,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨腓肌腱及腓骨上支持带的正常声像图表现及超声诊断腓肌腱脱位的临床价值。方法应用高频超声获取50例健康志愿者的双侧共100条腓长肌腱、腓短肌腱及腓骨上支持带的系列长轴及短轴切面声像图,观察腓肌腱与外踝骨的相对位置关系。回顾性分析临床工作中遇到的3例外踝扭伤患者的声像图资料,并进行分型诊断,并经临床及手术证实。结果高频超声可以清晰显示腓肌腱以及腓骨上支持带的位置和结构。踝关节中立位时健康志愿者的腓肌腱均位于外踝骨后方,腓肌腱脱位时,腓骨上支持带的外踝附着处增厚,回声减低,在踝关节背屈、外翻动态活动过程中,实时超声显示腓长肌腱滑动至外踝骨前方而明确诊断。结论高频超声可以清晰显示腓肌腱及其相关结构,并通过动态实时观察判断腓肌腱有无脱位,同时可以明确判断腓骨上支持带(superior peroneal retinaculum,SPR)的损伤类型,有助于指导临床治疗及疗效随访观察。Objective To describe the sonographic anatomy of the peroneal tendons and the superior peroneal ret- inaeulurn （SPR）and to evaluate the availability o{ sonography to diagnose the dislocation of peroneal tendons, Methods The sonographic anatomy of the peroneal tendons and the SPR were observed from 100 tendons of the 50 healthy subjects with series of long axis and short-axis images. A retrospective review of 3 cases of SPR dislocation was performed and classified. All cases were confirmed by clinical surgery. Results The peroneal tendons and SPR were clearly displayed by sonography. Normal peroneal tendons were maintained by SPR within the fibular gro- ovc. Sonography can dynamically display the peroneal tendons sliding in and out of the peroneal groove. Conclusions The sonography can demonstrate the peroneal tendons and the SPR, and could be helpful to diagnose the dislocation of the peroneal tendons.

关 键 词：超声 腓长肌腱 腓短肌腱 腓骨上支持带 脱位 

分 类 号：R445.1[医药卫生—影像医学与核医学] R686.1[医药卫生—诊断学]