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題名 | An Acute Non-Traumatic Rib Fracture Detected by Ultrasound and a Review of the Literature=無創傷性肋骨骨折的超音波診斷--病例報告與文獻回顧 |
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作者 | 黃子超; 吳爵宏; 王亭貴; Wee, Tze Chao; Wu, Chueh-hung; Wang, Tyng-guey; |
期刊 | 臺灣復健醫學雜誌 |
出版日期 | 20180600 |
卷期 | 46:1 2018.06[民107.06] |
頁次 | 頁47-51 |
分類號 | 416.26 |
語文 | eng |
關鍵詞 | 肋骨骨折; 超音波; Rib fracture; Ultrasound; Sonography; |
中文摘要 | 近年來超音波越來越普遍被使用在肌肉骨骼疾病的診斷,特別是軟組織損傷。在某些情況下,它也可以被用來評估骨折存在與否,甚至比X光檢查更有用。一名54歲的女性主訴無創傷性右側胸痛,曾有用力拿物的病史,理學檢查顯示有明顯的局部壓痛點,但直立胸部X光並無異常。在肌肉骨骼超音波的檢查下,發現肋骨有骨頭皮質不連續,疑是有骨折可能,經固定後,疼痛明顯改善。謹以本病例報告,文獻回顧,提供臨床參考。在最初的X光片可能是陰性,但又高度懷疑骨折的情況下,超音波可成為醫學造影的考量之一。 |
英文摘要 | Ultrasound is increasingly used for the diagnosis of musculoskeletal conditions, particularly in soft tissue injuries. In some cases, it is useful for the evaluation of fractures. A 54-year-old woman presented with focal a non-traumatic right-sided chest pain. Physical examination revealed a focal area of tenderness on palpation. Erect chest X-ray was unremarkable. A focused musculoskeletal ultrasound was carried out to examine the area of tenderness and a rib fracture which was not detected on the erect chest X-ray was diagnosed during sonographic examination. A brief literature review on the use of ultrasound in the diagnosis of fracture, in particular rib fracture is presented. Ultrasound may be considered as a potential form of imaging in cases with strong suspicion of fractures with negative X-rays. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。