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>Revistas >Gaceta Médica de México >Año 2013, No. 5


Guinsburg M, Ventura-Ríos L, Bernal A, Hernández-Díaz C, Pineda C
Utilidad, validez y confiabilidad del ultrasonido en el diagnóstico de la osteoartritis: una revisión crítica
Gac Med Mex 2013; 149 (5)

Idioma: Español
Referencias bibliográficas: 70
Paginas: 509-520
Archivo PDF: 769.60 Kb.


Texto completo




RESUMEN

El ultrasonido (US) está ganando terreno sobre otras técnicas de imagen diagnóstica en el estudio de las lesiones elementales de la osteoartritis (OA). Debido a su resolución submilimétrica, el US tiene la capacidad de detectar alteraciones morfoestructurales mínimas, incluso desde sus etapas preclínicas o asintomáticas, en las tres estructuras articulares predominantemente afectadas por la OA: el cartílago articular, la membrana sinovial y el hueso subcondral. Hasta el momento, el US ha demostrado ser una herramienta muy sensible y útil en la detección de las anormalidades que se presentan en los tejidos blandos tanto intra como periarticulares, incluidos la hipertrofia sinovial, los derrames y los quistes sinoviales, así como en el hueso subcondral, los osteofitos. Adicionalmente, la señal Doppler de poder (DP) correlaciona con la evidencia histológica de vascularización de la membrana sinovial. Con el objetivo de describir críticamente los hallazgos ultrasonográficos de la OA, su confiabilidad y validez como herramienta diagnóstica y de seguimiento, así como sus limitaciones, se realiza una revisión crítica de la literatura de la OA localizada en manos, caderas y rodillas.


Palabras clave: OA, US, Ecografía, Cartílago, Sinovitis, Osteofitos.


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>Revistas >Gaceta Médica de México >Año2013, No. 5
 

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