Ultraschalluntersuchungen in der Kinderrheumatologie

Zusammenfassung

Mit zunehmendem Einsatz des Gelenkultraschalls zeigt sich eine stetige Verbesserung der diagnostischen Möglichkeiten bei der Diagnosestellung, Abgrenzung und im Verlaufsmonotoring kindlich rheumatischer Erkrankungen. So können entzündliche Erkrankungen des kindlichen Kniegelenkes hervorragend differenziert und im Verlauf kontrolliert werden. Neben den typischen sonografischen Zeichen einer Gelenkentzündung lassen sich am Kniegelenk auch rheumatische Sehnenansatzentzündungen und Schleimbeutelentzündungen sicher nachweisen. Wichtige Differenzialdiagnosen können bereits sonografisch ausgeschlosssen oder bestätigt werden. Zunehmende Standards helfen bei der praktischen Durchführung, Beurteilung und Quantifizierung des pathologischen Kniegelenkbefundes.

abstract

With the increasing use of joint ultrasound, significant advances have been made in the diagnosis, differentiation and monitoring of pediatric rheumatic diseases. More specifically, inflammatory disease manifestations of the pediatric knee joint can be differentiated in a detailed way and monitored over the course of the disease. In addition to the typical sonographic signs of synovial inflammation, tendon and entheseal inflammation as well as bursitis can also be reliably detected in the knee joint. Important differential diagnoses can be ruled out or confirmed by sonography. Improvements in the standardization of the sonographic exam support the practical implementation, assessment and quantification of pathological findings in the knee joint.

Schlüsselwörter

Muskuloskelettaler Ultraschall - Kniegelenk - juvenile idiopathische Arthritis

Keywords

Musculoskeletal ultrasound - knee joint - juvenile idiopathic arthritis

Publikationsverlauf

Artikel online veröffentlicht:
25. Februar 2022

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