Complete imaging diagnostics of the painful, swollen, damaged joints; It contains the ultrasound examination of the soft parts around the joints (tendons, ribbons, synoviums, articular cartilage), and X-ray examination of the bone components.
Our articular ultrasound specialist: Zsófia Farbaky MD (Head of Department of Radiology)
Office hours: Tuesdays 15:00 – 20:00.
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A realistic picture of the complainant, painful or possibly injured joint can only be obtained after the X-ray and ultrasound examinations, thus helping to establish a sound diagnosis and the design of appropriate further therapeutic steps.
The release of high resolution ultrasound devices and high frequency test heads opens up a new dimension in soft tissue diagnostics. With the help of modern technology, high-resolution imaging can be used to evaluate smaller anatomical formulas as well. Trauma surgeons, sports surgeons, orthopedic and rheumatologist physicians are expecting, in a wider area, a quick and reliable diagnose from the soft tissue ultrasound examination in everyday practice, opposite to the hard-to-reach expensive imaging methods.
Ultrasonic testing offers new opportunities in the diagnosis of sports injuries, degenerative and inflammatory joint diseases and it has great importance in following the post-surgical status after implantation of metal materials. Applying dynamic ultrasound examination, in addition to the active and passive movement of the joints and muscles, we can obtain very valuable information. Ultrasound testing is a painless, repeatable, cost-effective imaging process that does not involve ionizing radiation. With color Doppler technique, it is possible to judge the vascularity of the soft tissues and inflammatory lesions and to investigate the permeability and potential injuries of the vascular structures. The high-resolution test heads are perfect for imaging the peripheral nerves, tunnel syndromes and nerve injuries. By using ultrasound control joint fluid and hematoma draining and also sampling or therapeutic interventions can be performed.
The indication area of the musculoskeletal ultrasound test is now very wide.
The examination of the joint of the shoulder with Ultrasound Diagnostics gives us information inter alia about the ligament system, potential damage to the tendon substance, the condition of the mucous membranes, the movement of the joint, the position, inflammation and injuries of the biceps.
When examining the elbow joint the amount of the articular abnormal fluid, the thickness of the synovium in the joint, the articular capsule, the ligament system, the tendons around the joint, the mucusous gland located next to the elbow tip, the discrete bone injuries of the bones forming the elbows’ joint which escaped unseen from the X-rays, can all be judged.
The wrist joint and the tendonsheet inflammations, the tendon injuries, the inflammation of the small joints of the hand, tendon traumas, discrete traumatic bone injuries, tunnel syndromes, the condition of small joints in inflammatory joint diseases and the inflammation of the synovium can be well differentiated.
By examining the hip joint with ultrasound the thickness of the synovium in the joint, the amount of the articular abnormal fluid and various lesions after surgery of prosthetics can be determined.
By examining the knee joint we can obtain information about the articular abnormal fluid, any possible hematoma in the joint, about the cartilage of the femur, the C-shaped fibrous cartilage lesions, the side- and back ligaments of the cross band, discrete bone trauma as well as the knee swelling causing Baker cyst or venous blockage.
The ankle joint inflammation, the ankle ligament injuries, the discrete bone injuries, the injuries or inflammations of the tendons around the ankle, any abnormal lesions and injuries of the Achilles tendon, the abnormal lesions of the strong connective tissue plate of the sole, the inflammation, traumatic injury of the small joints of the foot, the injuries and inflammations of the tendons, the painful lesions of the heel can be well differentiated by ultrasound examination.
In everyday ultrasonic practice, muscle injury and other muscle lesions and inflammations in the muscle adhesion are increasingly encountered. It may be necessary to examine the tactile changes in the subcutaneous fat tissue under the muscle tissue.
Examining with ultra-sound the soft tissue injuries, discrete bone surface creases, injuries, breaks and other abnormal lesions are often seen, which cannot be seen on X-rays even on the subsequent analysis. Thus, the bone surface overview is also included in the musculoskeletal ultrasound examination.
Zsófia Farbaky MD (Head of Department of Radiology)
This post is also available in: Hungarian