Большинство заболеваний голеностопных суставов можно вылечить на начальных стадиях развития. Чтобы их выявить, необходимо обратиться к специалисту и пройти комплекс обследований. В большинстве случаев врач назначает УЗИ голеностопного сустава. Рассмотрим, какую информацию дает такое исследование, когда оно на самом деле необходимо и как к нему правильно подготовиться.
Когда необходимо
УЗИ голеностопных суставов – процедура, направление на которую выдает врач после первичного осмотра. Доктор оценит проявившиеся симптомы, определит их вероятные причины. Выявив клиническую картину состояния пациента, специалист решает, какое именно обследование нему необходимо.
Показаниями для УЗИ голеностопа являются:
- Получение бытовой травмы;
- Повреждение лодыжки при танцах или на спортивной тренировке;
- Падение при катании на коньках или роликах;
- Подозрения у врача на воспалительное заболевание сустава, артрит, синовит;
- Воспаление мягких тканей около сустава;
- Наличие отеков или гематом;
- Повреждения сухожилий стопы;
- Предположение относительно подошвенного фасциита;
- Затрудненность движения в суставе у пациента;
- Вероятность развития ракового заболевания голеностопного сустава;
- Тендинит;
- Бурсит голеностопа;
- Артроз;
- Разрыв мышц около суставной сумки;
- Переломы вблизи сочленения.
УЗИ связок голеностопа может потребоваться после начала терапии. Такая диагностика позволяет оценить состояние пациента и определить, насколько эффективным оказалось начатое лечение.
Врач может не назначать проведение УЗИ, если диагноз очевиден. Это бывает только при полном разрыве связок или сухожилий около голеностопного сустава.
На что смотрит врач при обследовании
Чтобы разобраться в том, что показывает УЗИ голеностопного сустава, важно понять, на какие детали обращает внимание врач при проведении обследования. Во время ультразвукового исследования доктор изучает состояние следующих структур:
- Поверхность голеностопных сочленений;
- Состояние хрящевой ткани;
- Качество фиброзной капсулы;
- Состояние синовии;
- Соседние мышцы, связки и сухожилия;
- Наличие образовавшихся остеофитов.
В процессе УЗИ голеностопного сустава специалист выявляет, нет ли внутри полости сочленения скопившейся жидкости. Этот момент поможет в проведении дальнейшего лечения пациента.
В процессе диагностики врач ведет протокол УЗИ голеностопного сустава, в который заносит все зафиксированные данные. Эта информация потребуется для лечащего доктора, чтобы точно поставить диагноз и назначить эффективную тактику лечения.
Если обследование проводится после получения травмы голеностопного сочленения, доктор увидит следующие нарушения:
- Увеличение толщины связки на поврежденном участке;
- Изменение края поверхности;
- Разделение связок на отдельные волокна.
Сильнее всего изменения заметны при сильном вывороте стопы наружу во время травмы. Чаще всего такое случается при занятиях спортом, как у профессионалов, так и любителей активного образа жизни.
Требуются ли подготовительные мероприятия
Ультразвук – безболезненная процедура, не требующая специальной подготовки. Однако для комфорта пациент может заранее продумать, как одеться, чтобы свободно освободить ногу от одежды.
В некоторых диагностических кабинетах от пациента ожидается, что с собой на исследование он возьмет полотенце или простыню, которую можно будет расстелить на кушетку. Если боль очень сильная, то для облегчения процедуры можно заранее принять болеутоляющее средство.
Преимущества ультразвукового исследования
Такую процедуру проводят в каждой поликлинике. Это относительно дешевый и доступный каждому метод. При большинстве патологий с помощью обследования можно оценить состояние сочленений и выявить основные заболевания и их стадию развития.
Процедура позволяет увидеть состояние суставной полости, окружающих мышц и тканей в реальном времени. Человек не получает радиоактивного излучения, как при рентгенологическом исследовании. Врач может изучить состояние голеностопного сочленения сразу в нескольких проекциях за один сеанс процедуры.
Основные преимущества проведения ультразвукового исследования голеностопного сустава следующие:
- Отсутствие боли;
- Нет вреда организму;
- Результаты готовы сразу;
- Процедура проводится быстро;
- Расшифровка не представляет сложности;
- Нет необходимости выполнять проколы тканей;
- Метод экономически доступен большинству пациентов;
- Достоверность полученных данных;
- Высокая информативность.
Нет ограничений на частоту проведения УЗИ. Это позволяет при необходимости проводить мониторинг начатой терапии. Лечение можно скорректировать, чтобы как можно быстрее достичь улучшений самочувствия.
Процесс выполнения УЗИ
Ультразвуковое изучение тканей проводится в специальном кабинете, где есть высокоточное оборудование. Для диагностики понадобятся обе стопы. Бесполезно исследовать только одну конечность. Врач должен оценить состояние тканей сразу в передней, задней боковой проекциях.
Последовательность оценки тканей при ультразвуковом обследовании суставов:
- Определение наличия выпота;
- Оценка его структуры и объема;
- Состояние синовиальной сумки лодыжки;
- Описание каждого сухожилия и их цельности, асимметрии наличие патологических включений;
- Описание пяточной сумки;
- Характеристика качества костей.
Детальное исследование состояния костей при ультразвуковом исследовании невозможно, поэтому основное внимание уделяется суставам.
Противопоказания
Так как ультразвуковое исследование безвредно, не облучает организм человека, его проводят практически всем людям. Оно подходит новорожденным младенцам, беременным женщинам. Для пациентов с онкологическими опухолями УЗИ также разрешено.
К проведению УЗИ голеностопного сочленения есть только одно противопоказание. При наличии обширной раны в области проведения исследования диагностика невозможна. Если повреждения незначительны, врач постарается провести обследования, минуя пораженные участки кожи.
Стоимость
Цена УЗИ голеностопного сустава доступна каждому пациенту. Стоимость может варьироваться от клиники, где проводится исследование.
Иногда на ценовую политику влияет квалификация врача, проводящего исследование. Если в стоимость процедуры входит консультация и расшифровка данных, цена увеличивается.
Провести УЗИ можно от 600 до 1500 рублей. Каждый пациент решает сам, где ему проводить такое обследование. Принцип процедуры везде одинаков.
Пациенты, у которых есть медицинская страховка, имеют право на бесплатное прохождение данной процедуры в местной поликлинике.
Проведение ультразвукового исследования показано пациентам при многих состояниях. Лечащий врач после первичного осмотра решит, нужна ли такая диагностика в конкретном случае. Проведение ранней качественной терапии – залог успешного лечения и сохранения подвижности сочленений.
Ультразвуковое исследование голеностопного сустава и суставов стопы считается наиболее информативным форматом обследования указанных частей тела. Преимущество способу добавляет тот факт, что он является неинвазивной диагностикой, а это предусматривает отсутствие болезненных ощущений.
Оценка части нижних конечностей позволяет составить детализированную картину по всем структурам. То, что показывает УЗИ представленной области, охватывает не только мышечную ткань, но и связки, хрящи, сухожилия. С помощью проведенного анализа получается выявить даже небольшие отклонения на ранней стадии развития.
За счет подробного тестирования можно обнаружить опухоли различной этиологии, а также выявить точную локализацию территории с воспалительными процессами, где собрался скопившийся экссудат. Даже кровотечение получится найти с помощью высокочувствительного датчика.
Помимо того, что визуализация работает на возможность предоставить сведения касательно вида связок и других мягких тканей, она также позволяет выявить отклонения, которые беспокоят пострадавшего при активной деятельности. Последняя способность особенно высоко ценится теми пациентами, у которых подозревают различной степени тяжести вывихи и тому подобные травмы конечности.
Кроме изучения строения сухожилий, лаборант заметит, как себя чувствуют суставы самой стопы, которые ежедневно подвергаются повышенным нагрузкам из-за надобности держать на себе весь вес.
Суть способа
УЗИ голеностопного сустава по алгоритму проведения практически ничем не отличается от ультразвукового исследования сустава голеностопа. За основу берется способность особенных волн проникать в глубинные структуры организма. Для этого технологи настроили аппарат на посыл импульсов от 2 до 10 МГц.
После того как посланные частицы отражаются от структур соединения, они собираются усилителем. С помощью программы поступившая информация анализируется, чтобы преобразиться в виде понятного лаборанту изображения. Чтобы сцепление между высокочувствительным датчиком и кожным покровом оказалось еще лучше, специалисты задействуют гель. За счет плотной структуры вещества получается убрать воздушную прослойку, через которую ультразвуковым импульсам тяжелее пробиться.
Методика пользуется повышенным спросом среди тех людей, которым необходима суставная пункция. На нее человека направляют для подтверждения диагноза, а также для получения помощи при составлении подробной программы дальнейшей восстановительной терапии.
На практике это означает, что в момент введения иглы в суставную полость, младший медперсонал будет параллельно с инвазивным анализом использовать аппарат УЗИ. Подобный подход выступает залогом сниженных рисков лишней травматичности, а также гарантом точности проведения такой небольшой операции. Если брать за основу стандартный протокол, то получится практически полностью свести на нет риски травм не только мягких тканей, но и сосудов с нервными волокнами.
Полученные в ходе обследования снимки способны послужить своеобразным навигатором для последующего хирургического вмешательства, если оно имеет место быть.
Преимущества УЗИ
Современные медицинские технологии имеют в запасе множество предложений для оценивания состояния голеностопа и стопы вместе с их суставами. Но ультразвуковое решение стабильно пользуется спросом среди медиков и самих пациентов не только из-за отсутствия сопутствующих болезненных ощущений.
УЗИ высоко ценят за широкую информативность, ведь за один поход к диагносту можно узнать о состоянии разных тканей, отличающихся по структуре. Еще одним важным пунктом плана положительных аспектов методики выступает цена. На фоне компьютерной томографии или магнитно-резонансного варианта представленный способ обойдется гораздо дешевле.
Добавить к этому стоит относительно небольшой временной промежуток, за который будут готовы снимки вместе с зашифрованным заключением. Часть из него объяснить сможет даже сам диагност по просьбе больного. Но окончательный диагноз, как и составление программы лечения, находятся в прерогативе лечащего врача конкретного пациента.
Не важным плюсом способа числится безвредность. В отличие от других форматов оценки состояния здоровья здесь не привлекаются опасные радиационные лучи или магнитное поле. Отсутствие лучевой нагрузки для обратившихся полностью списало абсолютные противопоказания для проведения манипуляции.
Это означает, что УЗИ свободно сделают:
- ребенку;
- беременной на любом сроке;
- людям с ослабленным иммунитетом.
Пациенту останется только выбрать, где сделать обследование, колеблясь между частным медицинским центром и государственной больницей. Место проведения тестирования имеет меньшее значение, нежели сам аппарат, который должен быть новым, чтобы предоставлять изображение самого лучшего разрешения.
При использовании инновационных машин, доктор сможет рассмотреть даже особо мелкие аномальные явления вроде отклонения в анатомических особенностях коллагенновых волокон. Не говоря уже об опухолях различного происхождения.
Если же новообразование все же было обнаружено, то потерпевшего могут отправить сдавать ряд дополнительных анализов, чтобы разобраться с тем, является ли опухоль злокачественной, либо доброкачественной. С такими тонкостями даже самый новый аппарат УЗИ не справится, поэтому без МРТ с контрастированием не обойтись.
Когда стоит записаться на прием
Зачастую авторами направлений на ультразвуковое исследование становятся хирурги, ортопеды или травматологи, к которым люди идут, жалуясь на болевые ощущения, либо просто дискомфорт в области стопы, голени. Кроме болевого синдрома в указанных областях потерпевший будет страдать от резкого ухудшения качества жизни из-за значительного ограничения своей активной деятельности.
Так как диагностика не предусматривает сложного подготовительного этапа, иногда на нее отправляют больных сразу же из кабинета узкого специалиста. Доктор, собрав данные по текущим жалобам пациента, а также изучив информацию о наследственной предрасположенности, выпишет направление. Хотя обычно проверяют за один раз сразу состояние суставов голеностопа и стопы, иногда требуется проведение тестирования только одной части. Особенно актуально подобное разделение после выставления диагноза и проведенного хирургического вмешательства, либо завершения курса альтернативной терапии.
Наиболее часто встречающимися заболеваниями, которые называют причинами для обращения в кабинет диагностики, числятся:
- бурсит;
- синовит;
- тендинит;
- остеохондроз;
- артроз;
- ревматизм;
- артрит;
- остеоартроз;
- коксартроз.
Также направление выдают тем людям, которые стали жертвами механических повреждений, что стало причиной для серьезных отклонений по целостности тканей.
- вывихе;
- подвывихе;
- разрыве связок;
- мышечных растяжениях;
- поражении сухожилий.
Не обходится без подробной визуализации, если нужно подтвердить, либо опровергнуть поражение менисков или воспаления хрящей. Даже поражения суставных поверхностей получится рассмотреть с помощью высокочувствительных датчиков.
Чтобы не дотягивать до последнего, когда справиться за счет альтернативной медицины не получится, требуется сразу же обращаться за консультацией к эксперту при обнаружении у себя:
- суставных болей;
- хруста;
- подозрительных щелчков;
- ограничения двигательной активности;
- отечности;
- недавно возникших опухолей.
Вообще причиной для обращения за квалифицированной помощью должны стать любые нехарактерные для голеностопа и голени явления. Подобные меры предосторожности выступят залогом начала лечения на начальной стадии развития недуга, что убережет от значительных побочных эффектов.
Благодаря высокоточной визуализации получается обнаружить очаг воспалительного процесса, а также участки, которые оказались вовлечены в обширное поражение. Подобная точность вместе с возможностью обнаружить территорию сбора выпота на порядок повышает шансы эффективного лечения в дальнейшем.
Делая такие срезы на регулярной основе, получится постоянно корректировать схему терапии, чтобы она принесла в конечном итоге выдающийся результат. Также периодически сделанные снимки помогут проследить за общей динамикой выздоравливания.
Воспалительный процесс, затрагивающий сочленения, даже на ранней фазе причиняет интенсивную болезненность, сопровождающуюся ограниченностью движений. Если воспаление носит хронический характер, то в будущем каждый новый острый приступ станет сопровождаться серьезными сбоями метаболизма. Логичным итогом развития сценария является артроз, характеризующийся структурными нарушениями хрящевой ткани стопы или голеностопа.
Классическим проявлением пяточной шпоры числится невозможность полноценно опереться на пятку при желании. Сначала неприятный симптом прослеживается только при длительной нагрузке нижних конечностей, например, при продолжительной ходьбе. Потом ощущение дает о себе знать по утрам при воздействии на пораженную конечность.
Но через какое-то время боль усиливается без какой-либо существенной причины, что подталкивает пострадавшего к походу к врачу.
Если в процессе первичного осмотра у специалиста возникнет подозрение на неврому Мортона, то он тоже отправит больного на УЗИ для перестраховки. Визуализация покажет уплотнение в межпальцевой зоне стопы, что внешне станет выражаться в болевом синдроме указанного участка.
Диагностика дополнительно применяется в качестве контрольного мониторинга для двух популярных процедур:
- функциональной пробе для оценки амплитуды движения сустава;
- взятие жидкости и тканей из сочленения.
Второй пункт свойственен классической пункции.
Как проходит процедура
Для того чтобы детально рассмотреть возможные зарождающиеся патологии стопы, медики используют несколько проекций. Для голеностопа используются четыре их разновидности:
Если одновременно с проверкой суставов требуется произвести детальную оценку сосудов, расположенных внизу нижних конечностей, то положение пациента меняют. Сначала пострадавший укладывается на кушетку, а потом ему помогают правильно согнуть ноги в коленях.
Так как подготовительного этапа манипуляция не требует, от пациента понадобится только оголить нижние конечности, чтобы не мешать датчику. После этого можно укладываться на кушетку, слушая команды лаборанта.
Отдельно стоит учитывать, что осмотр нельзя назначать сразу же после проведенных внутрисуставных инъекций. Чтобы финальная картинка не исказилась, лучше подождать хотя бы четверо суток после проведенной инъекции, чего хватит для восстановления сустава до привычного состояния.
Сначала больной обязан лежать строго прямо, но при обнаружении подозрительных состояний лаборант может попросить повернуть голень вовнутрь. Это необходимо для того, чтобы до исследуемой зоны датчиком было проще добраться.
Перед стартом процедуры кожный покров голеностопа со стопой щедро смазывают гелем, который призван улучшить контакт. Гель не несет никакого вреда. Не зря же даже аллергики не чувствуют никакого дискомфорта при его нанесении.
Особенного внимания заслуживают люди, которых отправили делать ультразвуковое исследование в крайне тяжелом состоянии. Хотя полная неподвижность, как для компьютерной томографии, здесь не является обязательным пунктом, не всегда люди на грани шока способны спокойной переносить манипуляцию. А открытые раны, ожоги, прочие внешние повреждения кожи вовсе относятся к лагерю противопоказаний.
Обычно этап проверки длится всего около пятнадцати минут. За это время диагност успевает проверить сухожилия и другие элементы изучаемой зоны обеих конечностей.
Итоги записываются в текстовом и графическом виде. Первый вариант представляет собой зашифрованное заключение, которое подробно разберет лечащий врач пострадавшего. Изображение призвано послужить весомым доказательством при выставлении окончательного диагноза.
Если после первого осмотра остались какие-то «слепые пятна», либо требуется подтверждение предположения, то УЗИ могут назначить повторно. Так как оно безвредно для тела, количество раз произведенного обследования является неограниченным.
Схематическая расшифровка
Полученные сведения выдаются либо сразу на руки пострадавшему, либо передаются напрямую в кабинет лечащего доктора. Последняя версия подходит для стационарных лечебных учреждений.
Если не терпится самостоятельно разобраться с заключением лаборанта, ожидая своей очереди в коридоре, то стоит воспользоваться приблизительной расшифровкой.
Так, при разрыве связок голеностопа помимо резкой боли стоит учитывать следующие признаки, показанные на снимке: снижение эхогенности в предполагаемой пораженной области; утолщение на связке; нарушение хода связки; эхогенность жировой клетчатки при резких отпечатках пораженной области.
Немного похожая картина прослеживается при частичном разрыве связки. Изображение продемонстрирует низкую эхогенность, что подтвердит опасения касательно обширной отечности и гематомы по соседству.
Когда диагностируется разрыв сухожилий, важно обращать внимание на гипоэхогенность проблемной территории. Одновременно с этим влагалище сухожилия постепенно наполняется жидкостью. Дополнительно можно отметить нарушение хода волокон вместе с ярко выраженной прерывистостью. А выпот накапливается в синовиальной части.
Не менее опасным заболеванием числится тендинит, который характеризуется накопленным выпотом во влагалище сустава. При этом сухожилие не имеет никаких видимых повреждений. Чтобы перестраховаться при столь запутанной симптоматике, многие врачи выставляют не просто тединит, а тендосиновит.
Когда больного беспокоит ревматоидные проявления, то изображение подтвердит опасения, зафиксировав уменьшение диаметра сухожилия. Столь необычный признак призван стать важной отличительной чертой между ревматизмом и классическим воспалительным процессом.
Иногда недуг дополняется гигромами. Но они всегда строго ограничены по своей протяжности, а края образований имеют полностью круглые очертания.
Если УЗИ проводит опытный диагност, то он сможет опередить даже степень тяжести разрыва. Если травма случилась достаточно давно, то получится рассмотреть тканевые дефекты. Не обойдется там без фиброзов и даже кальцифицированных отметин. Сухожилие при развитии подобного сценария событий обычно утолщается, но не сильно.
Когда пациент проходил хирургическое вмешательство, то ультразвуковое исследование покажет лигатуры, где эхогенность регистрируется на повышенном уровне.
Получится распознать даже то, является ли воспаление хроническим, либо перешло в стадию острого развития. Признаки хронического течения охватывают неоднородную структуру сухожилия, где изредка встречаются кальцификаты. О пяточной шпоре расскажут гипереэхогенные участки.
УЗИ уже долгие годы является основным форматом диагностики отклонения функционирования стопы вместе с голенью, будь то повреждения костной структуры или суставов со связками. Результаты обследования присовокупляют к основному анамнезу, чтобы выставить точный диагноз, а потом выстроить продуктивную программу терапии.
Голеностопный сустав наиболее часто подвергается различным травмам как спортивным, так и бытовым, среди людей всех возрастных категорий. Благодаря поверхностному расположению его структур, диагностировать патологические процессы лучше всего при помощи ультразвука. С помощью данной диагностической процедуры можно быстро, безболезненно и без вреда для организма оценить характер и степень полученных повреждений, а также определить показания к консервативному или хирургическому лечению.
В каких случаях нужна ультразвуковая диагностика
Боль в голеностопных суставах хотя бы раз в жизни беспокоила практически каждого человека. Важно знать, в каком случае не стоит волноваться, а в каком необходимо обязательно обратиться к врачу с целью обследования и дальнейшего лечения. При подозрении на патологию сустава следует обратиться к терапевту, травматологу или врачу-ревматологу.
Пройти УЗИ потребуется:
- При тавме голеностопа, полученной в быту (при подвертывании стопы кнаружи или внутрь при ходьбе, беге).
- Повреждениях, полученных при занятиях спортом. Наиболее травмоопасными являются танцы, легкая гимнастика, бег, футбол, горные лыжи, коньки или ролики.
- Подозрении на дегенеративные заболевания (ревматоидный артрит, остеоартроз).
- Воспалительных процессах (тендините, остеомиелите, некрозах костей).
- Разрывах и надрывах сухожильно-связочного аппарата, которые визуально проявляются гематомами и отеком в месте повреждения.
- Уточнении диагноза подошвенного фасциита, называемого в народе «пяточной шпорой».
- Выраженном болевом синдроме при движении, а также в покое.
- Скованности, затруднении и ограничении объема движений в пораженной конечности.
- Невроме Мортона — патологическом утолщении общепальцевого нерва, которое сопровождается интенсивной болью, локализующейся между 3 и 4 пальцами стопы.
- Подозрении на новообразования костей и мягких тканей.
- Проведении пункции голеностопного сустава с лечебной или диагностической целью.
- В качестве оценки эффективности проведенного терапевтического и оперативного лечения.
Под контролем ультразвуковых волн очень часто проводят функциональные пробы, позволяющие максимально точно оценить двигательную функцию сустава и выявить патологический процесс, приводящий к ее нарушению.
Общие рекомендации и преимущества УЗИ суставов можно узнать из видео.
Как проходит процедура
Знание методики выполнения диагностической процедуры позволяет добиться более точных результатов. Перед началом исследования необходимо снять обувь, носки и сесть на кушетку. Специалист нанесет на стопу и голень гель, обеспечивающий лучшее отражение ультразвуковых волн и хорошее скольжение датчика. Переставляя датчик в разные стороны под различными углами, врач осматривает сустав во многих проекциях, что позволяет оценить состояние всех входящих в него структур.
- Передняя проекция — обеспечивает визуализацию сухожилия большеберцовой мышцы, длинного разгибателя большого пальца, сами мышцы передней поверхности голени, а также сухожилия длинного разгибателя пальцев.
- Медиальный доступ — позволяет рассмотреть заднюю большеберцовую мышцу, дельтовидную связку и большеберцовый нерв, патологии которого часто сопровождаются сильной болью.
- Латеральная проекция — открывает доступ к сухожилиям длинной и короткой малоберцовых мышц и большинству связок.
- Задний доступ — позволяет специалисту оценить состояние ахиллова сухожилия, пяточной кости и подошвенного апоневроза.
Во время процедуры пациенту нужно внимательно слушать врача и менять положение исследуемой конечности (отводить кнаружи или кнутри, свободно свесить стопу с кушетки) для того, чтобы доктор смог внимательно оценить ультразвуковую картину и дать точное заключение.
Результаты
Расшифровкой результатов специалист занимается непосредственно во время выполнения процедуры, а заключение можно получить сразу после прохождения УЗИ. Рассматривая изображение на экране, доктор оценивает целостность, размеры, контуры и плотность визуализируемых объектов. При наличии новообразований, необходимо оценить их форму, диаметр и структуру.
С помощью режима допплер можно оценить васкуляризацию в обследуемой области. Воспалительные заболевания сопровождаются усилением кровообращения, что диагностируется с помощью УЗИ. Выпот в исследуемой области при травме голеностопа описывается специалистом как гипоэхогенное образование с нечеткими контурами.
По результатам обследования лечащий врач решает вопрос о необходимости проведения противовоспалительной терапии, лечебных пункций, физиопроцедур или хирургического вмешательства.
Ультразвуковая диагностика имеет высокую информативность. Заключения, полученного при исследовании, в совокупности с жалобами пациента и клиническими проявлениями патологии, достаточно для выставления точного диагноза.
Противопоказания и подготовка к диагностике
УЗИ — современный неинвазивный метод диагностики, который не несет лучевой нагрузки на организм пациента. Проводить его можно в любом возрасте, в том числе малышам, беременным и кормящим женщинам.
На обследование необходимо явиться в легко снимающейся обуви и одежде, не скрывающей голень. Проходя процедуру в некоторых государственных поликлиниках, при себе следует иметь пеленку, которую нужно будет постелить на кушетку.
Выраженный болевой синдром или скованность движений могут затруднить диагностику и повлиять на информативность исследования, поэтому лечащий врач может назначить обезболивающее средство непосредственно перед процедурой.
Единственным противопоказанием к обследованию может служить наличие обширной открытой раны в области голени или стопы.
Где пройти исследование
При травме, а также болях в нижней конечности, необходимо обратиться к врачу в государственную поликлинику по месту жительства или в частный медицинский центр. После сбора анамнеза и внимательного осмотра, врач назначит ряд дополнительных обследований, среди которых будут лабораторные анализы и УЗИ. Обследоваться можно бесплатно по направлению от терапевта, травматолога или рентгенолога. Процедура проводится в кабинете функциональной диагностики поликлиники или стационара, а также в частном лечебном учреждении. Стоимость УЗИ голеностопных суставов составляет от 1500 руб.
К преимуществам ультразвуковой диагностики относится:
- Быстрота исследования. Вся процедура с расшифровкой данных занимает не более 30 минут.
- Неинвазивность, отсутствие влияния вредного ионизирующего излучения на пациента.
- Доступная цена.
- Высокая точность.
- Возможность контролировать процесс лечебно-диагностических пункций, отслеживать результаты лечения.
УЗИ следует проводить на современном оборудовании экспертного класса у внимательного специалиста с богатым опытом. Врачи рекомендуют одновременно с УЗИ пораженного сустава, обследовать здоровую ногу для сравнения и получения более точных результатов.
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