발목 주변 해부학적 구조에 대한 초음파를 이용한 접근
Ultrasound Approach to Anatomical Structures around the Ankley
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초록
초음파는 근육뼈대계통의 검사에서 유용한 진단 도구로 사용되고 있다. 초음파는 이온화 방사선 없이 실시간 영상을 제공하며 비침습적인 검사 방법이다. 또한, 작은 구조의 동적 영상의 제공과 인대, 근육 및 힘줄, 얕은 종양및 말초 신경의 평가로 인해 각광을 받는 것이 사실이다. 특히, 피부 바로 밑에 중요한 해부학적 구조물들이 그대로노출되어 있는 발목 주변의 해부학적인 특성으로 인해 다른 정형외과의 분야보다 발과 발목 분야에서 진단적 의의가있는 검사법으로 인정되고 있다. 본 종설을 통해 초음파적 접근을 통한 발목 주변의 해부학적 구조물의 이해에 도움을 주고자 한다. 더 나아가서 초음파로 접근하여 얻어진 영상에서 해부학적 구조물의 정상 및 병적 소견을 구분할 수있다면 초음파는 해부학 교육에 있어 좋은 방법이 될 것으로 판단된다.
Abstract
Ultrasound is used as a useful diagnostic tool in the examination of the musculoskeletal system. Ultrasound provides a real-time image without ionizing radiation and is a noninvasive examination method. In addition, ultrasound is in the spotlight because the provision of dynamic imaging of small structures and the evaluation of ligaments, muscles and tendons, superficial tumors and peripheral nerves. Especially, due to the anatomical characteristics around the ankle, where important anatomical structures are exposed just under the skin, ultrasound is recognized as more important test with diagnostic significance in the field of foot and ankle than in other fields of orthopedics. This review aims to help the understanding of the anatomical structures around the ankle through an ultrasound approach. In addition, if normal and pathological findings of anatomic structures can be distinguished through this review, readers will be able to better understand the pathophysiology of anatomic structures.
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