{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:51Z","timestamp":1740126831645,"version":"3.37.3"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n               Hintergrund: Der Ultraschall ist in der Diagnostik der skapholun\u00e4ren Bandl\u00e4sion (SL-Band) noch nicht etabliert. Ziel war es, ein standardisiertes Untersuchungsverfahren zur Darstellung und Kriterien zur Beurteilung des SL-Bandes zu entwickeln.<\/jats:p><jats:p>\n               Patienten und Methoden: Es wurden prospektiv 40\u2005Patienten (70\u2005H\u00e4nde) sonographisch untersucht und mit Arthroskopie oder Magnetresonanztomographie (MRT) verglichen. Betrachtet wurden die Darstellbarkeit desSL-Bandes, der SL-Abstand im Seitenvergleich sowie ein Methodenvergleich von MRT und Arthroskopie zur Sonographie durchgef\u00fchrt. Gepr\u00fcft wurde auf Unterschiede und \u00dcbereinstimmung. Es wurden Cut-off-Werte f\u00fcr den SL-Abstand f\u00fcr eine L\u00e4sion bestimmt und alle Parameter zur Erstellung eines Scores verwendet.<\/jats:p><jats:p>\n               Ergebnisse: Ein intaktes Band erscheint als hyperechogene, fibrill\u00e4re Struktur und zeigt bei Verletzung Banddiskontinuit\u00e4ten oder einen hypoechogenen Raum. Ein intaktes Band war dorsal in 89,6\u2005% und palmar in 83,3\u2005% darstellbar. Der Abstand f\u00fcr ein intaktes Band betrug dorsal\/Mitte\/palmar 5\/2\/5,1\u2005mm (Bereich 3,2\u20136,7\/0,9\u20134\/3,1\u20137,8\u2005mm), bei L\u00e4sion 6,4\/3\/6,3\u2005mm (5\u20139,4\/2\u20136,2\/4\u20139,3\u2005mm). Linke und rechte Hand unterschieden sich bei intaktem Band maximal um 2,1\/1,1\/1,8\u2005mm, im Mittel um 0,4\/0,2\/0,2\u2005mm und bei Verletzung um 1,2\/0,9\/1,1\u2005mm. Radial- und Ulnarduktion zeigten physiologische, z.\u2005T. jedoch unvorhersehbare Abstandswerte. Als Cut-off-Werte f\u00fcr eine L\u00e4sion wurden dorsal (Sensitivit\u00e4t\/Spezifit\u00e4t) 5,05\u2005mm (0,95\/0,60), Mitte 1,95\u2005mm (1\/0,62) und palmar 6,15\u2005mm (0,55\/0,85) ermittelt. Der erstellte sonographische SL-Band-Score besitzt eine hohe AUC (Area under the curve) von 0,93, eine Sensitivit\u00e4t von 85\u2005% und eine Spezifit\u00e4t von 90\u2005%.<\/jats:p><jats:p>\n               Schlussfolgerung: Die Parameter erlauben, v.\u2005a. kombiniert als Score, eine Aussage zur Intaktheit des SL-Bandes. Die Sonographie kann somit als Diagnostikum und Screeningmethode f\u00fcr eine SL-Bandl\u00e4sion empfohlen werden und sollte als Routineinstrument etabliert werden. Perspektivisch muss durch gro\u00dfe Fallzahlen eine \u00dcberpr\u00fcfung und Anpassung der Kriterien erfolgen.<\/jats:p>","DOI":"10.1055\/a-1718-3552","type":"journal-article","created":{"date-parts":[[2022,2,15]],"date-time":"2022-02-15T23:30:33Z","timestamp":1644967833000},"page":"28-37","source":"Crossref","is-referenced-by-count":3,"title":["Etablierung eines standardisierten Untersuchungsverfahrens zur sonographischen Darstellung und Beurteilung des skapholun\u00e4ren Bandes"],"prefix":"10.1055","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3129-3507","authenticated-orcid":false,"given":"Tino","family":"Handschak","sequence":"additional","affiliation":[{"name":"Berufsgenossenschaftliche Kliniken Bergmannstrost Halle Unfallchirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunther","family":"Hofmann","sequence":"additional","affiliation":[{"name":"Berufsgenossenschaftliche Kliniken Bergmannstrost Halle 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