HIGH-FREQUENCY ULTRASOUND FOR DETECTING CHRONIC KNEE JOINT LESIONS IN MINERS: AN EXPLORATORY CONTROLLED STUDY

Abstract

Objective: To explore the clinical value of high-frequency ultrasound in the detection of chronic knee injuries in miners. Methods: A total of 53 Chinese coal miners from the China, as well as 33 nonminers without history of knee conditions were prospectively examined using high-frequency ultrasound. Blood flow was observed using color Doppler flow imaging (CDFI) and power Doppler ultrasound (PDUS). In the event of slow blood flow, parameters for color Doppler were set to maximal gain and minimal noise. Results: Chronic knee joint injuries were detectable as lesions in bursa around the joint and infrapatellar soft tissues. Various proportions of miners had nodular, finger-like or focal protrusions extending from the bursa synovium into the synovial cavity. Such protrusions were observed in the suprapatellar bursa (15, 28.3%), prepatellar bursa (17, 32.1%), and deep infrapatellar bursa (4, 7.5%). Infrapatellar soft tissues were significantly thicker in miners ([Formula: see text][Formula: see text]mm) than of controls ([Formula: see text][Formula: see text]mm; [Formula: see text], [Formula: see text]). Miners showed substantial thickening of the synovia, as well as nodular, finger-like and focal protrusions in the synovia of suprapatellar bursa and/or prepatellar bursa (infrapatellar bursa). Synovium in miners showed more blood flow signals, especially in the supra- and prepatellar bursae, than synovium in controls. Echoes from the interior of infrapatellar soft tissues were enhanced and uneven in 47 of 53 miners, showing hyperecho patterns of scattered dots, short lines or flakes. Conclusion: Ultrasound can complement X-ray imaging and magnetic resonance imaging for detecting and characterizing chronic knee joint injuries in miners.