Radial diagnosis (RD) is the integral part of the locomotor system (LMS) examination.
Radiography is the most widespread, its indubitable merit is that practically all traumatologists-orthopedists can appreciate or "believe" that can appreciate roentgenograms. Such modern methods of RD as computed and magnetoresonance tomography are highly informative but expensive, there is equipment only at large hospitals and diagnostic centres.

The ultrasound investigation (USI) is widely used for visualization of viscera and significantly less for LMS. The USI spreading prevents steady prejudice of traumatologists-orthopedists of its subjectivity, as the description of the same LMS object varies significantly depending on the qualification of a doctor and his knowledge that is necessary to know an orthopedist-traumatologist. One of the principal cause is the absence in the native literature on RD the established standards (records of proceedings) of the investigation and description providing sonogram reproducibility.

Material and methods: Linear sensor 5-7 MHz, printer for giving radiographs to patients are indispensable.

Results and discussion: It is necessary to note the apparatus name, type and frequency of a sensor, approaches, patient and segment position under examination. While examining various segments of LMS it is necessary to use all the standard approaches and additional ones if necessary. All the underlying tissues are being described in layers.

The author has elaborated the examination standards on the basis of literature data and personal practice of 20 000 examinations of patients with LMS diseases. Those records with underlying or inscription are filled up by the USI doctor and together with a sonogram are given to a patient. It is advisable to keep the records at the USI room for comparison at the repeated examination and juridical aspects.

Conclusions: The elaborated records after their approbation at congresses (conferences) will be presented for affirmation at the corresponding RPC. Their use will permit to increase informativity, objectivity, trustworthiness and reproducibility of the examination and interaction of radial diagnosticians and ameliorate the diagnosis quality correspondingly.

A.Y. Vovchenko
Institute of Orthopedics and Traumatology of AMS Ukraine, Kyev


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