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- Annertz, Mårten, et al.
(author)
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Ländryggsröntgen ger falsk säkerhet och ringa nytta för patienten : MRT och DT ger bättre och billigare resultat
- 2017
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In: Läkartidningen. - 0023-7205. ; 114:46, s. 1962-1962
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Journal article (other academic/artistic)abstract
- In 2016 140 000 lumbar spine radiographies were performed in Sweden (14 000 per million inhabitants) to a cost of about 85 million SEK (≈8.5 million Euro) and a negligible value for the patients with low back pain. In the work-up of low back pain, when imaging is indicated, lumbar spine radiography should be replaced by limited magnetic resonance imaging including a whole lower body coronal STIR sequence or computed tomography with radiation dose adapted to indication and patient age. Indication for imaging should be restricted to 1) low back pain with more than 3-4 weeks duration in combination with at least one »red flag«, 2) radicular pain without improvement on conservative treatment, or 3) low back pain with more than 8 weeks duration in combination with »yellow flags«.
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- Aspelin, Peter, 1944, et al.
(author)
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Samgåendet Hälsohögskolan och Karolinska Institutet
- 2010
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In: Kerstin Hagenfeldt (red.) Det medicinska universitetet: Utbildning vid Karolinska Institutet 1960-2010. - Stockholm : Karolinska Institutet University Press. - 9789185565375 ; , s. 9-26
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Book chapter (other academic/artistic)
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- Aspelin, Peter, et al.
(author)
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Ultrasound examination of soft tissue injury of the lower limb in athletes
- 1992
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In: The American journal of sports medicine. - : SAGE Publications. - 1552-3365 .- 0363-5465. ; 20:5, s. 601-603
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Journal article (peer-reviewed)abstract
- We performed ultrasonography on 32 athletes complaining of intense pain in a swollen and tender thigh or calf after a contusion or stretching trauma. The ultrasonogram was used to visualize the presence and size of a suspected hematoma. The findings included the following: 7 patients with a circumscribed, anechoic lesion compatible with a liquefied hematoma; 10 patients with a circumscribed lesion of mixed echogenicity compatible with areas of liquefied hematoma, coagulated blood, and edema; and 15 patients with a diffuse change in echogenicity of the whole muscle. The circumscribed liquefied, and mixed hematoma were more common after contusion trauma, while the diffuse type was more common after injury caused by stretching. Ultrasonography is useful in localizing the hematoma and in characterizing the different types. Differentiation is important in diagnosis and choice of treatment.
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