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超声及能量多普勒在跳跃膝中的表现——初步观察

Ultrasound and Power Doppler findings in jumper's knee - preliminary observations.

作者信息

Terslev L, Qvistgaard E, Torp-Pedersen S, Laetgaard J, Danneskiold-Samsøe B, Bliddal H

机构信息

The Parker Institute, Department of Rheumatology, H:S Frederiksberg Hospital, DK-2000 Copenhagen F, Denmark.

出版信息

Eur J Ultrasound. 2001 Jul;13(3):183-9. doi: 10.1016/s0929-8266(01)00130-6.

Abstract

OBJECTIVE

to examine a group of high risk athletes, for signs of inflammation in jumper's knee (JK) by gray-scale ultrasonography (US) and color/Power Doppler findings in JK.

SUBJECTS AND METHODS

eighteen high-elite basketball players participated in the investigation after a match. Seven players were examined by ultrasound before the match as well. The players were clinically examined for signs of JK and filled in a questionnaire concerning previous and present knee symptoms.

RESULTS

clinical signs of JK were found in 13 knees. Of these knees, ten had hypoechoic areas and six had Power Doppler flow. Four players reported symptoms of JK and clinical examination suspected the same. Three of them had both hypoechoic areas and Power Doppler flow. Fourteen players were asymptomatic at the time of examination but both hypoechoic areas and Power Doppler flow was found in the patellar tendons of four players. No correlation was found between clinical findings, symptoms of JK and US findings - including Power Doppler. The risk of type II error in this material is considerable.

CONCLUSION

an association between gray-scale US and color/Power Doppler was found in JK which may suggest an inflammatory component to be a part of the pathogenesis of JK.

摘要

目的

通过灰阶超声(US)及跳跃膝(JK)的彩色/能量多普勒检查结果,检查一组高危运动员的跳跃膝炎症迹象。

对象与方法

18名高水平篮球运动员在一场比赛后参与了该项调查。其中7名运动员在比赛前也接受了超声检查。对运动员进行了跳跃膝体征的临床检查,并填写了一份关于既往和当前膝关节症状的问卷。

结果

在13个膝关节中发现了跳跃膝的临床体征。在这些膝关节中,10个有低回声区,6个有能量多普勒血流信号。4名运动员报告有跳跃膝症状,临床检查也怀疑相同。其中3人既有低回声区又有能量多普勒血流信号。14名运动员在检查时无症状,但在4名运动员的髌腱中发现了低回声区和能量多普勒血流信号。临床发现、跳跃膝症状与超声检查结果(包括能量多普勒)之间未发现相关性。该样本中II类错误的风险相当大。

结论

在跳跃膝中发现灰阶超声与彩色/能量多普勒之间存在关联,这可能表明炎症成分是跳跃膝发病机制的一部分。

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