Kälebo P, Karlsson J, Swärd L, Peterson L
Department of Diagnostic Radiology, East Hospital, University of Gothenburg, Sweden.
Am J Sports Med. 1992 Nov-Dec;20(6):634-9. doi: 10.1177/036354659202000603.
Ultrasonography was used in the diagnosis of 36 patients with chronic groin pain localized to the tendons of the rectus abdominis, rectus femoris, adductor muscles, hamstring muscles, and the gluteal muscles. Abnormal findings, such as focal sonolucent areas and discontinuity of tendon fibers, that are indicative of nonhealed partial ruptures were found in 28 patients. These findings differed clearly from the asymptomatic contralateral side, which was used for comparison. The abnormalities were located in three different sites: at the tendon insertion, within the tendon, and at the tendomuscular junction. Ten patients were treated surgically and the findings at surgery correlated well with the ultrasonographic findings of partial tendon tears: 9 were true-positive and 1 was a true-negative. Ultrasonography appears to be a valuable method in the diagnosis of chronic groin pain.
超声检查用于诊断36例慢性腹股沟疼痛患者，疼痛部位局限于腹直肌、股直肌、内收肌、腘绳肌和臀肌的肌腱。28例患者发现了异常表现，如局灶性无回声区和肌腱纤维连续性中断，提示存在未愈合的部分撕裂。这些表现与用作对照的无症状对侧明显不同。异常位于三个不同部位：肌腱附着处、肌腱内和肌腱肌肉交界处。10例患者接受了手术治疗，手术结果与肌腱部分撕裂的超声检查结果高度相关：9例为真阳性，1例为真阴性。超声检查似乎是诊断慢性腹股沟疼痛的一种有价值的方法。
