Overdeck Kimberlee Horton, Palmer William Ewing
Department of Bone and Joint Radiology, Massachusetts General Hospital, Boston, MA 02114, USA.
Semin Musculoskelet Radiol. 2004 Mar;8(1):41-55. doi: 10.1055/s-2004-823014.
Proper function of the hip joint is imperative for athletes who participate in sporting activities that rely on utilization of the lower extremity; these primarily include kicking, running, and jumping activities. Sports-related injuries of the hip and groin are not frequent sources of disability in athletes; however, they may present a significant diagnostic dilemma, both from a clinical and radiological standpoint. Delay in diagnosis and treatment may result in undesired complications, such as premature degenerative disease, as well as time lost from athletic activities. Magnetic resonance (MR) imaging of the hip, particularly following the intra-articular administration of gadolinium, has proven to be extremely valuable in the diagnosis of radiographically occult osseous abnormalities as well as soft-tissue injuries, such as pubalgia, musculotendinous abnormalities, and bursitis. This article will review several pathological conditions of the hip and groin in both recreational and professional athletes, with an emphasis on MR imaging as the modality of choice in the diagnosis of these injuries.
对于参与依赖下肢运动的体育活动的运动员来说，髋关节的正常功能至关重要；这些活动主要包括踢腿、跑步和跳跃运动。与运动相关的髋部和腹股沟损伤并非运动员致残的常见原因；然而，从临床和放射学角度来看，它们可能会带来重大的诊断难题。诊断和治疗的延迟可能会导致不良并发症，如过早出现退行性疾病，以及运动员活动时间的损失。髋关节的磁共振（MR）成像，特别是在关节内注射钆之后，已被证明在诊断X线隐匿性骨异常以及软组织损伤（如耻骨痛、肌腱异常和滑囊炎）方面极具价值。本文将综述业余和职业运动员髋部和腹股沟的几种病理状况，重点是将MR成像作为诊断这些损伤的首选方式。
