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有症状的副比目鱼肌:18例运动员病例报告

Symptomatic accessory soleus muscle: report of 18 cases in athletes.

作者信息

Rossi F, Dragoni S

机构信息

National Institute of Sports Medicine, Rome, Italy.

出版信息

J Sports Med Phys Fitness. 2005 Mar;45(1):93-7.

PMID:16208296
Abstract

AIM

The aim of this paper was to investigate the prevalence and sports distribution in athletes.

METHODS

Six hundred and fifty radiographs of athletes affected by tenderness and exertional pain in the region of the Achilles tendon, were observed over a period of 30 years. The clinical and diagnostic imaging materials were reviewed.

RESULTS

Eighteen cases of accessory symptomatic soleus muscle were diagnosed: in 10 cases using soft tissue radiographic technique, in 8 cases using, in sequence, exclusively ultrasound and magnetic resonance.

CONCLUSIONS

The presence of an accessory soleus muscle has been considered a rare even incidental occurrence; the review of our cases, substantially different for the evident symptoms, showed a frequency in athletes of 2.77% in accordance with the results of the anatomical and clinical literature. US and MRI are the best diagnostic modalities especially in differentiating accessory soleus muscle from soft tissue tumors not rare in this anatomic region.

摘要

目的

本文旨在调查运动员中副比目鱼肌的患病率及运动分布情况。

方法

在30年的时间里,观察了650例受跟腱区域压痛和运动疼痛影响的运动员的X光片。回顾了临床和诊断成像资料。

结果

诊断出18例有症状的副比目鱼肌病例:10例采用软组织X线摄影技术诊断,8例依次仅采用超声和磁共振诊断。

结论

副比目鱼肌的存在一直被认为是一种罕见的甚至是偶然的情况;对我们这些症状明显不同的病例进行回顾,结果显示运动员中的发生率为2.77%,与解剖学和临床文献的结果一致。超声和磁共振成像尤其是区分副比目鱼肌与该解剖区域并不罕见的软组织肿瘤的最佳诊断方法。

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