Elsayes Khaled M, Lammle Markus, Shariff Anjum, Totty William G, Habib Ihab F, Rubin David A
University of Michigan Health Center, Ann Arbor, MI 48109-0030, USA.
Curr Probl Diagn Radiol. 2006 Sep-Oct;35(5):206-12. doi: 10.1067/j.cpradiol.2006.06.003.
While most muscle injuries are recognized clinically, magnetic resonance imaging (MRI) is the ideal noninvasive test to assess their extent and severity, which impacts therapy and influences prognosis. Typical examples of these injuries include muscle contusions, lacerations, sprains, and delayed onset muscle soreness. For other less common traumatic muscle conditions (exertional compartment syndrome, muscle herniation, and traumatic denervation), the clinical findings are often subtle or ambiguous and MRI will indicate the correct diagnosis. In patients with known muscle trauma, MRI can detect complications such as hematoma or seroma development, scarring and fibrosis, and myositis ossificans. This article illustrates the spectrum of muscle injuries, emphasizing the value of MRI in their diagnosis.
虽然大多数肌肉损伤在临床上能够被识别，但磁共振成像（MRI）是评估其范围和严重程度的理想无创检查方法，这会影响治疗并对预后产生影响。这些损伤的典型例子包括肌肉挫伤、撕裂伤、扭伤和延迟性肌肉酸痛。对于其他不太常见的创伤性肌肉疾病（运动性骨筋膜室综合征、肌肉疝和创伤性神经损伤），临床发现往往不明显或不明确，而MRI能够做出正确诊断。对于已知有肌肉创伤的患者，MRI可以检测到诸如血肿或血清肿形成、瘢痕形成和纤维化以及骨化性肌炎等并发症。本文阐述了肌肉损伤的范围，强调了MRI在其诊断中的价值。
