Carrillon Y, Cohen M
Clinique Saint-Jean, Centre hospitalier Lyon-Sud, France.
J Radiol. 2007 Jan;88(1 Pt 2):129-42. doi: 10.1016/s0221-0363(07)89801-5.
Traumatic muscular pathology is frequent in the athlete. Usually, these lesions heal spontaneously leaving no sequelae. One must be able to predict how long the healing process will last in order to avoid a long period of inactivity and to protect the patient from a recurrent tear. Medical imaging can define the precise location and severity of muscle traumas and detect critical elements that will delay complete repair. Sonography is the most useful and the least expensive imaging technique for analyzing muscular trauma. It provides a good study of muscle fibers, tendons, and aponeurosis but is limited in its poor visualization of the deep structures such as hamstring tendons and the difficulty in detecting muscular scar. MRI is the most sensitive imaging technique for analyzing muscular trauma. However, muscular fibers themselves are not visualized with MRI. It remains a secondary technique, adapted to the insufficiencies of sonography. Nevertheless, the exact place of medical imaging in traumatic muscular pathology remains and leaves the door open to many later studies.
创伤性肌肉病变在运动员中很常见。通常,这些损伤会自发愈合,不留后遗症。为了避免长时间不活动,并防止患者再次撕裂,必须能够预测愈合过程将持续多长时间。医学成像可以确定肌肉创伤的精确位置和严重程度,并检测出会延迟完全修复的关键因素。超声检查是分析肌肉创伤最有用且最便宜的成像技术。它能很好地研究肌肉纤维、肌腱和腱膜,但在观察诸如腘绳肌腱等深部结构方面存在局限性,且难以检测到肌肉瘢痕。磁共振成像(MRI)是分析肌肉创伤最敏感的成像技术。然而,MRI本身无法显示肌肉纤维。它仍然是一种辅助技术,用于弥补超声检查的不足。尽管如此,医学成像在创伤性肌肉病变中的确切地位仍然存在,这为许多后续研究留下了空间。