Coris Eric Emmanuel, Zwygart Kira, Fletcher Michelle, Pescasio Michele
Departments of Orthopaedics and Sports Medicine, University of South Florida College of Medicine, Tampa, FL 33612, USA.
Sports Med Arthrosc Rev. 2009 Mar;17(1):2-12. doi: 10.1097/JSA.0b013e318195ffb0.
Increasing sports participation, and the inevitable sports injury, is a significant contributor to total healthcare expenditure in the United States. With sports-related injury ever increasing, and technology rapidly expanding in the areas of diagnosis and treatment of musculoskeletal trauma, a continual revisiting of the latest in technology is critical for the sports physician. Advances particularly in the areas of magnetic resonance imaging, diagnostic office ultrasound, and 3-dimensional reconstruction computed tomography, offer the clinician a myriad of diagnostic options in patient evaluation. Care must be exercised, however, as one pursues additional radiographic data in the patient care arena. The information must be interpreted with a firm foundation and understanding of not only the patient history and physical examination, but also the availability, indications, contraindications, sensitivity, specificity, and even the cost implications of the great spectrum of diagnostic options.
体育参与度的提高以及不可避免的运动损伤，是美国医疗总支出的一个重要促成因素。随着与运动相关的损伤不断增加，以及肌肉骨骼创伤诊断和治疗领域的技术迅速发展，体育医生不断了解最新技术至关重要。特别是在磁共振成像、诊断性超声检查和三维重建计算机断层扫描等领域的进展，为临床医生在患者评估中提供了无数的诊断选择。然而，在患者护理领域寻求更多影像学数据时必须谨慎。必须在对患者病史和体格检查有坚实基础和理解的情况下解读这些信息，同时还要了解各种诊断选择的可用性、适应症、禁忌症、敏感性、特异性，甚至成本影响。
