Wörtler K
Institut für Röntgendiagnostik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str.22, 81675, München.
Radiologe. 2010 May;50(5):453-9. doi: 10.1007/s00117-009-1937-5.
Overhead sport places great demands on the shoulder joint. Shoulder pain in overhead athletes and throwers can in the majority of cases be attributed to lesions resulting from chronic overuse of tendons and capsuloligamentous structures or to sequels of microinstability and secondary impingement. Due to its great impact on therapeutic decisions, imaging in athletes with unclear shoulder pain is a challenge. In this connection, magnetic resonance (MR) arthrography represents the cross-sectional imaging modality of first choice, as it allows depiction and exclusion of pathologic alterations of all relevant joint structures with sufficient confidence.This article reviews the biomechanical and clinical aspects and MR arthrographic features of the most common shoulder pathologies in overhead athletes, including biceps tendinopathy, superior labral anterior-posterior (SLAP) lesions, rotator cuff lesions, as well as extrinsic and intrinsic impingement syndromes.
过头运动对肩关节要求极高。在大多数情况下，过头运动的运动员和投掷者的肩部疼痛可归因于肌腱和关节囊韧带结构长期过度使用导致的损伤，或微不稳定及继发性撞击的后遗症。由于其对治疗决策有重大影响，对肩部疼痛不明确的运动员进行成像检查是一项挑战。在这方面，磁共振（MR）关节造影是首选的横断面成像方式，因为它能够充分可靠地显示和排除所有相关关节结构的病理改变。本文综述了过头运动的运动员中最常见的肩部疾病的生物力学和临床方面以及MR关节造影特征，包括肱二头肌肌腱病、上盂唇前后（SLAP）损伤、肩袖损伤以及外在和内在撞击综合征。
