Ocguder Durmus Ali, Tosun Ozgur, Bektaser Bulent, Cicek Nuriye, Ipek Ali, Bozkurt Murat
Ataturk Research and Training Hospital, Orthopaedic and Traumatology Clinic, Ankara, Turkey.
Acta Orthop Belg. 2010 Aug;76(4):456-61.
This study aimed to evaluate the efficiency of ultrasonography (US) in the examination of soft tissue anatomical structures of the shoulder in overhead athletes. The study evaluated the shoulders of overhead elite premier league athletes involved in basketball, handball, volleyball, body building, and water polo. US examination of both shoulders was performed prospectively in 45 asymptomatic overhead athletes and 43 asymptomatic volunteers matched for age. On US examination, subacromial-subdeltoid bursa effusion was observed in 16 of the dominant shoulders and in 2 of the non-dominant shoulders of 45 overhead athletes and in none of the asymptomatic volunteers. The mean thickness of the subacromial-subdeltoid bursa was significantly larger in the dominant and non-dominant shoulders of the overhead athletes than in the asymptomatic volunteers (p < 0.001, p < 0.05 respectively). Ultrasonography appeared as an effective, convenient and non-invasive tool for the early diagnosis of shoulder pathologies occurring in overhead athletes, even in the asymptomatic stage.
本研究旨在评估超声检查（US）在检查过头运动项目运动员肩部软组织解剖结构方面的有效性。该研究对参与篮球、手球、排球、健美和水球运动的精英顶级联赛过头运动项目运动员的肩部进行了评估。对45名无症状的过头运动项目运动员和43名年龄匹配的无症状志愿者的双肩进行了前瞻性超声检查。在超声检查中，45名过头运动项目运动员的优势肩中有16例、非优势肩中有2例观察到肩峰下-三角肌下滑囊积液，而无症状志愿者中未观察到。过头运动项目运动员的优势肩和非优势肩的肩峰下-三角肌下滑囊平均厚度显著大于无症状志愿者（分别为p < 0.001，p < 0.05）。超声检查似乎是一种有效、便捷且无创的工具，可用于早期诊断过头运动项目运动员发生的肩部病变，即使在无症状阶段也是如此。
