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对大转子疼痛综合征诊断中成像方式的系统评价。

A systematic review of imaging modalities in the diagnosis of greater trochanteric pain syndrome.

作者信息

McMahon Samuel E, Smith Toby O, Hing Caroline B

机构信息

Manchester Medical School, University of Manchester, Manchester, UK.

出版信息

Musculoskeletal Care. 2012 Dec;10(4):232-9. doi: 10.1002/msc.1024. Epub 2012 Jul 4.

DOI:10.1002/msc.1024
PMID:22764065
Abstract

OBJECTIVES

To identify the most effective imaging modality in the investigation of greater trochanteric pain syndrome (GTPS).

METHODS

A narrative review of the available literature was conducted. A total of 326 studies were identified by a literature search, ten of which were included for review. Seven studies investigated magnetic resonance imaging (MRI), one ultrasound scan (USS), one plain radiography and one bone scintigraphy.

RESULTS

On analysis, MRI was found consistently to have the highest correlation with clinical and intraoperative findings. USS and plain radiography provided encouraging results. However, conclusions drawn from this were limited by the paucity of data.

CONCLUSIONS

The study provided encouraging results, although conclusions drawn from them were limited by the paucity of data. We believe that MRI should be the current investigation of choice for GTPS. However, further study is required in the form of multicentre, randomized controlled trials to confirm the validity of the conclusions presented here.

摘要

目的

确定在大转子疼痛综合征(GTPS)检查中最有效的成像方式。

方法

对现有文献进行叙述性综述。通过文献检索共识别出326项研究,其中10项纳入综述。7项研究调查了磁共振成像(MRI),1项超声扫描(USS),1项X线平片和1项骨闪烁显像。

结果

分析发现,MRI始终与临床和术中发现具有最高的相关性。USS和X线平片也得出了令人鼓舞的结果。然而,由于数据匮乏,由此得出的结论受到限制。

结论

该研究得出了令人鼓舞的结果,尽管由于数据匮乏,从中得出的结论受到限制。我们认为MRI应是目前GTPS的首选检查方法。然而,需要通过多中心随机对照试验的形式进行进一步研究,以证实本文结论的有效性。

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