Weber M-A, Rehnitz C, Ott H, Streich N
Department of Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg/Germany.
Rofo. 2013 Dec;185(12):1139-48. doi: 10.1055/s-0033-1335304. Epub 2013 Jul 26.
Groin pain in athletes is one of the most difficult to treat clinical entities in sports medicine. The reasons are the amount of differential diagnoses, complexity of pathophysiologic causes and the long time of limited participation in sport. In order to maximize efficient treatment, thorough diagnostics and a clear therapeutic regimen are crucial. To succeed with this issue, a close cooperation between physicians and radiologists is mandatory. MRI is gold standard in the diagnostic work-up of the principal differential diagnoses, such as muscle tears, avulsion injuries, stress fractures, tears of acetabular labrum, and osteitis pubis. The article gives a comprehensive overview of the special anatomy and biomechanics of the pubic region and of typical MRI findings in athletes with groin pain. The use of dedicated imaging protocols is also discussed.
运动员腹股沟疼痛是运动医学中最难治疗的临床病症之一。原因在于鉴别诊断的数量、病理生理原因的复杂性以及运动受限的时间较长。为了实现高效治疗，全面的诊断和明确的治疗方案至关重要。要解决这个问题，医生和放射科医生之间的密切合作必不可少。MRI是主要鉴别诊断（如肌肉撕裂、撕脱伤、应力性骨折、髋臼盂唇撕裂和耻骨炎）诊断检查的金标准。本文全面概述了耻骨区域的特殊解剖结构和生物力学，以及腹股沟疼痛运动员的典型MRI表现。还讨论了专用成像协议的使用。
