运动医学中肌肉损伤的影像学技术及其临床相关性。
Imaging techniques for muscle injury in sports medicine and clinical relevance.
作者信息
Crema Michel D, Yamada Andre F, Guermazi Ali, Roemer Frank W, Skaf Abdalla Y
机构信息
Department of Radiology, Hospital do Coração (HCor) and Teleimagem, São Paulo, SP, Brazil,
出版信息
Curr Rev Musculoskelet Med. 2015 Jun;8(2):154-61. doi: 10.1007/s12178-015-9260-4.
Magnetic resonance imaging (MRI) and ultrasound are the imaging modalities of choice to assess muscle injuries in athletes. Most authors consider MRI as the reference standard for evaluation of muscle injuries, since it superiorly depicts the extent of injuries independently of its temporal evolution, and due to the fact that MRI seems to be more sensitive for the detection of minimal injuries. Furthermore, MRI may potentially allow sports medicine physicians to more accurately estimate recovery times of athletes sustaining muscle injuries in the lower limbs, as well as the risk of re-injury. However, based on data available, the specific utility of imaging (including MRI) regarding its prognostic value remains limited and controversial. Although high-quality imaging is systematically performed in professional athletes and data extracted from it may potentially help to plan and guide management of muscle injuries, clinical (and functional) assessment is still the most valuable tool to guide return to competition decisions.
磁共振成像（MRI）和超声是评估运动员肌肉损伤的首选成像方式。大多数作者认为MRI是评估肌肉损伤的参考标准，因为它能出色地描绘损伤程度，且不受损伤时间演变的影响，此外，MRI似乎对检测微小损伤更为敏感。此外，MRI可能使运动医学医生更准确地估计下肢肌肉受伤运动员的恢复时间以及再次受伤的风险。然而，根据现有数据，成像检查（包括MRI）在预后价值方面的具体效用仍然有限且存在争议。尽管职业运动员会系统地进行高质量成像检查，从中提取的数据可能有助于规划和指导肌肉损伤的管理，但临床（和功能）评估仍是指导运动员重返比赛决策的最有价值工具。
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