Morton Sarah, Chan Otto, Webborn Nick, Pritchard Melanie, Morrissey Dylan
Centre for Sports and Exercise Medicine, Queen Mary University of London, UK.
BMI London Independent Hospital, London, UK.
Muscles Ligaments Tendons J. 2016 Feb 13;5(4):299-304. doi: 10.11138/mltj/2015.5.4.299. eCollection 2015 Oct-Dec.
fascia cruris (FC) tears have recently been recognised in the literature, although little is known about their characteristic ultrasound findings. The aim was to describe the echo-graphic features of FC tears in order to improve recognition and diagnosis.
the ultrasound reports and images of >600 patients attending a specialist musculoskeletal clinic for Achilles tendon ultrasound scans between October 2010-May 2014 were reviewed. Any patient diagnosed with a FC tear had a structured data set extracted. All ultrasound images were performed by one consultant radiologist. Bilateral Achilles images were available for analysis.
sixteen patients from >600 subjects were diagnosed with a FC tear. Fourteen subjects were male and two female (mean age 37.8; range 23-61), with seven elite level sports men. Nine tears were right sided and seven left, with eight situated laterally and seven medially. Seven of the tears were situated in the musculotendinous junction. Symptomatic Achilles tendinopathy co-existed in ten of sixteen subjects (average transverse diameter of Achilles tendon = 7.1±2.0 mm).
FC tears should be considered in the differential diagnoses for Achillodynia, diagnosed using their characteristic ultrasound findings, with a hypoechoic area at the medial or lateral attachment to the Achilles tendon in the transverse plane.
尽管目前关于小腿筋膜（FC）撕裂的特征性超声表现所知甚少，但近期文献中已有相关报道。本研究旨在描述FC撕裂的超声图像特征，以提高对其的识别和诊断能力。
回顾了2010年10月至2014年5月期间在一家专业肌肉骨骼诊所接受跟腱超声检查的600余例患者的超声报告和图像。所有被诊断为FC撕裂的患者均提取了结构化数据集。所有超声图像均由一名放射科顾问医生操作。双侧跟腱图像均可用于分析。
在600余例研究对象中，有16例被诊断为FC撕裂。其中男性14例，女性2例（平均年龄37.8岁；范围23 - 61岁），包括7名精英级运动员。9例撕裂发生在右侧，7例在左侧，8例位于外侧，7例位于内侧。7例撕裂位于肌-腱交界处。16例中有10例同时存在有症状的跟腱病（跟腱平均横径 = 7.1±2.0 mm）。
对于跟腱痛的鉴别诊断应考虑FC撕裂，可根据其特征性超声表现进行诊断，即在横切面上跟腱内侧或外侧附着处有低回声区。
