运动医学中的肌肉损伤影像学：运动影像学系列。

Imaging of Muscle Injuries in Sports Medicine: Sports Imaging Series.

机构信息

From the Quantitative Imaging Center, Department of Radiology, Boston University School of Medicine, 820 Harrison Ave, FGH Building, 3rd Floor, Boston, MA 02118 (A.G., F.W.R., M.D.C.); Department of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany (F.W.R.); Musculoskeletal Centre X-Ray Department, Leeds Teaching Hospitals Trust, Chapel Allerton Hospital, Leeds, England (P.R.); Leeds Musculoskeletal Biomedical Research Unit, University of Leeds, Leeds, England (P.R.); Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar (J.L.T.); The Sports Physician Group, OLVG, Amsterdam, the Netherlands (J.L.T.); Amsterdam Center of Evidence Based Sports Medicine, Academic Medical Center, Amsterdam, the Netherlands (J.L.T.); New York University Langone Medical Center, New York, NY (R.R.R.); and Department of Radiology, Saint-Antoine Hospital, University Paris VI, Paris, France (M.D.C.).

出版信息

Radiology. 2017 Mar;282(3):646-663. doi: 10.1148/radiol.2017160267.

DOI:10.1148/radiol.2017160267

PMID:28218878

Abstract

In sports-related muscle injuries, the main goal of the sports medicine physician is to return the athlete to competition-balanced against the need to prevent the injury from worsening or recurring. Prognosis based on the available clinical and imaging information is crucial. Imaging is crucial to confirm and assess the extent of sports-related muscle injuries and may help to guide management, which directly affects the prognosis. This is especially important when the diagnosis or grade of injury is unclear, when recovery is taking longer than expected, and when interventional or surgical management may be necessary. Several imaging techniques are widely available, with ultrasonography and magnetic resonance imaging currently the most frequently applied in sports medicine. This state of the art review will discuss the main imaging modalities for the assessment of sports-related muscle injuries, including advanced imaging techniques, with the focus on the clinical relevance of imaging features of muscle injuries. RSNA, 2017 Online supplemental material is available for this article.

摘要

在与运动相关的肌肉损伤中，运动医学医师的主要目标是让运动员重返赛场——这需要在防止损伤恶化或再次发生的需求之间取得平衡。基于现有临床和影像学信息的预测至关重要。影像学对于确认和评估与运动相关的肌肉损伤的程度至关重要，并且可能有助于指导管理，这直接影响预后。当诊断或损伤程度不明确、恢复时间长于预期以及可能需要介入或手术治疗时，这一点尤其重要。有几种影像学技术广泛可用，其中超声和磁共振成像（MRI）目前在运动医学中应用最频繁。这篇最新综述将讨论评估与运动相关的肌肉损伤的主要影像学方法，包括高级影像学技术，并重点介绍肌肉损伤的影像学特征的临床相关性。RSNA，2017 在线补充材料可用于本文。