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里约 2016 年夏季奥运会运动损伤:诊断成像服务的使用。

Sports Injuries at the Rio de Janeiro 2016 Summer Olympics: Use of Diagnostic Imaging Services.

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, Mass 02118 (A.G., D.H., M.J., M.D.C., F.W.R.); Department of Radiology, Stony Brook University School of Medicine, Stony Brook, NY (D.H.); Department of Radiology, Mercy Catholic Medical Center, Darby, Pa (M.J.); Department of Sports Medicine, National Institute of Sports (INSEP), Paris, France (M.D.C.); Department of Radiology, Saint-Antoine Hospital, University Paris VI, Paris, France (M.D.C.); Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway (R.B., L.E.); Department of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany (F.W.R.); Department of Orthopedics, Leblon Medical Center, Rio de Janeiro, Brazil (J.G.); Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland (R.G.B., T.S., L.E.); Clinicas de Diagnostico Por Imagem (CDPI) and Multi-Imagem, Rio de Janeiro, Brazil (R.D.); Department of Radiology, HCor Hospital, and ALTA Diagnostic Center (DASA Group), São Paulo, Brazil (A.S.); and Department of Orthopedic Surgery, Oslo University Hospital, University of Oslo, Norway (L.E.).

出版信息

Radiology. 2018 Jun;287(3):922-932. doi: 10.1148/radiol.2018171510. Epub 2018 Feb 26.

Abstract

Purpose To describe the occurrence of imaging-depicted sports-related stress injuries, fractures, and muscle and tendon disorders during the 2016 Summer Olympic Games in Rio de Janeiro, Brazil. Materials and Methods Data on radiologic examinations were collected and retrospectively analyzed centrally by two board-certified musculoskeletal radiologists (with a third musculoskeletal radiologist acting as an adjudicator in case of discrepancies). Descriptive data on all imaging examinations by using radiography, ultrasonography (US), and magnetic resonance (MR) imaging were collected and analyzed according to imaging modality, country of origin of the athletes, type of sport, and type and location of injury. Results There were 1101 injuries that occurred in 11 274 (9.8%) athletes. A total of 1015 radiologic examinations were performed, including 304 (30.0%) radiographic, 104 (10.2%) US, and 607 (59.8%) MR examinations. Excluding 10 athletes categorized as refugees, athletes from Africa had the highest utilization rate (14.8%, 148 of 1001). Athletes from Europe underwent the most examinations with 103 radiographic, 39 US, and 254 MR examinations. Gymnastics (artistic) had the highest percentage of athletes who underwent imaging (15.5%, 30 of 194). Athletics (track and field) had the most examinations (293, including 53 radiographic, 50 US, and 190 MR examinations). Conclusion The overall occurrence of imaging used to help diagnose sports-related injuries at the Rio de Janeiro 2016 Summer Olympics was 6.4% of athletes. In these cases, MR imaging comprised 60% of imaging utilization. RSNA, 2018 Online supplemental material is available for this article.

摘要

目的

描述 2016 年巴西里约热内卢夏季奥运会期间影像学表现的与运动相关的应激性损伤、骨折以及肌肉和肌腱疾病的发生情况。

材料与方法

通过两位具备董事会认证资质的肌肉骨骼放射科医师(如有分歧,第三名肌肉骨骼放射科医师作为裁决人)集中收集并回顾性分析放射学检查数据。根据成像方式、运动员原籍国、运动类型以及损伤类型和部位,收集并分析所有影像学检查(包括 X 线摄影、超声检查和磁共振成像)的影像学检查数据。

结果

共有 1101 名运动员发生 1101 例损伤,11274 名运动员中有 9.8%(1101 名)发生损伤。共进行了 1015 次放射学检查,包括 304 次 X 线摄影检查(30.0%)、104 次超声检查(10.2%)和 607 次磁共振成像检查(59.8%)。不包括 10 名被归类为难民的运动员,来自非洲的运动员使用率最高(14.8%,148/1001)。来自欧洲的运动员接受的检查最多,包括 103 次 X 线摄影检查、39 次超声检查和 254 次磁共振成像检查。艺术体操运动员中接受影像学检查的比例最高(15.5%,30/194)。田径运动员中接受的检查最多(293 次,包括 53 次 X 线摄影检查、50 次超声检查和 190 次磁共振成像检查)。

结论

在 2016 年里约热内卢夏季奥运会上,用于帮助诊断与运动相关损伤的影像学检查的总发生率为运动员的 6.4%。在这些情况下,磁共振成像占影像学检查的 60%。

RSNA,2018 年

在线补充材料可在本文的在线版本中获取。

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