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青春期女性运动员的损伤:影像学表现综述

Injuries of the adolescent girl athlete: a review of imaging findings.

作者信息

Shampain Kimberly, Gaetke-Udager Kara, Leschied Jessica R, Meyer Nathaniel B, Hammer Matthew R, Denay Keri L, Yablon Corrie M

机构信息

Department of Radiology, University of Michigan, 1500 E Medical Center Drive, B1 D502, Ann Arbor, MI, 48109, USA.

Department of Radiology, UT Southwestern Medical Center, Dallas, TX, USA.

出版信息

Skeletal Radiol. 2019 Jan;48(1):77-88. doi: 10.1007/s00256-018-3029-y. Epub 2018 Aug 20.

Abstract

With the rising participation of girls in sports at both the recreational and elite levels, there has also been increased awareness of injuries common in this athlete population. Anatomic differences between boys and girls cause girl athletes to be predisposed to certain injuries. Certain behavioral patterns, such as eating disorders, also cause problems specific to girl athletes that may result in injury. Imaging plays a large role in diagnosis and ongoing management, but there has been only scant literature dedicated to the specific topic of imaging in girl athletes. The purpose of this article is to review the imaging findings and recommendations for injuries and other conditions affecting the adolescent girl athlete. This article first provides an overview of the key anatomic differences between boys and girls, including both static and dynamic factors, as well as non-anatomic differences, such as hormonal factors, and discusses how these differences contribute to the injury patterns that are seen more typically in girls. The article then reviews the imaging findings in injuries that are commonly seen in girl athletes. There is also a discussion of the "female athlete triad," which consists of osteoporosis, disordered eating, and amenorrhea, and the role of imaging in this condition.

摘要

随着女孩在娱乐和精英层面参与体育运动的比例不断上升,人们对这类运动员群体中常见的损伤也有了更多认识。男孩和女孩之间的解剖学差异使女性运动员更容易患上某些损伤。某些行为模式,如饮食失调,也会引发女性运动员特有的问题,进而可能导致损伤。影像学在诊断和后续管理中发挥着重要作用,但专门针对女性运动员影像学这一特定主题的文献却很少。本文的目的是回顾影响青少年女性运动员的损伤及其他病症的影像学表现和建议。本文首先概述男孩和女孩之间的关键解剖学差异,包括静态和动态因素,以及非解剖学差异,如激素因素,并讨论这些差异如何导致在女孩中更常见的损伤模式。然后本文回顾了女性运动员常见损伤的影像学表现。此外,还讨论了由骨质疏松症、饮食紊乱和闭经组成的“女性运动员三联征”以及影像学在这种病症中的作用。

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