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肌肉骨骼系统运动损伤的超声检查:性别差异

Ultrasound of sports injuries of the musculoskeletal system: gender differences.

作者信息

Robotti Guido, Draghi Ferdinando, Bortolotto Chandra, Canepa Maria Grazia

机构信息

Studio di ecografia medica e terapia del dolore, 6805, Mezzovico Lugano, Switzerland.

Istituto Radiologico Collegiata, 6512, Bellinzona, Switzerland.

出版信息

J Ultrasound. 2020 Sep;23(3):279-285. doi: 10.1007/s40477-020-00438-x. Epub 2020 Mar 4.

Abstract

In recent years, women and girls are increasing their sport participation, and female sports are becoming more challenging. While more women and girls are participating in sports, there is still a lack of information about gender-specific lesions. We will therefore evaluate gender differences in sports injuries, analyzing the five sports and sporting activities that are most widespread in the western world: running, soccer, basketball, water sports, and winter sports. The ability to make correct ultrasonographic diagnoses in sports injuries is improving as the technology is advancing. Ultrasonography demonstrates tissue structure with two-dimensional grayscale images, while blood flow can be visualized with color and power Doppler. Furthermore, ultrasonography is the preferred imaging modality for studying soft-tissue lesions dynamically. High-quality diagnostic ultrasound cannot be performed without the knowledge of the underlying clinical background, and an understanding of gender-specific injuries and mechanisms of injuries is therefore important for assessing proper diagnostic and treatment guidelines tailored to phenotypic differences in professional and amateur athletes between male and female.

摘要

近年来,女性和女童参与体育运动的人数不断增加,女子体育项目也变得更具挑战性。虽然越来越多的女性和女童参与体育运动,但关于特定性别的损伤仍缺乏相关信息。因此,我们将评估运动损伤中的性别差异,分析西方世界最普及的五项运动和体育活动:跑步、足球、篮球、水上运动和冬季运动。随着技术的进步,在运动损伤中做出正确超声诊断的能力也在提高。超声检查通过二维灰度图像显示组织结构,而血流情况可用彩色和能量多普勒成像来观察。此外,超声检查是动态研究软组织损伤的首选成像方式。如果不了解潜在的临床背景,就无法进行高质量的诊断性超声检查,因此了解特定性别的损伤及损伤机制对于评估针对职业和业余男女运动员表型差异制定的适当诊断和治疗指南非常重要。

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