Edina, Minnesota.
Arthroscopy. 2021 Jan;37(1):136-138. doi: 10.1016/j.arthro.2020.09.051.
Imaging modalities for hip disorders all have their strengths and weaknesses. Magnetic resonance imaging is superior for evaluating soft tissue pathology, computerized tomography best characterizes osseous morphology, and plain radiographs can accurately depict 2-dimensional anatomy and are familiar to most clinicians. Ultrasound-guided injections have become commonplace in the musculoskeletal arena. Ultrasound evaluation of musculoskeletal anatomy has received increased attention, has the ability to image soft tissue and osseous structures, and more importantly, has the ability to dynamically evaluate these structures in real time. A noninvasive dynamic assessment of the hip region could be an absolute game changer for the hip preservation/sports medicine community in the diagnosis of atypical hip pain, femoroacetabular impingement, and labral tears. Widespread ability and expertise to perform these dynamic ultrasound assessments, however, is not in place at this time. We need more training and studies to best harness the potential benefits of these sound waves.
髋关节疾病的影像学检查各有其优缺点。磁共振成像(MRI)在评估软组织病变方面具有优势,计算机断层扫描(CT)最能准确地描述骨形态,而普通 X 线摄影可以准确地描绘二维解剖结构,并且为大多数临床医生所熟悉。超声引导下的注射在肌肉骨骼领域已变得很常见。肌肉骨骼解剖的超声评估受到了越来越多的关注,它具有成像软组织和骨结构的能力,更重要的是,它具有实时动态评估这些结构的能力。对髋关节区域进行非侵入性的动态评估,可能会成为髋关节保护/运动医学领域在诊断非典型髋关节疼痛、股骨髋臼撞击症和盂唇撕裂方面的一个重大突破。然而,目前还没有广泛的能力和专业知识来进行这些动态超声评估。我们需要更多的培训和研究来充分利用这些声波的潜在益处。