Onishi Kentaro, Engebresten Lars, Budgett Richard, Soligard Torbjorn, Forster Bruce B
From the Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania (KO); Department of Orthopedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania (KO); Department of Orthopedic Surgery, University of Oslo, Oslo, Norway (LE); Oslo Sports Trauma Research Center, Oslo, Norway (LE); Medical and Scientific Department, International Olympic Committee, Lausanne, Switzerland (RB, TS); and Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada (BBF).
Am J Phys Med Rehabil. 2023 May 1;102(5):449-453. doi: 10.1097/PHM.0000000000002192. Epub 2023 Jan 19.
The objective of this pilot investigation was to describe the novel use of venue ultrasound at the 2020 Tokyo Olympic Games. Portable laptop ultrasound machines were made available to cover seven Olympic sports at seven venues. The responses by both the National Olympic Committee personnel accompanying the medical room visits and by the examining physicians were recorded. Athletes were followed up until the end of the Olympic Games and the ultrasound diagnostic accuracy was evaluated. Fourteen athletes were evaluated using venue ultrasound and the recorded injuries included seven soft tissue, five osseous, and two nonmusculoskeletal injuries. From these, eight athletes were evaluated further by other imaging modalities, which indicated that the ultrasound provided an accurate diagnosis in all cases. All National Olympics Committee personnel reported increased diagnostic confidence and felt that venue ultrasound should be considered for future sports events. Furthermore, all evaluating physicians felt ultrasound was helpful in refining the diagnosis. The average years of sports ultrasound experience was 8.4 yrs and the average years of clinical sports medicine experience was 9.3 yrs among the physicians. In conclusion, the International Olympic Committee Venue Ultrasound Pilot Program showed promise in improving venue triaging, suggesting its role at future sports events.
这项初步调查的目的是描述2020年东京奥运会上现场超声的新用途。提供了便携式笔记本超声机器，以覆盖7个场馆的7项奥运会运动项目。记录了陪同医务室查房的国际奥委会人员和检查医师的反馈。对运动员进行随访直至奥运会结束，并评估超声诊断的准确性。使用现场超声对14名运动员进行了评估，记录的损伤包括7例软组织损伤、5例骨损伤和2例非肌肉骨骼损伤。其中，8名运动员通过其他成像方式进行了进一步评估，结果表明超声在所有病例中均提供了准确的诊断。所有国际奥委会人员均报告诊断信心增强，并认为未来体育赛事应考虑使用现场超声。此外，所有评估医师均认为超声有助于完善诊断。医师的运动超声平均经验年限为8.4年，临床运动医学平均经验年限为9.3年。总之，国际奥委会现场超声试点项目在改善现场分诊方面显示出前景，表明其在未来体育赛事中的作用。
