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[肌肉损伤：高分辨率动态超声检查在诊断、治疗及监测中的重要性]

[Muscle injuries: the importance of high-resolution dynamic sonography in diagnostics, treatment and monitoring].

作者信息

Dünkel Jörg, Scheider Thomas-Oliver, Tamborrini Giorgio

机构信息

Sportklinik Bern, Bümplizstrasse 83, 3018, Bern, Schweiz.

Kniechirurgie Bern, Bern, Schweiz.

出版信息

Orthopadie (Heidelb). 2024 Jun;53(6):404-414. doi: 10.1007/s00132-024-04505-7. Epub 2024 May 13.

DOI:10.1007/s00132-024-04505-7
PMID:38739271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11142968/
Abstract

BACKGROUND

Muscle injuries are common in football. Imaging diagnostics have a major role in establishing a diagnosis. The main diagnostic procedures are MRI and ultrasound. Both diagnostics have advantages and disadvantages, which should be balanced against each other.

NEW ULTRASONIC TECHNIQUES

The role of MRI as the gold standard is increasingly being replaced by high-resolution ultrasound techniques, and MRI imaging is not always useful. To detect complications in the early stages it is advised to perform regular ultrasound-imaging check-ups. The healing process can be monitored, and it offers additional options for ultrasound-guided interventions such as hematoma punctures and targeted infiltrations.

ADVANTAGES AND DISADVANTAGES

However, ultrasound imaging is highly user dependent. Experienced operators can eliminate this disadvantage, which makes ultrasound a superior imaging system in many areas, especially for dynamic examinations. Nevertheless, MRI imaging remains a necessary imaging method in certain areas.

摘要

背景

肌肉损伤在足球运动中很常见。影像诊断在确诊过程中起着重要作用。主要的诊断方法是磁共振成像（MRI）和超声检查。这两种诊断方法都有优缺点，应相互权衡。

新的超声技术

作为金标准的MRI的作用越来越多地被高分辨率超声技术所取代，而且MRI成像并不总是有用的。为了在早期阶段检测并发症，建议定期进行超声成像检查。可以监测愈合过程，并且它为超声引导下的干预提供了额外的选择，如血肿穿刺和靶向浸润。

优缺点

然而，超声成像高度依赖操作人员。经验丰富的操作人员可以消除这一缺点，这使得超声在许多领域成为一种更优越的成像系统，特别是对于动态检查。尽管如此，MRI成像在某些领域仍然是一种必要的成像方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/731093cc546a/132_2024_4505_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/efeab3f34297/132_2024_4505_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/363021b82971/132_2024_4505_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/fdc7e5148100/132_2024_4505_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/448f0df9c33f/132_2024_4505_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/e10d145caba0/132_2024_4505_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/731093cc546a/132_2024_4505_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/efeab3f34297/132_2024_4505_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/3b386ad2eae9/132_2024_4505_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/703f9aa46bfc/132_2024_4505_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/363021b82971/132_2024_4505_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/fdc7e5148100/132_2024_4505_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/448f0df9c33f/132_2024_4505_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/e10d145caba0/132_2024_4505_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/390e/11142968/731093cc546a/132_2024_4505_Fig8_HTML.jpg

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Cureus. 2023 Aug 27;15(8):e44196. doi: 10.7759/cureus.44196. eCollection 2023 Aug.
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[CME-Sonography 105: Ultrasound in Sports Injuries].[继续医学教育超声检查105：运动损伤中的超声检查]
Praxis (Bern 1994). 2022;111(7):397-420. doi: 10.1024/1661-8157/a003882.
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Hamstring Muscle Injuries: MRI and Ultrasound for Diagnosis and Prognosis.腘绳肌损伤：用于诊断和预后评估的MRI与超声检查
J Belg Soc Radiol. 2022 Mar 25;105(1):91. doi: 10.5334/jbsr.2617. eCollection 2021.
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Muscle Injury: Pathophysiology, Diagnosis, and Treatment.肌肉损伤：病理生理学、诊断与治疗
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Ultrasound classification of medial gastrocnemious injuries.内侧比目鱼肌损伤的超声分类。
Scand J Med Sci Sports. 2020 Dec;30(12):2456-2465. doi: 10.1111/sms.13812. Epub 2020 Sep 16.
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