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诊断性肌肉骨骼超声在评估髋关节前部髂腰肌中的应用:康复治疗师指南

The Use of Diagnostic Musculoskeletal Ultrasound for the Evaluation of the Iliopsoas in the Anterior Hip: A Guide for Rehabilitation Providers.

作者信息

Manske Robert C, Voight Michael, Wolfe Chris, Page Phil, Bardowski Beth

出版信息

Int J Sports Phys Ther. 2024 Dec 2;19(12):1642-1646. doi: 10.26603/001c.126334. eCollection 2024.

Abstract

Musculoskeletal ultrasound (MSK-US) has become an increasingly valuable tool in the evaluation and management of soft tissue and joint pathologies, particularly for rehabilitation providers. This article highlights the use of MSK-US for assessing the iliopsoas tendon and musculature in the anterior hip. The iliopsoas complex is often implicated in conditions such as tendinitis, snapping hip syndrome, and hip flexor strains, and accurate assessment can be challenging due to its deep anatomical location. MSK-US offers a safe, cost-effective, and dynamic modality for visualizing the iliopsoas, providing crucial insights into its morphology, pathology, and response to rehabilitation interventions. This paper discusses the anatomy of the iliopsoas, ultrasound scanning techniques, common findings, and the clinical relevance of MSK-US in rehabilitation settings. This paper explores the efficacy of MSK-US in the assessment of the iliopsoas muscle and tendon and underscores its utility in diagnosing iliopsoas-related abnormalities such as tendinopathy and bursitis.

摘要

肌肉骨骼超声(MSK-US)在软组织和关节疾病的评估与管理中已成为一种越来越有价值的工具,尤其是对康复治疗师而言。本文重点介绍了使用MSK-US评估髋关节前部的髂腰肌肌腱和肌肉组织。髂腰肌复合体常与肌腱炎、弹响髋综合征和髋屈肌拉伤等病症有关,由于其解剖位置较深,准确评估可能具有挑战性。MSK-US为可视化髂腰肌提供了一种安全、经济高效且动态的方式,能对其形态、病理以及对康复干预的反应提供关键见解。本文讨论了髂腰肌的解剖结构、超声扫描技术、常见发现以及MSK-US在康复环境中的临床意义。本文探讨了MSK-US在评估髂腰肌肌肉和肌腱方面的有效性,并强调了其在诊断与髂腰肌相关的异常(如肌腱病和滑囊炎)中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9694/11611481/92f96dd87c02/ijspt_2024_19_12_126334_254998.jpg

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