Ekberg O, Sjöberg S, Westlin N
Department of Diagnostic Radiology, Malmö General Hospital, Sweden.
Eur Radiol. 1996;6(1):52-5. doi: 10.1007/BF00619952.
Our purpose was to assess the role of MRI in evaluating the musculoskeletal system in athletes with chronic pain laterally in the groin of unknown etiology. Magnetic resonance imaging (MRI) of the pubic ring was performed in 11 young athletes (soccer players) with long-standing groin pain. MR findings were compared with plain films and isotope examination (bone scan Tc 99M). Abnormal MRI findings included a broadened and irregular symphysis with a characteristic pattern of low signal intensity on T1W and high signal intensity on T2W images localized in the superior pubic ramus at a distance from the symphysis. Positive findings were also observed on plain films and on nuclear medicine studies. However, the imaging findings in the superior public ramus of the symphysis was located considerably more laterally on MRI. MRI is a valuable method for evaluating discrete and ambiguous pelvic pain in athletes, particularly for identifying concomitant changes in the superior ramus, which may give rise to long-standing pain localized laterally in the groin.
我们的目的是评估磁共振成像（MRI）在评估病因不明的慢性腹股沟外侧疼痛运动员肌肉骨骼系统中的作用。对11名患有长期腹股沟疼痛的年轻运动员（足球运动员）进行了耻骨环的磁共振成像（MRI）检查。将MRI检查结果与X线平片和同位素检查（锝99m骨扫描）进行比较。MRI异常表现包括耻骨联合增宽、不规则，在耻骨上支距耻骨联合一定距离处，T1加权像呈特征性低信号、T2加权像呈高信号。X线平片和核医学检查也有阳性发现。然而，耻骨联合上支的影像学表现，在MRI上位于更外侧。MRI是评估运动员离散性和模糊性盆腔疼痛的一种有价值的方法，特别是用于识别耻骨上支的伴随改变，这些改变可能导致腹股沟外侧的长期疼痛。
