De Paulis F, Cacchio A, Michelini O, Damiani A, Saggini R
Department of Diagnostic Imaging-CT Service, S. Maria di Collemaggio, L'Aquila Hospital, Pettino-L'Aquila, Italy.
Eur J Radiol. 1998 May;27 Suppl 1:S49-59. doi: 10.1016/s0720-048x(98)00043-6.
We discuss the role of imaging techniques in examining the athletes with sports injuries involving the pelvis and the hip. Pelvis and hip pain is of difficult clinical clarification because of the various athletic injuries which may affect the bone or soft tissues at different anatomic sites. Moreover, the symptoms of pelvis and hip injuries are similar in most cases and they are often diffuse and atypical. Diagnostic imaging can play an essential role because treatment success depends on a correct diagnosis and these techniques can actually differentiate the most frequent causes of pelvis and hip sports injuries such as groin strain, osteitis pubis, ischial intersection syndrome, snapping hip, stress fractures, hernias and avulsion fractures. Finally, we discuss the role of magnetic resonance imaging in detecting the causes of hip pain other than sports injuries, such as avascular necrosis, reflex sympathetic dystrophy syndrome, herniation pit, acetabular labrum injuries. To conclude, diagnostic imaging techniques currently permit the direct and noninvasive depiction of pelvis and hip conditions. Particularly, magnetic resonance imaging is very helpful in detecting injury site, extent and characteristics; it can also predict the time period an athlete will be disabled and help define the best treatment planning.
我们讨论了影像学技术在检查骨盆和髋关节运动损伤运动员中的作用。骨盆和髋关节疼痛在临床上难以明确诊断，因为各种运动损伤可能会影响不同解剖部位的骨骼或软组织。此外，骨盆和髋关节损伤的症状在大多数情况下相似，且往往较为弥散和不典型。诊断性影像学检查可发挥重要作用，因为治疗的成功取决于正确的诊断，而这些技术实际上能够区分骨盆和髋关节运动损伤的最常见原因，如腹股沟拉伤、耻骨炎、坐骨结节综合征、弹响髋、应力性骨折、疝气和撕脱性骨折。最后，我们讨论了磁共振成像在检测除运动损伤之外的髋关节疼痛原因方面的作用，如缺血性坏死、反射性交感神经营养不良综合征、髋臼盂唇损伤。总之，诊断性影像学技术目前能够直接且无创地描绘骨盆和髋关节状况。特别是，磁共振成像在检测损伤部位、范围和特征方面非常有帮助；它还可以预测运动员的残疾时间，并有助于确定最佳治疗方案。
