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磁共振成像应该是调查疑似近端腿筋突破损伤的第一线成像方法

Nicolas Lefèvre¹, Adam Coughlan^1,2, Eugénie Valentin¹

¹Clinique du sport, Paris, France.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA

|May 21, 2024

概括

磁共振成像 (MRI) 作为近端腿筋突破损伤的初始诊断工具,与超声波 (美国) 相比,导致更短的手术延迟和更好的患者结果. 这一发现突出了MRI的重点.

科学领域:

整形外科手术整形外科手术
诊断成像诊断成像诊断成像
运动医学运动医学

背景情况:

靠近腿筋突破损伤需要及时诊断和手术干预.
初始诊断成像,超声波 (US) 或磁共振成像 (MRI) 的选择可能会影响治疗时间表和患者的结果.

研究的目的:

评估初始诊断工具 (US与MRI) 对近端腿筋突破损伤手术延迟的影响.
评估初始诊断工具对患者结果的次要影响,包括功能评分和活动水平.

主要方法:

对从2012年至2020年期间前性收集的数据进行了回顾性分析.
包括患有近端腿筋突破损伤和手术前US和/或MRI的患者.
将患者分为US-first和MRI-first组,以比较手术延迟和功能结果 (巴黎人腿筋突破得分,UCLA活动量表,泰格纳活动量表).

主要成果:

与美国第一组 (30天) 相比,MRI-first组从受伤到手术的中位时间 (20.0天) 显著缩短.
在最后的随访中,MRI-first组的患者在Tegner活动量表 (5对4) 和UCLA活动量表 (7.9对7.3) 中的平均得分显著更高.
两组之间在巴黎腿筋突破分数中没有发现显著差异.

结论:

通过MRI初步诊断近端腿筋突破损伤与手术延迟的减少有关.
使用MRI作为主要诊断工具与卓越的功能结果相关,根据Tegner和UCLA活动尺度进行测量,与美国相比.

关键词:

伤害评估伤害评估的情况.磁共振成像技术的使用靠近腿筋的突破损伤损伤.运动医学运动医学外科手术的结果.超声波超声波是指超声波的使用.

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