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在患有骨炎的运动员中,MRI上添加器病变的发生率和模式

Ali Eraslan¹, Ozkan Kose²

¹Department of Sports Medicine, Antalya Training and Research Hospital, University of Health Sciences, Antalya, Turkey.

Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology

|September 30, 2025

概括

附带器病变 (ALs) 在患有骨炎的运动员中很常见. 慢性ALS对运动回归 (RTS) 有负面影响,强调需要精确的诊断和针对运动员关节疼痛的量身定制治疗策略.

科学领域:

运动医学运动医学
整形外科手术整形外科手术
放射学放射学是一门学科.

背景情况:

附带器病变 (ALs) 在运动员中经常与骨质炎 (OP) 并存.
在有OP的运动员中,不同类型的AL的患病率和临床影响尚不清楚.

研究的目的:

用MRI在OP运动员中确定各种AL类型的频率.
研究AL类型与临床结果之间的关联,包括恢复体育运动 (RTS).

主要方法:

对132名男性运动员 (18-45岁) 的回顾性横截面研究,MRI确认了OP.
根据MRI发现,ALS被分为四种类型 (应变,脱落,肌病,二次裂痕标志).
分析AL类型,年龄,症状横向性,RTS和部结果得分 (HOS) 之间的关系.

主要成果:

90%的OP运动员同时患有ALS;3型 (肌病) 是最常见的 (77.3%).
年轻的运动员更有可能患有3型ALS,而老年运动员患有1型和4型.
运动员与孤立的OP有较高的RTS率 (100%) 比那些与ALs (75%);急性ALs有更好的RTS (91%) 比慢性ALs (72%).

结论:

慢性添加器病变在患有骨质炎的运动员中非常普遍,并且与较差的体育回归结果有关.
识别和分类添加器损伤类型对于预后和指导运动员关节疼痛的治疗策略至关重要.
虽然年龄影响AL类型,但症状横向性与AL侧相关,不一定是OP侧.

关键词:

附带器损伤的损伤运动员运动员部疼痛部疼痛部疼痛磁共振成像技术磁共振成像技术骨炎骨炎骨炎回到体育运动.

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