MRI findings of triceps surae sports injury and their diagnostic value
-
摘要: 目的 探讨小腿三头肌运动损伤的MRI表现及MRI在小腿三头肌运动损伤中的诊断价值。方法 选取北部战区空军医院2017年1月—2019年6月于外科就诊小腿三头肌运动损伤患者28例,于症状出现后1周内进行MRI检查及超声检查,分析MRI及超声检查图像,观察小腿三头肌运动损伤MRI图像特征,并比较MRI检查与超声检查的检出率。结果 28例患者共35块肌肉发生损伤,其中轻度损伤17例,中度损伤13例,重度损伤5例;MRI征象轻度损伤肌腱形态正常,中度损伤部分撕裂,重度损伤完全撕裂。全部损伤肌肉存在肌束间渗出,轻度损伤无断端渗出,47.06%存在浅筋膜渗出,中度损伤及重度损伤肌肉全部存在浅筋膜渗出及断端渗出;与超声检查相比MRI对小腿三头肌撕裂的检出率更高,对小腿三头肌轻度损伤的检出率更低,差异有统计学意义(P<0.05),但二者肌间积液及筋膜损伤的检出率差异无统计学意义(P＞0.05)。结论 超声、MRI对小腿三头肌运动损伤均有较高的检出率,但后者在反映小腿三头肌运动损伤的部位、程度、类型上更为准确。Abstract: Objective To explore MRI findings of triceps surae sports injury and diagnostic value of MRI in triceps surae sports injury. Methods Twenty-eight patients with triceps surae sports injury who were treated in Surgical Department of the Northern Theater Air Force Hospital from January 2017 to June 2019 were enrolled. Within one week after symptoms occurrence, MRI and ultrasound examination were performed. The images of MRI and ultrasound examination were analyzed. MRI features of triceps surae sports injury were observed. The detection rates of MRI examination and ultrasound examination were compared. Results A total of 35 muscles were injured in 28 patients, among which 17 were mildly injured, 13 were moderately injured and 5 were severely injured. MRI findings showed mild injury with normal tendon morphology, moderate injury with partial tear, and severe injury with complete tear. There was interfascicular exudation in all the injured muscles, no broken end exudation was observed in mild injury, superficial fascia exudation was found in 47.06% muscles, superficial fascia exudation and broken end exudation were found in all the moderately injured and severely injured muscles. Compared with ultrasound, MRI had a higher detection rate of triceps tears in the lower leg and a lower detection rate of triceps injuries in the lower leg. The differences were statistically significant (P<0.05). However, there was no statistically significant difference in the detection rate of intramuscular effusion and fascia injury between the two groups (P>0.05). Conclusions Both ultrasound and MRI have higher detection rates for triceps surae sports injury, but the latter was more accurate in reflecting the position, degree and type of triceps injury in the lower leg.
-
Keywords:
- triceps surae /
- sports injury /
- MRI /
- diagnosis
-
-
[1] Emad MR, Momeninejad H, Pourabbas Tahvildari B, et al. A comparison of H-reflex in the triceps surae muscle group in patients with S1 radiculopathy[J]. Somatosens Mot Res, 2017, 34(4): 213-218. DOI: 10.1080/08990220.2017.1415878.
[2] Abe K, Nakamura T, Yamabe E, et al. Quantification of edematous changes by diffusion magnetic resonance imaging in gastrocnemius muscles after spinal nerve ligation[J]. PLoS ONE, 2018, 13(2):e0193306.DOI: 10.1371/journal.pone.0193306.
[3] Lima K, Martins N, Pereira W, et al.Triceps surae elasticity modulus measured by shear wave elastography is not correlated to the plantar flexion torque[J].Muscles Ligaments Tendons J,2017,7(2):347-352.DOI: 10.11138/mltj/2017.7.2.347.
[4] Hali K, Kirk EA, Rice CL. Effect of knee joint position on triceps surae motor unit recruitment and firing rates[J]. Exp Brain Res,2019,237(9):2345-2352. DOI: 10.1007/s00221-019-05570-7 .
[5] Clark WH, Franz JR. Do triceps surae muscle dynamics govern non-uniform Achilles tendon deformations?[J]. Peer J, 2018, 6:e5182.DOI: 10.7717/peerj.5182.
[6] Radice F, Velasquez A, Orizola A. Triceps surae injuries[M]. Berlin:Springer Berlin Heidelberg, 2017:17-35. DOI: 10.1007/978-3-662-54184-5_32.
[7] Klein CS, Zhao CN, Liu H, et al. Differences in excitability properties between medial gastrocnemius, tibialis anterior, and abductor pollicis brevis motor axons[J]. Muscle Nerve, 2018, 57(1):E60-E69.DOI: 10.1002/mus.25722.
[8] Lui TH, Mak CY.Cadaveric study of the junction point where the gastrocnemius aponeurosis joins the soleus aponeurosis[J].Open Orthop J, 2017, 11:762-767.DOI: 10.2174/1874325001711010762.
[9] Alipour M, Mithraratne K, Fernandez J. A diffusion-weighted imaging informed continuum model of the rabbit triceps surae complex[J]. Biomech Model Mechanobiol, 2017, 16(5):1729-1741.DOI: 10.1007/s10237-017-0916-4.
[10] 钱占华,刘悦,白荣杰, 等.踝关节外侧韧带解剖及损伤的磁共振表现[J].中华医学杂志,2017,97(29):2271-2274. DOI: 10.3760/cma.j.issn.0376-2491.2017.29.008. [11] 朱飞,戴号,王凌椿, 等.关节镜与磁共振对踝关节外侧韧带复合体急性损伤诊断效能的比较[J].中华骨科杂志,2019,39(9):538-542. DOI: 10.3760/cma.j.issn.0253-2352.2019.09.003. [12] 穆维娜,申素芳,杜欣帅, 等.超声诊断小腿三头肌损伤的临床价值[J].中国超声医学杂志,2014,30(9):835-837. DOI: 10.3969/j.issn.1002-0101.2014.09.025. [13] 李高阳, 张丹. 肌肉血肿的MRI表现三例[J]. 临床放射学杂志, 2019, 38(4): 757-758. [14] 罗乐,珊丹.四肢肌肉肌腱急性闭合性损伤患者诊断中应用高频超声的有效性研究[J].影像研究与医学应用,2018,2(5):123-125. DOI: 10.3969/j.issn.2096-3807.2018.05.080. [15] Bernabei M, van Dieën JH, Maas H. Evidence of adaptations of locomotor neural drive in response to enhanced intermuscular connectivity between the triceps surae muscles of the rat[J].J Neurophysiol, 2017, 118(3): 1677-1689. DOI: 10.1152/jn.00625.2016.
-
期刊类型引用(2)
1. 李静宁，岑黄，崔运能. MR诊断男性职业足球运动员小腿肌肉损伤的价值. 分子影像学杂志. 2023(03): 475-478 . 
百度学术
2. 黄增荣，章丽，谢锦新. 肌骨超声在运动损伤诊断中的应用研究. 世界复合医学. 2021(12): 59-62 . 百度学术
其他类型引用(0)
计量
- 文章访问数: 1394
- HTML全文浏览量: 0
- PDF下载量: 1189
- 被引次数: 2
下载:
.png)
