[The role of echotomography in sports traumatology of the lower extremity].
Sonography, which is commonly used in the evaluation of muscular traumas following exercise, quite often provides the radiologist with normal findings. One hundred and fifty-nine athletes were considered (170 US examinations), and the clinical diagnoses the patients had been referred for were compared with US findings: the pathologic condition was confirmed in 59% of the cases, while the extant 41% had normal findings. The highest percentage of positive findings was observed in the Achilles tendon region (75%), while the figure dropped to 38% in the thigh. In the latter location, muscular ruptures were confirmed in 69% of the cases, versus 17% in case of muscular distraction. As for the Achilles tendon, pathologic conditions both along the axis and in the insertion of the tendon were confirmed in 20% of the cases, but clinical accuracy was improved by US in 47% and 20% of the patients, respectively, and the diagnosis was changed in 10% and 20% of the cases, respectively. Therefore, clinical accuracy was demonstrated to depend on the pathologic condition as well as on the anatomical region involved.
Istituto di Radiologia, Università, IRCCS Policlinico S. Matteo, Pavia.
R
R
Campani
O
O
Bottinelli
E
E
Genovese
A
A
Bozzini
F
F
Benazzo
G
G
Barnabei
G P
GP
Jelmoni
E
E
Carella
D001265:Athletic Injuries / Q000175:diagnosis*; D006801:Humans; D007869:Leg Injuries / Q000175:diagnosis*; D009132:Muscles / Q000293:injuries / Q000473:pathology; D012421:Rupture / Q000175:diagnosis; D013708:Tendon Injuries / Q000175:diagnosis; D013710:Tendons / Q000473:pathology; D014463:Ultrasonography / Q000379:methods
Ruolo dell'ecotomografia nella traumatologia da sport dell'arto inferiore.