[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.
Campani
R
R
Istituto di Radiologia, Università, IRCCS Policlinico S. Matteo, Pavia.
Bottinelli
O
O
Genovese
E
E
Bozzini
A
A
Benazzo
F
F
Barnabei
G
G
Jelmoni
G P
GP
Carella
E
E
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.