E-Book, Englisch, 532 Seiten, eBook
Reihe: Medical Radiology - Diagnostic Imaging and Radiation Oncology
Vanhoenacker / Maas / Gielen Imaging of Orthopedic Sports Injuries
1. Auflage 2007
ISBN: 978-3-540-68201-1
Verlag: Springer
Format: PDF
Kopierschutz: 1 - PDF Watermark
E-Book, Englisch, 532 Seiten, eBook
Reihe: Medical Radiology - Diagnostic Imaging and Radiation Oncology
ISBN: 978-3-540-68201-1
Verlag: Springer
Format: PDF
Kopierschutz: 1 - PDF Watermark
This volume provides an updated review of imaging abnormalities in orthopedic sports injuries. The first part of the book contains background information on relevant basic science and general imaging principles in sports traumatology. The second part comprises a topographic discussion of sports injuries. Each chapter highlights the merits of different imaging techniques, focused on a specific clinical problem. In the third part, natural history, monitoring and follow-up imaging are discussed.
Vanhoenacker F.M., president of the musculoskeletal section of the Royal Belgian Society of Radiology, section editor musculoskeletal European Radiology, reviewer of different journals, incl. Skeletal Radiology, authors or co-author of more than 112 scientific papers. Gielen J. president VVS (Flemish society of sports medicine) Maas M., Vice president of the subcommittee on Sports Imaging of the European Society of Musculoskeletal radiology. Chair of the musculoskeletal section of the Dutch Society of Radiology. Vice-chair of the board of medical education University of Amsterdam. Radiology consultant for various national Sports societies. Reviewer of various journals
Zielgruppe
Professional/practitioner
Weitere Infos & Material
Relevant Basic Science and General Imaging Principles.- The Clinician’s Point of View.- Imaging Techniques and Procedures in Sports Injuries.- Muscle Injuries.- Cartilage Trauma.- Tendon and Ligamentous Trauma.- Bone Marrow Edema in Sports Injuries: General Concept.- Overuse Bone Trauma and Stress Fractures.- Pseudotumors in Sports.- Topographic Discussion.- Shoulder Instability.- Rotator Cuff and Impingement.- Scapular, Clavicular, Acromioclavicular and Sternoclavicular Joint Injuries.- Imaging of Sports Injuries of the Elbow.- Imaging of Wrist Injuries.- Finger and Hand.- Pelvis, Hip and Groin.- Sports-related Meniscal Injury.- Knee: Ligaments.- Imaging of Anterior Knee Pain and Maltracking.- Injuries of the Ligaments and Tendons in the Ankle and Foot.- Ankle and Foot: Osteochondral Injuries.- Acute and Overuse Lesions of the Leg and Calf.- The Spine in Sports Injuries: Cervical Spine.- The Spine in Sports Injuries: Thoracic and Lumbar Spine.- Maxillofacial Injuries in Sports.- Thoracic and Abdominal Wall Injuries in Sports.- Special Considerations in the Immature Skeleton.- The Aging Athlete.- Monitoring of Sports Injury Repair.- Natural History and Monitoring of Fractures and Microfractures.- Monitoring of Muscle, Tendon and Ligament Repair.- Addendum.- Sport-Specific Injuries.
The Clinician’s Point of View (p. 3-4)
Babette M. Pluim
C O N T E N T S
1.1 Introduction 3
1.2 Role of Imaging 3
1.3 What is Expected from the Radiologist? 4
1.4 What is Expected from the Radiology Department? 4
1.5 What is Expected from the Sports Physician? 4
1.6 Risks of Over-Imaging 5
1.7 The Travelling Athlete 5
1.8 Conclusions 6
Things to Remember 6
References 6
1.1 Introduction
Over the last ten, years imaging techniques have become increasingly important as a diagnostic tool for sports injuries without replacing the traditional methods of management (Geertsma and Maas 2002, De March et al. 2005). An accurate diagnosis can often be made based on a history and physical examination alone but imaging techniques can be very helpful if there is doubt about the diagnosis. In patients who do not respond to conservative management, imaging can be especially useful to acquire a better understanding of the extent of the lesion. However, over-imaging can cause problems in high-level athletes, who have easy access to imaging modalities when travelling abroad. This is particularly so when there is lack of communication between the various treating physicians and when an understanding of the mechanism of injury is essential in order to establish the correct diagnosis.
This chapter will review a number of situations where good communication between the radiologist and sports physician can result in the correct choice of imaging technique and a greater chance of establishing the correct diagnosis. The speci. c demands that elite athletes and sports physicians may place on the radiologist and the radiology department are also discussed.
1.2 Role of Imaging
It should be noted that the patient population of the sports physician differs slightly from the normal population. In general, athletes tend to be highly motivated and are keen to resume sport as soon as possible. The majority of their injuries are caused by training overload yet they . nd it very diffdcult to reduce this load. There is always another match, another race, another goal to achieve. So in a situation where a ‘normal’ patient may be content to give his/her ankle sprain or stress fracture the required three to six weeks rest, an athlete will want to know if he/she can participate in next week’s tournament. When working with athletes, time is always a pressure. This is where imaging can play an important role for both the sports physician and the athlete. First, by establishing the correct diagnosis at the start, the correct treatment procedures can be initiated immediately with no unnecessary time lag. Second, it is often very helpful to provide the athlete with visual evidence that a significant injury is present (e.g. stress fracture, muscle rupture or meniscal lesion) and thereby to convince him/her that rest is indeed essential. Hopefully this will also obviate the inclination of the athlete to get multiple opinions ("medical shopping"). Finally, it may clarify whether surgery is necessary. In cases where conservative management is indicated, imaging may also help determine the appropriate form of treatment, for example, if calcifications are present, use of Dolorclast (shock wave therapy) may be indicated. Despite the fact that corticosteroid injections are used less and less in sports medicine, there are still instances when this type of treatment is indicated and imaging can help in this choice, e.g. a tenosynovitis (trigger . nger), ganglion cyst, bursitis or iliotibial tract syndrome. Ultrasound may also be used to guide the injection needle (Jacob et al. 2005).
