文献速递骨肌神经MRCTUS

精英板球运动员:板球常见肌肉骨骼损伤的影像学综述

Elite cricket: a radiologic review of common musculoskeletal injuries in cricket athletes.
PubMed 文献 · Skeletal Radiol · 2026-05-29

本文从影像学角度综述板球运动员常见肌肉骨骼损伤,重点关注与板球运动生物力学需求相关的独特损伤模式,包括腰椎应力损伤、腹部侧方拉伤、背阔肌拉伤及后踝撞击综合征。腰椎应力损伤导致的时间损失发生率和患病率最高,22岁以下快速投球手因腰椎骨密度和骨含量成熟延迟而尤为易感。文章旨在支持准确诊断并指导针对性管理策略。

要点

  • 腰椎应力损伤是板球运动员时间损失最多的损伤,22岁以下快速投球手风险最高。
  • 投球力学相关损伤包括腰椎应力损伤、腹部侧方拉伤和背阔肌拉伤。
  • 后踝撞击综合征与投球和防守中反复负荷及极端跖屈有关。

核心结论

  • 板球运动存在与特定生物力学需求相关的独特肌肉骨骼损伤模式,影像学检查有助于准确诊断和针对性管理。
  • 腰椎应力损伤在男女板球运动员中导致的时间损失发生率和患病率最高。
  • 22岁以下快速投球手因腰椎骨密度和骨含量成熟延迟而特别易感。

研究设计与样本

  • 综述文章,通过影像学视角总结板球运动员常见肌肉骨骼损伤,聚焦于该运动较为特异的损伤。

关键影像表现/征象

  • 腰椎应力损伤与投球力学相关,导致最多时间损失。
  • 腹部侧方拉伤和背阔肌拉伤与强力投球力学相关。
  • 后踝撞击综合征与投球和防守中反复负荷及极端跖屈相关。

临床应用与阅片要点

  • 阅片时应关注板球运动员的腰椎应力损伤,尤其是22岁以下快速投球手。
  • 对于投球手,需注意腹部侧方拉伤和背阔肌拉伤的影像表现。
  • 后踝撞击综合征应结合投球和防守中的极端跖屈病史进行判断。

以上解读依据论文摘要(全文未开放获取或许可不允许翻译转载)。

英文原文(摘要)· 点击展开

Cricket is a globally popular recreational and professional sport played in multiple formats including 5-day test matches, first-class games, 1-day internationals, and T20 competitions. Each format imposes distinct physical demands, with bowling contributing the highest injury rates across formats and fielding posing greater risk in T20 cricket. This review article highlights common musculoskeletal injuries in cricket athletes through a radiologic lens, focusing on those more specific to the sport. While thigh injuries such as hamstring strains are well documented across various running-based sports, cricket presents other unique injury patterns that reflect its specific biomechanical demands. These include lumbar spine stress injuries, abdominal side strains, and latissimus dorsi strains related to forceful bowling mechanics, as well as posterior ankle impingement associated with repetitive loading and extreme plantar flexion during bowling and fielding. Lumbar stress injuries account for the highest time-loss incidence and prevalence, contributing the greatest number of days lost to injury in both male and female cricketers. Fast bowlers under 22 years old are especially vulnerable due to delayed maturation of lumbar bone mineral density and content, which typically peak in the mid-twenties. By examining these injuries radiologically, this article aims to support accurate diagnosis and inform targeted management strategies for all clinicians working with cricket athletes.

来源:Skeletal Radiol,查看原文。版权归原作者所有。

引用

  1. Ooi MWX, Crompton S, Rowbotham E, et al. Elite cricket: a radiologic review of common musculoskeletal injuries in cricket athletes. Skeletal Radiol. 2026. PMID: 42213106. doi:10.1007/s00256-026-05262-8

供执业医师工作参考,不替代临床判断;数值与分级以指南原文为准。