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运动员肘部损伤的超声成像综合综述:基于间室的方法

A comprehensive review of ultrasonographic imaging in athletic elbow injuries: a compartment-based approach.
PubMed 文献 · Skeletal Radiol · 2026-05-08

本文综述了高分辨率超声在运动员肘部损伤中的应用,涵盖外上髁炎、尺侧副韧带功能不全和神经卡压综合征等。通过系统性的间室分类法(前、内、外、后)可确保全面评估,并强调动态手法如外翻应力试验和屈伸试验提供静态MRI无法获得的功能信息。超声弹性成像等新兴技术可能有助于特定运动性肘部病变的病灶表征。

要点

  • 采用前、内、外、后间室系统评估可避免遗漏运动员肘部病变。
  • 动态超声(外翻应力、屈伸试验)可评估尺侧副韧带稳定性和尺神经半脱位。
  • 超声弹性成像可补充组织硬度信息,辅助特定病变表征。

关键影像表现/征象

  • 外上髁炎表现为共同伸肌腱起点处低回声和增厚。
  • 尺侧副韧带功能不全表现为韧带增厚、低回声或连续性中断,动态外翻应力试验可显示松弛。
  • 神经卡压综合征如尺神经卡压表现为神经增粗、回声减低,动态屈伸试验可显示半脱位。

临床应用与阅片要点

  • 按前、内、外、后间室顺序系统扫查,避免遗漏病变。
  • 对怀疑尺侧副韧带损伤者行外翻应力动态超声评估稳定性。
  • 对尺神经症状者行屈伸动态试验观察半脱位。

局限性

  • 本文为综述,未报告原始研究数据或样本量。
  • 超声弹性成像等新兴技术的临床价值仍需进一步验证。

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

Elbow injury rates are markedly higher among collegiate athletes than in the general population; however, this elevated incidence is largely driven by overhead throwing sports and does not represent a uniform risk across all athletes. Elbow disorders represent a significant diagnostic challenge in sports medicine due to the intricate anatomy of the joint. High-resolution ultrasonography has become an indispensable first-line imaging modality, offering superior spatial resolution for superficial structures and the unique capability for real-time dynamic assessment. This review illustrates the ultrasonographic spectrum of common elbow injuries in athletes, including epicondylopathy, ulnar collateral ligament insufficiency, and nerve entrapment syndromes. By employing a systematic, compartment-based approach categorizing findings into anterior, medial, lateral, and posterior zones, radiologists can ensure a comprehensive evaluation. Particular emphasis is placed on dynamic maneuvers such as valgus stress for ulnar collateral ligament stability and flexion-extension for ulnar nerve subluxation, which provide functional insights that are often unavailable on static magnetic resonance imaging. Furthermore, emerging adjunctive techniques, such as sonoelastography, may provide complementary information on tissue stiffness and integrity, potentially improving lesion characterization in specific athletic elbow conditions. Understanding these imaging patterns is crucial for accurate diagnosis and optimized management in athletes.

来源:Skeletal Radiol,查看原文。版权归原作者所有。

引用

  1. Kwon DR, Kim E. A comprehensive review of ultrasonographic imaging in athletic elbow injuries: a compartment-based approach. Skeletal Radiol. 2026. PMID: 42101643. doi:10.1007/s00256-026-05241-z

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。