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DOI: 10.1055/s-0037-1604003
Musculotendinous Injuries: Sonographic-guided Interventions
Publikationsverlauf
Publikationsdatum:
03. August 2017 (online)
Abstract
Musculotendinous injuries occur commonly in athletes of all levels and ages, leading to considerable missed game and practice time. Although most injuries heal well with conservative management, in appropriate circumstances, ultrasound-guided interventions are a safe, efficient, cost-effective, and readily available means of treatment that may help expedite return to play. This article describes the relevant anatomy and pathology of the musculotendinous unit and explains the decision-making process regarding percutaneous interventions. Through case examples, we discuss practical aspects of interventional techniques, sonographic approaches, and injectable materials including anti-inflammatory medications and platelet-rich plasma.
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References
- 1 Ahmad CS, Redler LH, Ciccotti MG, Maffulli N, Longo UG, Bradley J. Evaluation and management of hamstring injuries. Am J Sports Med 2013; 41 (12) 2933-2947
- 2 Rubin DA. Imaging diagnosis and prognostication of hamstring injuries. AJR Am J Roentgenol 2012; 199 (03) 525-533
- 3 De Smet AA, Best TM. MR imaging of the distribution and location of acute hamstring injuries in athletes. AJR Am J Roentgenol 2000; 174 (02) 393-399
- 4 Feeley BT, Kennelly S, Barnes RP. , et al. Epidemiology of National Football League training camp injuries from 1998 to 2007. Am J Sports Med 2008; 36 (08) 1597-1603
- 5 Cohen SB, Towers JD, Zoga A. , et al. Hamstring injuries in professional football players: magnetic resonance imaging correlation with return to play. Sports Health 2011; 3 (05) 423-430
- 6 Valle XTH, Hamilton B. Muscle Injuries Clinical Guide 3.0 FC Barcelona. Available at: http://muscletechnetwork.org/wp-content/uploads/2015/04/MUSCLE-INJURIES-CLINICAL-GUIDE-3.0-LAST-VERSION.pdf . Accessed June 19, 2017
- 7 Dave RB, Stevens KJ, Shivaram GM, McAdams TR, Dillingham MF, Beaulieu CF. Ultrasound-guided musculoskeletal interventions in American football: 18 years of experience. AJR Am J Roentgenol 2014; 203 (06) W674-W683
- 8 Chen CA, Lu W, John CT. , et al. Multiecho IDEAL gradient-echo water-fat separation for rapid assessment of cartilage volume at 1.5 T: initial experience. Radiology 2009; 252 (02) 561-567
- 9 Lee JC, Mitchell AW, Healy JC. Imaging of muscle injury in the elite athlete. Br J Radiol 2012; 85 (1016): 1173-1185
- 10 Ekstrand J, Healy JC, Waldén M, Lee JC, English B, Hägglund M. Hamstring muscle injuries in professional football: the correlation of MRI findings with return to play. Br J Sports Med 2012; 46 (02) 112-117
- 11 Shelly MJ, Hodnett PA, MacMahon PJ, Moynagh MR, Kavanagh EC, Eustace SJ. MR imaging of muscle injury. Magn Reson Imaging Clin N Am 2009; 17 (04) 757-773 , vii
- 12 Gyftopoulos S, Rosenberg ZS, Schweitzer ME, Bordalo-Rodrigues M. Normal anatomy and strains of the deep musculotendinous junction of the proximal rectus femoris: MRI features. AJR Am J Roentgenol 2008; 190 (03) W182-6
- 13 Drakos M, Birmingham P, Delos D. , et al. Corticosteroid and anesthetic injections for muscle strains and ligament sprains in the NFL. HSS J 2014; 10 (02) 136-142
- 14 Daftary ARKA, Karnik AS. Perspectives in ultrasound-guided musculoskeletal interventions. Indian J Radiol Imaging 2015; 25 (03) 246-260
- 15 Kim E, Lee JH. Autologous platelet-rich plasma versus dextrose prolotherapy for the treatment of chronic recalcitrant plantar fasciitis. PM R 2014; 6 (02) 152-158
- 16 Middleton KK, Barro V, Muller B, Terada S, Fu FH. Evaluation of the effects of platelet-rich plasma (PRP) therapy involved in the healing of sports-related soft tissue injuries. Iowa Orthop J 2012; 32: 150-163
- 17 Cohen S, Bradley J. Acute proximal hamstring rupture. J Am Acad Orthop Surg 2007; 15 (06) 350-355
- 18 Cooper DE, Conway JE. Distal semitendinosus ruptures in elite-level athletes: low success rates of nonoperative treatment. Am J Sports Med 2010; 38 (06) 1174-1178
- 19 Garrett Jr WE. Muscle strain injuries: clinical and basic aspects. Med Sci Sports Exerc 1990; 22 (04) 436-443
- 20 Chu SK, Rho ME. Hamstring injuries in the athlete: diagnosis, treatment, and return to play. Curr Sports Med Rep 2016; 15 (03) 184-190
- 21 Heiderscheit BC, Sherry MA, Silder A, Chumanov ES, Thelen DG. Hamstring strain injuries: recommendations for diagnosis, rehabilitation, and injury prevention. J Orthop Sports Phys Ther 2010; 40 (02) 67-81
- 22 Askling C, Saartok T, Thorstensson A. Type of acute hamstring strain affects flexibility, strength, and time to return to pre-injury level. Br J Sports Med 2006; 40 (01) 40-44
- 23 Levine WN, Bergfeld JA, Tessendorf W, Moorman III CT. Intramuscular corticosteroid injection for hamstring injuries. A 13-year experience in the National Football League. Am J Sports Med 2000; 28 (03) 297-300
- 24 Kassarjian A, Rodrigo RM, Santisteban JM. Current concepts in MRI of rectus femoris musculotendinous (myotendinous) and myofascial injuries in elite athletes. Eur J Radiol 2012; 81 (12) 3763-3771
- 25 Kary JM. Diagnosis and management of quadriceps strains and contusions. Curr Rev Musculoskelet Med 2010; 3 (1–4): 26-31
- 26 A Hamid MS, Mohamed Ali MR, Yusof A, George J, Lee LP. Platelet-rich plasma injections for the treatment of hamstring injuries: a randomized controlled trial. Am J Sports Med 2014; 42 (10) 2410-2418