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OP-Journal 2016; 32(01): 20-23
DOI: 10.1055/s-0042-106749
Artikel zum Leitthema
Georg Thieme Verlag KG Stuttgart · New York

Akutdiagnostik von Sportverletzungen

Acute Diagnostic Testing in Sporting Injuries
Björn H. Drews
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Publication History

Publication Date:
20 September 2016 (online)

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Zusammenfassung

Zur Einleitung einer effektiven und zeitnahen Therapie nach Sportverletzungen ist ebenfalls eine zeitnahe effektive Diagnostik erforderlich. Aus der Anamnese und klinischen Untersuchung leiten sich Dringlichkeit und Reihenfolge der weiteren apparativen Diagnostik ab. Die Sonografie stellt hier aufgrund der vornehmlich weichteiligen Verletzungen den Grundstein dar. Hiermit können bereits viele Diagnosen gestellt oder ausgeschlossen werden. Für eine weiterführende Kernspintomografie ist anhand der klinisch gestellten Verdachtsdiagnose der Zeitrahmen zu setzen. Während einige Diagnosen mit Verzögerung bildmorphologisch gesichert werden können, brauchen andere eine unmittelbare MRT zur Einleitung der weiteren Therapie und Erreichung eines optimalen Outcomes.

Abstract

Early and efficient diagnostic testing is essential for early and target-oriented therapy in sporting injuries. The priority and sequence of diagnostic methods depend on patient history and physical examination. As soft tissue injuries are very common in this type of injury, sonography is the basic diagnostic instrument. Many diagnoses can be confirmed or eliminated with this tool. For further diagnostic testing with MRI, a time frame has to be set, depending on the suspected diagnosis. For some injuries, delayed verification by MRI can be accepted while, for others, early MRI is essential for therapy initiation and to assure an optimal clinical outcome.

 

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