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Seminars in Musculoskeletal Radiology最新文献

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Osseous Stress Injuries: Treatment Algorithms and Return to Play. 骨性应力损伤：治疗方案和重返赛场。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.1055/s-0043-1778030
Alessandra J Sax
{"title":"Osseous Stress Injuries: Treatment Algorithms and Return to Play.","authors":"Alessandra J Sax","doi":"10.1055/s-0043-1778030","DOIUrl":"10.1055/s-0043-1778030","url":null,"abstract":"<p><p>Osseous stress injuries are common in athletes. Specifically, lower extremity injuries are prevalent in running athletes and upper extremity injuries are prevalent in throwing athletes. Such injuries are suspected when there is focal bone tenderness and increased pain with the inciting activity. In elite athletes, osseous stress injuries are a relatively common culprit in lost play time. Thus rapid diagnosis and treatment is imperative to expedite return to play (RTP). The radiologist's role in these cases is not only for diagnosis, but also to grade the injury, which has implications in determining a treatment regimen. The high sensitivity and specificity of magnetic resonance imaging is thus the preferred imaging modality. This article discusses common osseous stress injuries, the imaging findings, and how different treatment regimens affect RTP.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 2","pages":"130-138"},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Turf Toe Injury: A Pictorial Review and a Didactic Case Report. 草坪趾损伤：图解回顾和教学病例报告。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.1055/s-0043-1775863
Tom Claikens, Wahid Rezaie, Philip Simons
{"title":"Turf Toe Injury: A Pictorial Review and a Didactic Case Report.","authors":"Tom Claikens, Wahid Rezaie, Philip Simons","doi":"10.1055/s-0043-1775863","DOIUrl":"10.1055/s-0043-1775863","url":null,"abstract":"<p><p>Hyperextension of the first metatarsophalangeal joint can lead to a turf toe injury of the plantar plate complex, resulting in significant morbidity for athletes. This article reviews the anatomy, pathophysiology, classification, and imaging findings of turf toe injuries. In turf toe trauma, many different structures can be injured, with the sesamoid-phalangeal ligaments the most common. Diagnosis, classification, and treatment options rely on clinical evaluation and specific magnetic resonance imaging findings. It is vital for radiologists to understand the anatomy, pathophysiology, and imaging findings of turf toe injuries to ensure an accurate diagnosis and appropriate management.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 2","pages":"213-217"},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Return to Play in the Professional Athlete. 职业运动员重返赛场。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.1055/s-0043-1778028
Aishwarya Gulati, Vishal Desai
{"title":"Return to Play in the Professional Athlete.","authors":"Aishwarya Gulati, Vishal Desai","doi":"10.1055/s-0043-1778028","DOIUrl":"10.1055/s-0043-1778028","url":null,"abstract":"<p><p>The management of any injury in elite athletes poses unique challenges distinct from the general population because the goal is rapid recovery and return to play (RTP) while simultaneously managing residual symptoms and minimizing risk of reinjury. The time required for treatment, recovery, and return to peak performance can have consequences for both the athlete and his or her team: financial implications, psychological stressors, team dynamics, and future performance. RTP after an injury in the professional athlete requires a complex decision-making process with many stakeholders. Several factors influence this decision, not the least of which is the type and mechanism of injury. This article provides an overview of the RTP process including nonmedical factors that may influence this decision, common injuries seen in professional athletes, injury patterns particular to certain popular sports, and imaging guidelines for such injuries.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 2","pages":"107-118"},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Percutaneous Interventions for Injuries in Athletes: Implications on Return to Play. 经皮介入治疗运动员损伤：对重返赛场的影响。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.1055/s-0043-1778026
Diana Varela-Margolles, Ava Milani, Sarah I Kamel
{"title":"Percutaneous Interventions for Injuries in Athletes: Implications on Return to Play.","authors":"Diana Varela-Margolles, Ava Milani, Sarah I Kamel","doi":"10.1055/s-0043-1778026","DOIUrl":"10.1055/s-0043-1778026","url":null,"abstract":"<p><p>For nonsurgical musculoskeletal (MSK) injuries in athletes, image-guided percutaneous intervention may aid in recovery and decrease return to play (RTP) time. These interventions fall into two major categories: to reduce inflammation (and therefore alleviate pain) or to promote healing. This review describes the risks and benefits of the various percutaneous interventions in MSK athletic injury and surveys the literature regarding the implication of these interventions on RTP.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 2","pages":"146-153"},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Return to Play Following Concussion: Role for Imaging? 脑震荡后重返赛场：成像的作用？
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.1055/s-0043-1778031
Drew Sanclemente, Jeffrey A Belair, Kiran S Talekar, Johannes B Roedl, Stephen Stache
{"title":"Return to Play Following Concussion: Role for Imaging?","authors":"Drew Sanclemente, Jeffrey A Belair, Kiran S Talekar, Johannes B Roedl, Stephen Stache","doi":"10.1055/s-0043-1778031","DOIUrl":"10.1055/s-0043-1778031","url":null,"abstract":"<p><p>This review surveys concussion management, focusing on the use of neuroimaging techniques in return to play (RTP) decisions. Clinical assessments traditionally were the foundation of concussion diagnoses. However, their subjective nature prompted an exploration of neuroimaging modalities to enhance diagnosis and management. Magnetic resonance spectroscopy provides information about metabolic changes and alterations in the absence of structural abnormalities. Diffusion tensor imaging uncovers microstructural changes in white matter. Functional magnetic resonance imaging assesses neuronal activity to reveal changes in cognitive and sensorimotor functions. Positron emission tomography can assess metabolic disturbances using radiotracers, offering insight into the long-term effects of concussions. Vestibulo-ocular dysfunction screening and eye tracking assess vestibular and oculomotor function. Although these neuroimaging techniques demonstrate promise, continued research and standardization are needed before they can be integrated into the clinical setting. This review emphasizes the potential for neuroimaging in enhancing the accuracy of concussion diagnosis and guiding RTP decisions.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 2","pages":"193-202"},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bone Bruise versus Fracture on MRI and the Relevance to Return to Play. 核磁共振成像上的骨挫伤与骨折以及与重返赛场的相关性。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.1055/s-0043-1778023
Jeffrey A Belair, Adam C Zoga
{"title":"Bone Bruise versus Fracture on MRI and the Relevance to Return to Play.","authors":"Jeffrey A Belair, Adam C Zoga","doi":"10.1055/s-0043-1778023","DOIUrl":"10.1055/s-0043-1778023","url":null,"abstract":"<p><p>We review the spectrum of acute osseous injuries in athletes, ranging from osseous contusion (bone bruise) injuries to nondisplaced cortical fractures. The basic biomechanical concepts, underlying histopathologic changes, and characteristic magnetic resonance imaging (MRI) features of acute osseous injuries are presented. Bone bruise injuries of varying severity are highlighted to showcase the breadth of imaging findings on MRI and methods for characterizing such lesions. We emphasize the importance of accurately assessing patterns of injury on MRI to communicate more effectively with team medical staff and recognize the implications on return to play. This article offers the foundational tools for approaching bone bruise injuries in elite athletes to add value to the diagnosis and treatment of this unique patient population.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 2","pages":"139-145"},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Return to Play in Sport: The Role of the Radiologist. 体育运动中的重返赛场：放射科医生的作用。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.1055/s-0043-1778079
Jeffrey A Belair, Vishal Desai
{"title":"Return to Play in Sport: The Role of the Radiologist.","authors":"Jeffrey A Belair, Vishal Desai","doi":"10.1055/s-0043-1778079","DOIUrl":"10.1055/s-0043-1778079","url":null,"abstract":"","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 2","pages":"105-106"},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Return to Play in Youth Athletes: Role of the Radiologist with Focus on the Upper Extremity. 青少年运动员重返赛场：放射科医生的作用，重点是上肢。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.1055/s-0043-1778029
Vandan Patel, Ngan P Nguyen, Naomi Brown, Shaun D Mendenhall, Adam C Zoga, Jie C Nguyen
{"title":"Return to Play in Youth Athletes: Role of the Radiologist with Focus on the Upper Extremity.","authors":"Vandan Patel, Ngan P Nguyen, Naomi Brown, Shaun D Mendenhall, Adam C Zoga, Jie C Nguyen","doi":"10.1055/s-0043-1778029","DOIUrl":"10.1055/s-0043-1778029","url":null,"abstract":"<p><p>Increase in youth sports participation, longer duration of play, and earlier starting points have increased the prevalence of acute and repetitive overuse musculoskeletal injuries. This rise in injury rates has led to increased efforts to better understand the susceptible sites of injury that are unique to the growing immature skeleton. Upper extremity injuries are currently the best studied, particularly those that occur among pediatric baseball players and gymnasts. The weak link in skeletally immature athletes is the growth plate complex that includes those injuries located at the epiphyseal and apophyseal primary physes and the peripherally located secondary physes. This article reviews the anatomy and function of these growth plate complexes, followed by a discussion of the pathophysiologic mechanisms, spectrum of imaging findings, and existing evidence-based guidelines for injury prevention and return to play.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 2","pages":"180-192"},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reinjury Following Return to Play. 重返赛场后再次受伤。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.1055/s-0043-1778022
George J Watts V, Ryan Tai, Ganesh Joshi, Elisabeth Garwood, Debajyoti Saha
{"title":"Reinjury Following Return to Play.","authors":"George J Watts V, Ryan Tai, Ganesh Joshi, Elisabeth Garwood, Debajyoti Saha","doi":"10.1055/s-0043-1778022","DOIUrl":"10.1055/s-0043-1778022","url":null,"abstract":"<p><p>Radiologists are frequently called on for guidance regarding return to play (RTP) for athletes and active individuals after sustaining a musculoskeletal injury. Avoidance of reinjury is of particular importance throughout the rehabilitative process and following resumption of competitive activity. Understanding reinjury risk estimation, imaging patterns, and correlation of clinical and surgical findings will help prepare the radiologist to identify reinjuries correctly on diagnostic imaging studies and optimize management for a safe RTP.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 2","pages":"154-164"},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Future of Artificial Intelligence in Sports Medicine and Return to Play. 人工智能在运动医学和重返赛场中的未来。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.1055/s-0043-1778019
Vishal Desai
{"title":"The Future of Artificial Intelligence in Sports Medicine and Return to Play.","authors":"Vishal Desai","doi":"10.1055/s-0043-1778019","DOIUrl":"10.1055/s-0043-1778019","url":null,"abstract":"<p><p>Artificial intelligence (AI) has shown tremendous growth over the last decade, with the more recent development of clinical applications in health care. The ability of AI to synthesize large amounts of complex data automatically allows health care providers to access previously unavailable metrics and thus enhance and personalize patient care. These innovations include AI-assisted diagnostic tools, prediction models for each treatment pathway, and various tools for workflow optimization. The extension of AI into sports medicine is still early, but numerous AI-driven algorithms, devices, and research initiatives have delved into predicting and preventing athlete injury, aiding in injury assessment, optimizing recovery plans, monitoring rehabilitation progress, and predicting return to play.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 2","pages":"203-212"},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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