Dynamic high-resolution ultrasonography (US) has emerged as the first-choice imaging modality to guide musculoskeletal (MSK) percutaneous procedures in many articular, tendon, and muscle pathologies. The main advantages of this imaging modality are the lack of ionizing radiations, the real-time visualization of the target structure and the needle during the entire procedure, and the global low cost of the whole procedure. US guidance also allows for careful avoidance of crucial structures such as neurovascular bundles, thus reducing the risk of complications and improving patient outcome in terms of pain reduction during and after the procedure. Sports medicine is a clinical field in which ultrasound-guided percutaneous procedures are well applied both in muscle injuries (10–55% of all sport-related lesions are muscular contusions and strains) and in tendon damage besides the traditional conservative treatments (rest, ice, compression, elevation (RICE) protocols, nonsteroidal anti-inflammatory drugs, physical therapy, and functional rehabilitation). In this setting, an appropriate ultrasound-guided aspiration procedure (i.e., in hematoma) or ultrasound injection procedure with platelet-rich plasma (PRP) or stem cells may improve the healing process and ensure a rapid return to pre-injury muscle functionality with an important impact especially on professional athletes (Orlandi et al., Br J Radiol 89:20150484, 2016).

Imaging-Guided Intervention of Sports Injuries / D. Orlandi, M. De Cesari, C. Messina, L.M. Sconfienza (MEDICAL RADIOLOGY). - In: Imaging of Orthopedic Sports Injuries / [a cura di] F.M. Vanhoenacker, M. Maas, J.L.M.A. Gielen. - Prima edizione. - [s.l] : Springer, 2021. - ISBN 9783030753610. - pp. 797-807

Imaging-Guided Intervention of Sports Injuries

C. Messina;L.M. Sconfienza
Ultimo
2021

Abstract

Dynamic high-resolution ultrasonography (US) has emerged as the first-choice imaging modality to guide musculoskeletal (MSK) percutaneous procedures in many articular, tendon, and muscle pathologies. The main advantages of this imaging modality are the lack of ionizing radiations, the real-time visualization of the target structure and the needle during the entire procedure, and the global low cost of the whole procedure. US guidance also allows for careful avoidance of crucial structures such as neurovascular bundles, thus reducing the risk of complications and improving patient outcome in terms of pain reduction during and after the procedure. Sports medicine is a clinical field in which ultrasound-guided percutaneous procedures are well applied both in muscle injuries (10–55% of all sport-related lesions are muscular contusions and strains) and in tendon damage besides the traditional conservative treatments (rest, ice, compression, elevation (RICE) protocols, nonsteroidal anti-inflammatory drugs, physical therapy, and functional rehabilitation). In this setting, an appropriate ultrasound-guided aspiration procedure (i.e., in hematoma) or ultrasound injection procedure with platelet-rich plasma (PRP) or stem cells may improve the healing process and ensure a rapid return to pre-injury muscle functionality with an important impact especially on professional athletes (Orlandi et al., Br J Radiol 89:20150484, 2016).
Settore MED/36 - Diagnostica per Immagini e Radioterapia
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/847321
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