scholarly journals ROLE OF ULTRASOUND SCANNING IN DIAGNOSIS OF CONDITIONS OF KNEE JOINT SOFT TISSUES IN ACUTE AND CHRONIC INJURY IN FOOTBALL PLAYERS

2021 ◽  
Vol 21 (2) ◽  
pp. 43-47
Author(s):  
T.A. Dudnyk
Keyword(s):  
Knee Joint ◽  
Structural Changes ◽  
Soft Tissues ◽  
Diagnostic Technique ◽  
Sports Injury ◽  
Football Players ◽  
Ultrasound Scanning ◽  
Chronic Injury ◽  
Traumatic Injuries ◽  
Combined Lesions

Traumatic injuries of the knee joint are one of the main factors resulting in the loss of mobility among football players. According to the reports of many researchers, the damage to the soft tissues predominates in the structure of traumatic injuries of the knee joint; therefore, such diagnostic technique as ultrasound scanning is very helpful in determining the nature and extent of injuries and in making decision on the necessity of the surgical intervention. The aim of this study is to investigate and systematize ultrasound criteria for various types of traumatic injuries of the soft tissues of the knee joint in acute and chronic trauma in football players. The analysis of the findings of ultrasound scan of the knee joints in 36 football players with sports injury was carried out. The following echographic data were assessed: homogeneity, echogenicity, integrity of the tendon contours, the presence of effusion in the bursae and tendon sheaths, the number of vascular signals in the affected area. In the first group of patients, the analysis of ultrasound signs revealed the following structural changes: separate meniscus ruptures were diagnosed in 6 (27, 3%) athletes; combined lesions of the menisci and ligamentous apparatus – in 9 (40, 9%) with signs of damage to the menisci and ligaments characteristic of acute trauma; separate ligament ruptures were diagnosed in 7 (31, 8%) athletes. In the second group of the patients, sonography confirmed suffered meniscus tears in 3 (21, 4%) athletes; combined lesions of the menisci and ligaments in 7 (50,1%) footballers; rupture of the ligamentous apparatus in 4 (28,5%) individuals. Fresh injuries to the menisci and ligaments against the background of previous ruptures were not diagnosed during past ultrasound examinations and resulted in the impairment of the ratio of the load distribution on the limb that could provoke repeated trauma to the menisci and ligaments. Ultrasound scanning for acute and chronic injury of the knee joint in football players can be considered a reliable informative imaging technique, which allows assessing the severity of damage to the menisci, ligaments, soft tissues and makes it possible to choose the proper tactics of further treatment.

EVALUATION OF THE EFFECTIVENESS OF THE THIRD STAGE OF REHABILITATION AFTER A KNEE JOINT INJURY IN PERSONS OF OLDER AGE GROUPS BY MEANS OF PHYSIOTHERAPY EXERCISES

2021 ◽  
pp. 609-613
Author(s):  
Д.Н. Бобунов ◽  
А.С. Волкова ◽  
Д. М. Селезнев ◽  
А.К. Иорданишвили ◽  
А.В. Сенюков ◽  
...  
Keyword(s):  
Knee Joint ◽  
Elderly Patients ◽  
Soft Tissues ◽  
Main Task ◽  
Middle Aged ◽  
Rehabilitation Treatment ◽  
Traumatic Injuries ◽  
The Third ◽  
Physical Exercises ◽  
Third Stage

Основной задачей реабилитации спортсменов с травматическими повреждениями коленного сустава и окружающих мягких тканей является эффективное и безболезненное восстановление на всех этапах лечения. Целью данной работы является внедрение комплекса физических упражнений для лечения и профилактики травматических повреждениях коленного сустава у пациентов среднего и пожилого возраста на третьем этапе восстановительного лечения (МКБ-10: S80-S89). На сегодняшний день не существует единой регламентированной программы ведения пациентов среднего и пожилого возраста на амбулаторном этапе. В статье описан третий этап организации медицинской помощи в поздний реабилитационный период, период остаточных явлений течения заболевания, без рецидивов. Физические упражнения, представленные в данном комплексе, дают пациенту независимость в повседневной жизни при самообслуживании, самостоятельном перемещении, при наличии подтвержденной результатами обследования перспективы восстановления функции (реабилитационного потенциала). Предложенная методика апробирована на 148 пациентах, прошедших все три этапа восстановительного лечения, у которых длительность ремиссии составила 12-36 мес. The main task in the rehabilitation of athletes with traumatic injuries of the knee joint and surrounding soft tissues is effective and painless recovery at all stages of treatment. The aim of this work is to introduce a set of physical exercises for the treatment and prevention of traumatic injuries of the knee joint in middle-aged and elderly patients at the third stage of rehabilitation treatment (ICD-10: S80-S89). To date, there is no single regulated program for the management of middle-aged and elderly patients at the outpatient stage. The article describes the third stage of the organization of medical rehabilitation assistance in the late rehabilitation period, the period of residual symptoms of the course of the disease, without relapses. Physical exercises, presented in this complex, give the patient independence in everyday life in the implementation of self-service, independent movement, in the presence of the prospect of restoration of function (rehabilitation potential) confirmed by the results of the examination. The proposed technique was tested on 148 patients who underwent all 3 stages of rehabilitation treatment, in whom the duration of remission was 12-36 months.

scholarly journals Imaging of Joint and Soft Tissue Involvement in Systemic Lupus Erythematosus

2021 ◽  
Vol 23 (9) ◽  
Author(s):  
Andrea Di Matteo ◽  
Gianluca Smerilli ◽  
Edoardo Cipolletta ◽  
Fausto Salaffi ◽  
Rossella De Angelis ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Soft Tissue ◽  
Lupus Erythematosus ◽  
Structural Damage ◽  
Structural Changes ◽  
Soft Tissues ◽  
Imaging Techniques ◽  
Joint Involvement ◽  
Systemic Lupus ◽  
Muscle Involvement

Abstract Purpose of Review To highlight the potential uses and applications of imaging in the assessment of the most common and relevant musculoskeletal (MSK) manifestations in systemic lupus erythematosus (SLE). Recent Findings Ultrasound (US) and magnetic resonance imaging (MRI) are accurate and sensitive in the assessment of inflammation and structural damage at the joint and soft tissue structures in patients with SLE. The US is particularly helpful for the detection of joint and/or tendon inflammation in patients with arthralgia but without clinical synovitis, and for the early identification of bone erosions. MRI plays a key role in the early diagnosis of osteonecrosis and in the assessment of muscle involvement (i.e., myositis and myopathy). Conventional radiography (CR) remains the traditional gold standard for the evaluation of structural damage in patients with joint involvement, and for the study of bone pathology. The diagnostic value of CR is affected by the poor sensitivity in demonstrating early structural changes at joint and soft tissue level. Computed tomography allows a detailed evaluation of bone damage. However, the inability to distinguish different soft tissues and the need for ionizing radiation limit its use to selected clinical circumstances. Nuclear imaging techniques are valuable resources in patients with suspected bone infection (i.e., osteomyelitis), especially when MRI is contraindicated. Finally, dual energy X-ray absorptiometry represents the imaging mainstay for the assessment and monitoring of bone status in patients with or at-risk of osteoporosis. Summary Imaging provides relevant and valuable information in the assessment of MSK involvement in SLE.

Magnetic Resonance Imaging in the Diagnosis of Disruption of the Posterior Tibial Tendon

Foot & Ankle ◽  
1987 ◽  
Vol 8 (3) ◽  
pp. 144-147 ◽  
Author(s):  
Ian J. Alexander ◽  
Kenneth A. Johnson ◽  
Thomas H. Berquist
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Soft Tissues ◽  
Diagnostic Technique ◽  
Clinical Findings ◽  
The Body ◽  
Posterior Tibial Tendon ◽  
Resonance Imaging ◽  
Posterior Tibial ◽  
Magnetic Resonance Imaging Mri

Magnetic resonance imaging (MRI), a useful technique of studying soft tissues of the body, can be very effective in assessing the integrity of tendons. Usually a patient with a complete tear of the posterior tibial tendon has characteristic physical findings. In the patient presented, MRI demonstrated a complete disruption of the posterior tibial tendon, despite the absence of the commonly associated clinical findings. In view of the difficulties encountered with attempted tenography of the completely torn posterior tibial tendon, MRI provides a sensitive alternative diagnostic technique.

Thumb Injuries and Instabilities. Part 2: Spectrum of Lesions

2021 ◽  
Vol 25 (02) ◽  
pp. 355-365
Author(s):  
Alain G. Blum ◽  
Marnix T. van Holsbeeck ◽  
Stefano Bianchi
Keyword(s):  
Soft Tissues ◽  
Imaging Techniques ◽  
Metacarpophalangeal Joint ◽  
Resonance Imaging ◽  
Ligament Injuries ◽  
First Line ◽  
Collateral Ligament ◽  
Traumatic Injuries ◽  
Line Imaging

AbstractThe motor function of the thumb and its alignment with regard to the hand make it particularly vulnerable to trauma. Pathology encountered in this joint is varied, and imaging techniques play a crucial role in the diagnosis and characterization of injury. Despite advances in imaging technology, acute thumb injuries remain a challenge for radiologists. Currently, standard radiography and ultrasonography are frequently used first-line imaging techniques. Computed tomography is most often indicated for complex fractures and dislocations. Magnetic resonance imaging may be used to optimally characterize soft tissues and bone marrow. In this article, we cover the most common traumatic injuries: fractures, dislocations, collateral ligament injuries of the metacarpophalangeal joint, as well as soft tissue lesions.

scholarly journals Magnetic resonance imaging in traumatic injuries of the ankle joint in children

2020 ◽  
Vol 24 (4) ◽  
pp. 266-271
Author(s):  
N. Yu. Serova ◽  
T. A. Akhadov ◽  
I. A. Melnikov ◽  
O. V. Bozhko ◽  
N. A. Semenova ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Soft Tissues ◽  
Diagnostic Value ◽  
Ankle Injuries ◽  
Deltoid Ligament ◽  
Anterior Talofibular Ligament ◽  
Mri Findings ◽  
Traumatic Injuries ◽  
Sport Activities ◽  
Bone Fragments

Introduction. Sprain of the ankle joint is one of the most common injuries in children during sport activities. Purpose. To define MRI diagnostic value in ankle joint injuries. Material and methods. 30 patients , 18 boys and 12 girls aged 8-17 ( average age 14.6 years), were enrolled into the study. 20 of them (66.7%) were 12-14 years old, 3 (10%) - < 10 years old and 7 (23.3 %) - > 14 years old. A Philips AchievadStream 3.0 Tesla scanner was used for MRI examination. Results. MRI findings showed that 17 (56.7%) patients had damage of the anterior talofibular ligament; 8 patients had avulsion of bone fragments of the lateral ankle; 9 patients (30.0%) had partial deltoid ligament injuries. Complete rupture of ligaments was rare and was seen only in two patients (6.7%). Conclusion. MRI is a method of choice in assessing ankle injuries due to high contrast of soft tissues, high resolution and multi-planar potentials. MRI is especially useful in examining soft ankle tissue structures such as tendons, ligaments, nerves and fascia, as well as in revealing hidden / subtle bone damage.

scholarly journals THE PREVENTION METHOD OF SPORTS MEDICINE IMAGING MODELING

2021 ◽  
Vol 27 (8) ◽  
pp. 833-836
Author(s):  
Fei Wu ◽  
Xuejun Ma ◽  
Wenjiang Zhao ◽  
Shuhua Qu
Keyword(s):  
Sports Medicine ◽  
Main Type ◽  
Sports Injury ◽  
Acute Injury ◽  
Chronic Injury ◽  
Level Of Evidence ◽  
Prevention Method ◽  
High Level ◽  
And Control ◽  
Type Of Injury

ABSTRACT Introduction: Sports injury is an important reason to interfere with sports training and physical exercise since it will not only bring unnecessary pain to the injured body, but also bring out negative emotions in athletes. Objective: To study the sports injury characteristics of high level competitive aerobics athletes in China. Methods: Literature data, questionnaire survey, expert interviews, field observation, mathematical statistics and physiotherapy tracking were used. Results: Wrists, ankles, waist and knees were the most frequently injured parts in high level competitive aerobics athletes in China. The main type of injury was acute injury, but chronic injury (48.18%) could not be ignored. Ninety percent of active high-level competitive aerobics athletes train with injuries, and 10 percent of them completely stop training because of injuries. Conclusions: Athletes should pay attention to their physical reserve and strengthen physical training. They must also be attentive to self-supervision, their own subjective feelings, and control the amount of exercise done. Level of evidence II; Therapeutic studies - investigation of treatment results.

scholarly journals Wildlife Ungulate Rescue and Emergency Services in the Pisa Area (Tuscany, Italy): Evaluation of a 9-Years Period (2010–2018)

2020 ◽  
Vol 7 ◽  
Author(s):  
Maria Irene Pacini ◽  
Francesca Bonelli ◽  
Angela Briganti ◽  
Simonetta Citi ◽  
Stefania Perrucci ◽  
...  
Keyword(s):  
Diagnostic Imaging ◽  
Emergency Management ◽  
Clinical Data ◽  
Traffic Accidents ◽  
Biochemical Analysis ◽  
Soft Tissues ◽  
Emergency Services ◽  
Imaging Diagnosis ◽  
Traumatic Injuries ◽  
Car Accidents

Background: We analyzed the clinical data of wildlife ungulates admitted for emergency care to the Veterinary Teaching Hospital (VTH), Department of Veterinary Medicine, University of Pisa over a 9-years period.Methods: Clinical data of all the wildlife ungulates admitted to the VTH were recorded. Blood samples were also taken from the animals for hematological and biochemical analysis. An assessment of ecto- and endoparasites was carried out, diagnostic imaging assessment was performed, and the outcomes were recorded.Results: Data concerning clinical parameters, blood work, parasitological analysis, and diagnostic imaging diagnosis were expressed as prevalence.Conclusion: The rescue and emergency treatments were related mostly to traumas caused by car accidents, followed by other causes. The traumatic injuries were mostly severe, characterized by multiple lesions involving hard and soft tissues. In this study, traffic accidents were the main cause of wildlife rescue and emergency management. This is probably due to the increased population of ungulates over the years, along with the considerable anthropization of the Pisa area.

ARTICULAR SOUND AND CLINICAL STAGES IN KNEE ARTHROPATHY

2011 ◽  
Vol 14 (01) ◽  
pp. 1150006 ◽  
Author(s):  
Noriyuki Tanaka ◽  
Minoru Hoshiyama
Keyword(s):  
Knee Joint ◽  
Structural Changes ◽  
Matched Control ◽  
Clinical Symptoms ◽  
Multiple Comparisons ◽  
Womac Pain ◽  
Pathological Changes ◽  
Clinical Stages ◽  
At Iii ◽  
Standing Up

Objective: To clarify the pathophysiology of knee arthropathy, articular sound in the knee joint was recorded using an accelerometer, vibroarthrography (VAG), during standing-up and sitting-down movements in patients with osteoarthropathy (OA) of the knees. Methods: VAG signals and angular changes of the knee joint during standing-up and sitting-down movements were recorded in patients with OA, including 17 knees with OA at Kellgren–Lawrence stage I and II, 16 knees with OA at III and IV stages, and 20 knees of age-matched control subjects. Results: The level of VAG signals was greater in knees with a higher stage of OA at 50–99 and 100–149 Hz among the groups (ANOVA with Tukey–Kramer multiple comparisons test, p < 0.01). The VAG signals did not correlate with WOMAC-pain or physical scores. Conclusions: We considered that the increase in VAG signals in these ranges of frequency corresponded with pathological changes of OA, but not self-reported clinical symptoms. This method of VAG can be used by clinicians during interventions to obtain pathological information regarding structural changes of the knee joint.

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