胫骨内侧应力综合征的影像学特征

陈帅, 高超, 徐超, 谢胜宇, 余艳凤, 张联合

武警医学 ›› 2025, Vol. 36 ›› Issue (8) : 709-711.

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武警医学 ›› 2025, Vol. 36 ›› Issue (8) : 709-711.
临床经验总结

胫骨内侧应力综合征的影像学特征

  • 陈帅, 高超, 徐超, 谢胜宇, 余艳凤, 张联合
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摘要

胫骨内侧应力综合征(MTSS)是一种常见的跑步相关损伤。本文回顾性分析了2023-04至2025-04武警浙江总队医院收治的48例MTSS患者的临床及影像学资料,根据DR、MRI阳性率及影像学表现,探讨其诊断价值及影像特点。结果发现,DR阳性率为14.58%,MRI阳性率为97.92%。DR阳性者表现为胫骨中下段后内侧皮质层状增厚,骨皮质连续、完整。MRI阳性者均有骨膜水肿表现,并伴有骨髓水肿及邻近肌筋膜水肿。胫骨内侧应力综合征MRI诊断敏感性明显高于X线,有一定的好发部位,在MRI有典型的影像特征,结合病史即可做出准确诊断。

关键词

胫骨内侧应力综合征 / 胫骨 / X线 / 磁共振成像 / 运动伤

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陈帅, 高超, 徐超, 谢胜宇, 余艳凤, 张联合. 胫骨内侧应力综合征的影像学特征[J]. 武警医学. 2025, 36(8): 709-711
中图分类号: R445.2   

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