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Heiss R, Tol JL, Pogarell T, Roemer FW, Reurink G, Renoux J, Crema MD, Guermazi A. Imaging of muscle injuries in soccer. Skeletal Radiol 2023:10.1007/s00256-023-04514-1. [PMID: 37991553 DOI: 10.1007/s00256-023-04514-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Revised: 09/24/2023] [Accepted: 11/07/2023] [Indexed: 11/23/2023]
Abstract
Accurate diagnosis of muscle injuries is a challenge in everyday clinical practice and may have profound impact on the recovery and return-to-play decisions of professional athletes particularly in soccer. Imaging techniques such as ultrasound and magnetic resonance imaging (MRI), in addition to the medical history and clinical examination, make a significant contribution to the timely structural assessment of muscle injuries. The severity of a muscle injury determined by imaging findings has a decisive influence on therapy planning and affects prognosis. Imaging is of high importance when the diagnosis or grade of injury is unclear, when recovery is taking longer than expected, and when interventional or surgical management may be needed. This narrative review will discuss ultrasound and MRI for the assessment of sports-related muscle injuries in the context of soccer, including advanced imaging techniques, with the focus on the clinical relevance of imaging findings for the prediction of return to play.
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Affiliation(s)
- Rafael Heiss
- Department of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Johannes L Tol
- Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
- Department of Orthopedic Surgery and Sports Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands
- Musculoskeletal Health and Sports, Amsterdam Movement Sciences, Amsterdam, The Netherlands
| | - Tobias Pogarell
- Department of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Frank W Roemer
- Department of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
- Quantitative Imaging Center, Boston University School of Medicine, Boston, MA, USA
| | - Guus Reurink
- Musculoskeletal Health and Sports, Amsterdam Movement Sciences, Amsterdam, The Netherlands
| | - Jerome Renoux
- Institute of Sports Imaging, Sports Medicine Department, French National Institute of Sports (INSEP), Paris, France
| | - Michel D Crema
- Quantitative Imaging Center, Boston University School of Medicine, Boston, MA, USA
- Institute of Sports Imaging, Sports Medicine Department, French National Institute of Sports (INSEP), Paris, France
| | - Ali Guermazi
- Quantitative Imaging Center, Boston University School of Medicine, Boston, MA, USA.
- VA Boston Healthcare System, West Roxbury, MA, USA.
- Department of Radiology, VA Boston Healthcare System, 1400 VFW Parkway, Suite 1B106, West Roxbury, MA, 02132, USA.
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Hermet A, Gossec L, Foltz V, Renoux J, Costedoat-Chalumeau N, Mercy G, Amoura Z, Piette JC, Morel N, Bourgeois P, Fautrel B, Gandjbakhch F. FRI0578 Is the Localisation of Erosions on MRI of Diagnostic Interest in Rheumatoid Arthritis? Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Gandjbakhch F, Foltz V, Renoux J, Cozic N, Costedoat N, Sene D, Mercy G, Amoura Z, Piette JC, Morel N, Bourgeois P, Fautrel B. SAT0184 Ct Scan Confirms Presence of Erosion in Systemic Lupus Erythematosous and Primary Sjogren's Syndrome as Well as Healthy Control, with Different Characteristics as Compared to Rheumatoid Arthritis: an Observational Study of 90 Subjects:. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.5655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Pissonnier ML, Lazennec JY, Renoux J, Rousseau MA. Trauma of the upper cervical spine: focus on vertical atlantoaxial dislocation. Eur Spine J 2013; 22:2167-75. [PMID: 23838700 DOI: 10.1007/s00586-013-2841-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2013] [Revised: 05/07/2013] [Accepted: 05/16/2013] [Indexed: 12/13/2022]
Abstract
PURPOSE Traumatic ligament injuries of the craniovertebral junction, either isolated or associated with bone avulsion or fracture, often lead to death. These injuries are rare and underrated but are increasingly seen in emergency departments due to the improvement in initial on-scene management of accidents. Vertical atlantoaxial dislocation (AAD) is a specific lesion that was barely reported. Based on our experience, our goal was to systematically investigate the prevalence and prognosis of traumatic vertical AAD and discuss its management. METHODS All cervical CT scans performed at our institution between 2006 and 2010 for cervical trauma in adults were retrospectively reviewed. Based on the measurement of lateral mass index (LMI), defined as the gap between C1 and C2 articular facets, we identified three cases of traumatic vertical AAD in 300 CT scans. Their medical records were investigated. RESULTS The incidence of vertical AAD was 1% in the exposed population. One case was an isolated vertical AAD and two were associated with a type II odontoid fracture. We report the first case in the literature of unilateral vertical AAD. Two patients died rapidly; the survivor was treated with occipitocervical fixation. Specific maneuvers were used for immobilization and reduction. CONCLUSIONS This study found a not insignificant incidence of vertical AAD and a high lethality rate. LMI appears to be a relevant radiological criterion for this diagnosis, for which traction is contraindicated. Associated neurological or vascular damage should be suspected and investigated. In our experience, spinal surgical fixation is required because of major instability.
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Affiliation(s)
- M L Pissonnier
- Department of Orthopaedic and Trauma Surgery, Hôpital Pitié Salpétrière (Assistance Publique - Hopitaux de Paris), Université Paris 6, Paris, France
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Gandjbakhch F, Foltz V, Renoux J, Costedoat N, SENE D, Mercy G, Amoura Z, Piette JC, Morel N, Cozic N, Bourgeois P, Fautrel B. OP0175 Systemic Lupus Erythematosous and Primary Sjogren’s Syndrome May Display Joint Erosions on MRI as Well as Healthy Control, but Cannot be Considered as Erosive Disease Such as Rheumatoid Arthritis: An MRI Observational Study of 90 Subjects. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Lebeaux D, Frances C, Barete S, Wechsler B, Dubourg O, Renoux J, Maisonobe T, Benveniste O, Gatfosse M, Bourgeois P, Amoura Z, Cacoub P, Piette JC, Sene D. Eosinophilic fasciitis (Shulman disease): new insights into the therapeutic management from a series of 34 patients. Rheumatology (Oxford) 2011; 51:557-61. [DOI: 10.1093/rheumatology/ker366] [Citation(s) in RCA: 99] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Nadaj-Pakleza A, Renoux J, Carlier P, Mollet A, Labrune P, Behin A, Eymard B, Laforet P. G.P.11.04 Pattern and evolution of skeletal muscle involvement in glycogenosis type III (debrancher deficiency): Muscle imaging findings from childhood to adult age. Neuromuscul Disord 2009. [DOI: 10.1016/j.nmd.2009.06.251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Renoux J, Zeitoun-Eiss D, Brasseur JL. Ultrasonographic Study of Wrist Ligaments: Review and New Perspectives. Semin Musculoskelet Radiol 2009; 13:55-65. [DOI: 10.1055/s-0029-1202245] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Ducreux D, Fillard P, Facon D, Ozanne A, Lepeintre JF, Renoux J, Tadié M, Lasjaunias P. Diffusion tensor magnetic resonance imaging and fiber tracking in spinal cord lesions: current and future indications. Neuroimaging Clin N Am 2007; 17:137-47. [PMID: 17493544 DOI: 10.1016/j.nic.2006.11.005] [Citation(s) in RCA: 64] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Diffusion-weighted imaging and fractional anisotropy may be more sensitive than other conventional magnetic resonance imaging techniques to detect, characterize, and map the extent of spinal cord lesions. Fiber tracking offers the possibility of visualizing the integrity of white matter tracts surrounding some lesions, and this information may help in formulating a differential diagnosis and in planning biopsies or resection. Fractional anisotropy measurements may also play a role in predicting the outcome of patients who have spinal cord lesions. In this article, we address several conditions in which diffusion-weighted imaging and fiber tracking is known to be useful and speculate on others in which we believe these techniques will be useful in the near future.
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Affiliation(s)
- Denis Ducreux
- Department of Neuroradiology, CHU de Bicêtre, Paris XI University, 78 rue du Général Leclerc, 94270 Le Kremlin-Bicêtre, France.
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Renoux J, Facon D, Fillard P, Huynh I, Lasjaunias P, Ducreux D. MR diffusion tensor imaging and fiber tracking in inflammatory diseases of the spinal cord. AJNR Am J Neuroradiol 2006; 27:1947-51. [PMID: 17032873 PMCID: PMC7977871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
PURPOSE Our aim was to study the fractional anisotropy (FA) variations and the fiber tracking (FT) patterns observed in patients with myelitis. MATERIAL AND METHODS Fifteen patients with symptomatic myelitis and 11 healthy subjects were prospectively selected. We performed T2-weighted and diffusion tensor imaging on a 1.5T MR scanner. FA and apparent diffusion coefficient maps were computed in both healthy subjects and patients. In each patient, we performed FT to study pathologic aspects on this imaging method. FA data were analyzed by using z-scores. RESULTS For the healthy subjects, averaged FA values ranged from 0.745 to 0.751. All abnormal areas seen on T2-weighted imaging had a significantly decreased FA value. In 9 patients (60%), FA maps showed decreased FA areas, whereas T2-weighted imaging findings were normal. These areas matched the neurologic deficit in 33%. Eighty percent of patients had multiple decreased FA areas. Five patients (33%) had increased FA values in normal T2-weighted areas. CONCLUSION We observed specific FA and FT pattern variations in patients with myelitis.
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Affiliation(s)
- J Renoux
- Department of Neuroradiology, CHU de Bicêtre, Le Kremlin Bicêtre, France
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Ducreux D, Huynh I, Fillard P, Renoux J, Petit-Lacour MC, Marsot-Dupuch K, Lasjaunias P. Brain MR diffusion tensor imaging and fibre tracking to differentiate between two diffuse axonal injuries. Neuroradiology 2005; 47:604-8. [PMID: 15973535 DOI: 10.1007/s00234-005-1389-1] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2004] [Accepted: 03/25/2005] [Indexed: 11/28/2022]
Abstract
We report here two cases of diffuse axonal injury (DAI) studied by MR diffusion tensor imaging (DTI) and fibre tracking (FT) focused on the corpus callosum. In one case, DTI and FT pattern matched the diagnosis of broken white matter tracts. In the other case there was a discrepancy between DTI and FT data that showed unaltered white matter tracts with the presence of intra-cellular oedema. These data suggested that DTI and FT are able to differentiate between traumatic cytotoxic oedema and broken fibres in the case of DAI.
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Affiliation(s)
- D Ducreux
- Department of Neuroradiology, CHU de Bicêtre, Paris XI University, 94270 Le Kremlin Bicêtre, France.
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Hyunh, Renoux J, Liacu D, Bouilleret V, Masnou P, Lasjaunias P, Ducreux P. CO-34 IRM cérébrale de perfusion des épilepsies temporales réfractaires en période interictale. J Neuroradiol 2005. [DOI: 10.1016/s0150-9861(05)83060-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Garnier-Sillam E, Toutain F, Villemin G, Renoux J. Transformation de la matière organique végétale sous l'action du termite Macrotermes mülleri (Sjöstedt) et de son champignon symbiotique. Can J Microbiol 1988. [DOI: 10.1139/m88-219] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The fungus Termitomyces sp., an exosymbiont of the termite Macrotermes mülleri, can perforate the pectin–cellulose walls of the vegetative cells present in the fungal comb in such a way as to get near the dark pigments (polyphenol proteins). This fungus, through cellulolytic, pectinolytic, and perhaps ligninolytic activities, extensively degraded these brown substances. Subsequently bacterial and enzymatic degradation of the different plant materials continued in the digestive tract of the termite and its endosymbionts. The faeces deposited in the nest and on the ground were essentially composed of organic granules and organo–mineral microaggregates. These microaggregates were produced during intestinal transit by the adsorption of clay particles onto the biodegraded organic matter. The weak organo–mineral bonds suggest that the organic residue will be easily mineralized.
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Rouland C, Renoux J, Petek F. Purification and properties of two xylanases from Macrotermes mülleri (Termitidae, Macrotermitinae) and its symbiotic fungus Termitomyces sp. ACTA ACUST UNITED AC 1988. [DOI: 10.1016/0020-1790(88)90080-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Rouland C, Civas A, Renoux J, Petek F. Synergistic activities of the enzymes involved in cellulose degradation, purified from Macrotermes mülleri and from its symbiotic fungus Termitomyces sp. ACTA ACUST UNITED AC 1988. [DOI: 10.1016/0305-0491(88)90005-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Rouland C, Civas A, Renoux J, Petek F. Purification and properties of cellulases from the termite Macrotermes mülleri (termitidae, macrotermitinae) and its symbiotic fungus termitomyces sp. ACTA ACUST UNITED AC 1988. [DOI: 10.1016/0305-0491(88)90004-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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