| 摘要: |
| 目的 探讨高频超声检查对膝关节军事训练伤（MTI）的预警作用。方法 纳入某武警部队入伍新兵80人为研究对象。80名新兵均接受规范化新训，在新训前及3个月新训结束后均进行双膝关节高频超声检查及临床问诊与体格检查。结果 80名新兵均为男性，平均年龄为（20.4±1.4）岁，体能状况均良好，新训前均无双膝不适主诉。新训前双膝关节超声检查显示胫骨结节骨软骨炎4例（4个膝关节，其中1例合并髌腱陈旧性损伤）、髌腱病2例（2个膝关节）、髂胫束止点处陈旧性肌腱病2例（2个膝关节）、外侧副韧带止点处陈旧性损伤1例（1个膝关节）、髌上囊积液2例（2个膝关节）。3个月新训结束后，4例胫骨结节骨软骨炎患者中3例出现膝关节疼痛，其中2例疼痛明显（1例合并髌腱陈旧性损伤），影响正常训练; 2例髌腱病患者均出现膝关节疼痛，其中1例疼痛明显，影响正常训练; 2例髂胫束陈旧性损伤肌腱病、1例外侧副韧带止点处陈旧性损伤及2例髌上囊积液患者均无不适主诉。结论 高频超声检查可发现无症状士兵的膝关节MTI，有助于早期制定防治策略，对维护士兵健康、提升部队战斗力有重要意义。 |
| 关键词: 高频超声检查 军事训练伤 预警 膝关节 军事人员 |
| DOI：10.16781/j.CN31-2187/R.20210809 |
| 投稿时间：2021-08-16 |
| 基金项目: |
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| Application of high-frequency ultrasonography in early warning of knee joint military training injury |
| HUANG Yan-dong1,JIA Lan-ting1,ZHANG Shi-qi1,HUANG Jing2,LI Jun3,HUANG He-jing1* |
(1. Department of Ultrasound, The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China;
2. Department of Ultrasound, Naval Medical Center, Naval Medical University (Second Military Medical University), Shanghai 200052, China;
3. Department of Rehabilitation Physiotherapy, The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China
*Corresponding author) |
| Abstract: |
| Objective To explore the early warning role of high-frequency ultrasonography on knee joint military training injury (MTI).Methods A total of 80 newly recruited soldiers from an armed police force were enrolled. All of them received standardized recruit training, and underwent high-frequency ultrasonography of both knee joints, clinical inquiry and physical examination before and after 3-month recruit training.Results All the 80 recruits were male, with an average age of (20.4±1.4) years old, in good physical condition, and there was no chief complaint of knee discomfort before recruit training. Ultrasonography of both knee joints before recruit training showed osteochondrosis of the tibial tuberosity in 4 cases (4 knee joints, including 1 case complicated with old injury of patellar tendon), patellar tendinopathy in 2 cases (2 knee joints), old tendinopathy at the end of iliotibial tract in 2 cases (2 knee joints), old injury at the end of lateral collateral ligament in 1 case (1 knee joint), and suprapatellar bursa effusion in 2 cases (2 knee joints). After 3-month recruit training, 3 of the 4 recruits with osteochondrosis of the tibial tuberosity developed knee joint pain, and 2 of them had significant pain (1 case complicated with old injury of patellar tendon), which affected normal training. Knee joint pain was found in the 2 cases with patellar tendinopathy, of which 1 case had significant pain affecting normal training. No complaints of discomfort were reported in the 2 cases with old tendinopathy at the end of iliotibial tract, 1 case with old injury at the end of lateral collateral ligament, or 2 cases with suprapatellar bursa effusion.Conclusion High-frequency ultrasonography can find the knee joint MTI of asymptomatic soldiers, which is helpful for early development of prevention and control strategies, and is of great significance for maintaining the health of soldiers and improving the combat effectiveness of troops. |
| Key words: high-frequency ultrasonography military training injury early warning knee joint military personnel |
