Ultrasound-guided Interventions for Core and Hip Injuries in Athletes

Radiol Clin North Am. 2016 Sep;54(5):875-92. doi: 10.1016/j.rcl.2016.04.008.

Abstract

Trauma and the mechanical strain of high-energy activity predispose athletes to pelvic injuries. Magnetic resonance imaging remains the primary modality for diagnosing these conditions, but ultrasonography-guided interventions are important in the management of core muscle, hip, and other pelvic conditions. This article reviews ultrasonography-guided interventions for injuries at the core, including the pelvis and hips. It reviews common injuries, procedure optimization, medication preparation, clinical evidence behind injections, tenotomy, and platelet-rich plasma. These interventions are especially important in athletes, because ultrasonography-guided procedures are often undertaken early in the treatment process, paralleling conservative rehabilitation to facilitate a faster return to play.

Keywords: Athletic pubalgia; Core muscles; Hip; Percutaneous needle tenotomy; Platelet-rich plasma; Ultrasonography guided.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage
  • Athletic Injuries / diagnostic imaging
  • Athletic Injuries / therapy*
  • Blood Component Transfusion / methods
  • Evidence-Based Medicine
  • Hip Injuries / diagnostic imaging*
  • Hip Injuries / therapy*
  • Humans
  • Muscle, Skeletal / diagnostic imaging
  • Muscle, Skeletal / injuries*
  • Pelvis / diagnostic imaging
  • Pelvis / injuries
  • Platelet-Rich Plasma / diagnostic imaging
  • Tendinopathy / diagnostic imaging
  • Tendinopathy / therapy*
  • Treatment Outcome
  • Ultrasonography, Interventional / methods*

Substances

  • Adrenal Cortex Hormones