The role of magnetic resonance imaging in a Division I university sports medicine program.

Autor:	Huston K; Division of Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, Saint Louis University, Saint Louis, Missouri; †Division of Sports Medicine, Department of Family Medicine, Saint Louis University, Saint Louis, Missouri; ‡BJC Sports Medicine and Orthopedic Specialists, Edwardsville, Illinois; and §Advanced Orthopedics and Sports Medicine, Saint Louis, Missouri., Mitchell W, Wadsworth LT, Stewart J, Cutuk A, Kaar SG
Jazyk:	angličtina
Zdroj:	Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine [Clin J Sport Med] 2014 Sep; Vol. 24 (5), pp. 385-9.
DOI:	10.1097/JSM.0000000000000056
Abstrakt:	Objective: To prospectively document musculoskeletal magnetic resonance imaging (MRI) use and how it affects diagnosis, playing status, and treatment of Division I university athletes. We hypothesized that MRI often has little or no effect on the diagnosis or treatment plan. Design: Cross-sectional study. Setting: Division I university sports medicine program. Patients: Division I university varsity athletes. Interventions: Data were collected of musculoskeletal MRI use in varsity student athletes for 2 full academic years from 2010 to 2012 at a National Collegiate Athletic Association Division I institution. Main Outcome Measures: Timing of the injury, first physician visit, and MRI and pre- and post-MRI diagnosis, playing status, and treatment (surgical vs nonsurgical). Results: Eighty-six MRIs were obtained during the 2 years studied. Average age was 19.9 (18-23) years. Forty-five percent of injuries occurred during competition season, 34% occurred preseason, and 21% occurred postseason. There was a change in diagnosis in 13 athletes (15.1%, 1 led to surgery performed after completion of the season), and there was a change in participation status in 8 athletes (9.3%, 5 increased and 3 decreased). Treatment plan changed in 1 athlete (1.2%). No athlete required surgery immediately after an MRI that was not already being planned. Every athlete treated nonsurgically pre-MRI was able to finish their season. Conclusions: Magnetic resonance imaging was obtained in 14% of athletes and did not demonstrate a clear benefit over history, examination, and radiographs. Magnetic resonance imaging did change diagnosis in 15% of cases, though it did not appreciably change the playing status or treatment plan.
Databáze:	MEDLINE
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