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"Medicina Sportiva" No.14 - 2008 The 15-th Sports Medicine Balkan Congress


Mircea Ioana, Farago Monica, Birsan Simona, Cioara Felicia, Oswald Ioan
Faculty of Medicine, University of Oradea, Romania

The post-traumatic knee represents a pathology frequently met in sports.  Being a weight-bearing joint with important role in locomotion biomechanics, the knee’s trauma pose complex problems for recovery. Exploration of soft tissues using ultrasounds (echography) acquisition represents a very useful tool for diagnosis of trauma through sports as it offers information about certain muscles, tendons, bursa serosa.
In case of muscles` trauma, the physician relays on echography for the differential diagnosis in an early stage, the aim being to distinguish between accidents with injuries and accidents of purely metabolic type. Further examination allows courts to adverse developments, highlighting the organization of blood collection or vicious healing.
In the tendinous pathology, echography brings informations about tendon’s intimate structure, in some cases even before clinical and radiological examination may reveal any changes.
In the exploration of cysts and bursa serosa, echography highlights perfectly the popliteal cysts and especially the serosa bursa which are independent and not connected with the joint.
However echograpy has limits especially in regards to viewing meniscus and cruciate ligaments, but even in these cases it remains useful for differential diagnosis of the lesion, before the call to other imaging explorations (computed tomography, nuclear magnetic resonance).
In conclusion, echography represents a first choice examination for lesional diagnosis of post-traumatic knee. It allows in many situations to establish a precise diagnosis and in other cases facilitates the monitoring and tracing the evolution of certain complications. Consequently the physician may propose a more effective treatment.
Key words: echography, knee, sports, trautrmatology

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