smjournalСпортивная медицина: наука и практикаSports medicine: research and practice2223-25242587-9014NEICON10.47529/2223-2524.2026.1.1smjournal-743Research ArticleСПОРТИВНАЯ ТРАВМАТОЛОГИЯSPORTS TRAUMATOLOGYСогласованность МРТ-диагностики острых повреждений мышц нижних конечностей в профессиональном футболе: роль радиологов в реализации корректного протокола реабилитацииConsistency of MRI diagnosis of acute lower limb muscle injuries in professional football: The role of radiologists in implementing an accurate rehabilitation protocolhttps://orcid.org/0000-0003-3828-0506БезугловЭ. Н.BezuglovE. N.

Безуглов Эдуард Николаевич, к.м.н., доцент

119435, Москва, ул. Большая Пироговская, 2, стр. 9;

125252, Москва, 3-я Песчаная ул., 2а, стр. 2

Eduard N. Bezuglov, Cand. Sci. (Med.), Associate Professor

2 Bolshaya Pirogovskaya street, building 9, Moscow, 119435;

2A 3rd Peschanaya street, building 2, Moscow, 125252

e.n.bezuglov@gmail.comhttps://orcid.org/0000-0001-5401-9469ГринченкоА. П.GrinchenkoA. P.

Гринченко Алеся Петровна, рентгенолог, специализирующийся на мышечно-скелетной радиологии

119991, Москва, Абрикосовский пер., 2

Alesya P. Grinchenko, radiologist specializing in musculoskeletal radiology

2 Abrikosovsky Lane, Moscow, 119991

4722775@mail.ruhttps://orcid.org/0000-0002-1128-2678МалякинГ. И.MalyakinG. I.

Малякин Георгий Ильич, врач по спортивной медицине

119435, Москва, ул. Большая Пироговская, 2, стр. 9;

125252, Москва, 3-я Песчаная ул., 2а, стр. 2

Georgy I. Malyakin, sports medicine physician

2 Bolshaya Pirogovskaya street, building 9, Moscow, 119435;

2A 3rd Peschanaya street, building 2, Moscow, 125252

manuljke@gmail.comhttps://orcid.org/0000-0002-9154-5174ХайтинВ. Ю.KhaitinV. Yu.

Хайтин Владимир Юрьевич, к.м.н., ассистент кафедры физических методов лечения и спортивной медицины; врач по спортивной медицине

197022, Санкт-Петербург, ул. Льва Толстого, 6–8

Vladimir Yu. Khaitin, Cand. Sci. (Med.), Assistant of the Department of Physical Treatment Methods and Sports Medicine; sports medicine physician

6-8 Lev Tolstoy street, Saint Petersburg, 197022

khaitinvladimir@gmail.comhttps://orcid.org/0000-0003-1295-9457БутовскийМ. С.ButovskyM. S.

Бутовский Михаил Сергеевич, к.м.н., доцент кафедры спортивной реабилитации и спортивной медицины; главный врач ФК «Динамо-Москва»

420012, Республика Татарстан, г. Казань, ул. Бутлерова, д. 49;

125167, г. Москва, Ленинградский проспект, д. 36

Mikhail S. Butovsky, Cand. Sci. (Med.), Associate Professor of the Department of Sports Rehabilitation and Sports Medicine; Chief Medical Officer of FC Dynamo Moscow

49 Butlerova street, Kazan, Republic of Tatarstan, 420012;

36 Leningradsky Av, Moscow, 125167

drmike81@inbox.ruhttps://orcid.org/0000-0001-9691-3792ВиноградовМ.VinogradovM.

Виноградов Михаил Анатольевич

125252, Москва, 3-я Песчаная ул., 2а, стр. 2

Mikhail A. Vinogradov

2A 3rd Peschanaya street, building 2, Moscow, 125252

vinogradov.coach@gmail.comhttps://orcid.org/0000-0001-9809-7637ГончаровЕ. Н.GoncharovE. N.

Гончаров Евгений Николаевич, к.м.н., врач-травматолог

119991, Москва, Абрикосовский пер., 2

Evgeny N. Goncharov, Cand. Sci. (Med.), traumatologist

2 Abrikosovsky Lane, Moscow, 119991

goncharoven@gmail.comhttps://orcid.org/0000-0003-3258-2220ВетошкинА. А.VetoshkinA. A.

Ветошкин Александр Александрович, к.м.н., доцент, врач-травматолог

129110, г. Москва, Орловский переулок, д. 7

Alexander A. Vetoshkin, Cand. Sci. (Med.), Associate Professor, traumatologist

7 Orlovsky Lane, Moscow, 129110

info@sustav.proФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет); Департамент науки и развития ПФК ЦСКАРоссияSechenov First Moscow State Medical University (Sechenov University); Science and Research Department, PFC CSKARussian FederationФГБНУ «Российский научный центр хирургии им. акад. Б.В. Петровского»РоссияPetrovsky Russian Research Center of SurgeryRussian FederationФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. Павлова» Минздрава РоссииРоссияFirst Saint Petersburg State Medical University named after I. P. Pavlov, Ministry of Health of the Russian FederationRussian FederationФК «Динамо-Москва»; ФГБОУ ВО «Казанский государственный медицинский университет»РоссияFC Dynamo-Moscow; Kazan State Medical UniversityRussian FederationДепартамент науки и развития ПФК ЦСКАРоссияScience and Research Department, PFC CSKARussian FederationЦентр травматологии и ортопедии Европейского медицинского центраРоссияDepartment of Traumatology and Orthopedics, European Medical CenterRussian Federation20231303202600Принято в печать743Copyright © Безуглов Э.Н., Гринченко А.П., Малякин Г.И., Хайтин В.Ю., Бутовский М.С., Виноградов М., Гончаров Е.Н., Ветошкин А.А., 20232023Безуглов Э.Н., Гринченко А.П., Малякин Г.И., Хайтин В.Ю., Бутовский М.С., Виноградов М., Гончаров Е.Н., Ветошкин А.А.Bezuglov E.N., Grinchenko A.P., Malyakin G.I., Khaitin V.Y., Butovsky M.S., Vinogradov M., Goncharov E.N., Vetoshkin A.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.smjournal.ru/jour/article/view/743Цель исследования

Цель исследования: проанализировать согласованность интерпретации данных МРТ взрослых профессиональных футболистов с острыми бесконтактными мышечными повреждениями (ОБМП), выполненной радиологами с различным опытом работы со спортсменами.

Материалы и методы

Материалы и методы. Проведен ретроспективный анализ протоколов описания МРТ ОБМП нижних конечностей взрослых профессиональных футболистов трех ведущих клубов Российской премьер-лиги, выполненных радиологами общей практики, не имеющими большого опыта в спортивной медицине (группа 1), и радиологами с опытом более 10 лет в спортивной радиологии (группа 2). Протоколы описания включали оценку анатомической локализации повреждения, степени повреждения с применением той или иной специализированной классификации, указание на сопутствующие повреждения сухожилий и количественную оценку объема мышечного отека.

Результаты

Результаты. Из всех 130 первичных ОБМП радиологами группы 1 только 14 (10,8 %) травм были классифицированы с использованием классификации Британской атлетической ассоциации, в 20 (15,4 %) случаях использовалась классификация Stoller. В остальных 96 (73,8 %) случаях классификация не указывалась. Сравнительный анализ интерпретации данных специалистами двух исследуемых групп радиологов показал, что определение анатомической локализации повреждений совпало в 61,5 % случаев (80 наблюдений из 130). При сравнении результатов оценок объема мышечного отека, выполненных двумя группами радиологов, не было обнаружено статистически значимой разницы в средних значениях показателя (p = 0,075). При анализе определения поражения внутримышечного сухожилия идентичная оценка радиологов обеих групп наблюдалась в 67 (59,8 %) случаях, а расхождения — в 45 (40,2 %) случаях. При этом коэффициент κ Коэна составил 0,132, что свидетельствовало о слабом соглашении сверх случайного уровня.

Заключение

Заключение. Только в незначительном количестве случаев радиологи, не имеющие большого опыта работы со спортсменами, использовали какие-либо классификации мышечных повреждений. Для повышения точности МР-диагностики ОБМП у спортсменов целесообразно привлекать радиологов, обладающих специализированным профессиональным опытом, необходимым для минимизации риска некорректной интерпретации данных.

Purpose of the study

Purpose of the study: to assess the consistency of MRI interpretations among radiologists with varying levels of expertise in working with athletes when evaluating MRIs of players with acute non-contact muscle injuries (ANСMI).

Materials and methods

Materials and methods. A retrospective review of MRI interpretation protocols for lower limb muscle injuries in adult professional football players from three prominent Russian Premier League football clubs was conducted. Reports were interpreted by general radiologists with limited experience in sports medicine (Group 1), whereas Group 2 comprised radiologists with over 10 years of experience in sports radiology. The reporting protocols included assessment of injury localization, grading of injury severity according to the respective classification system, identification of associated tendon injuries, and quantification of muscle edema volume.

Results

Results. Out of 130 primary ANСMI cases, the British Athletic Association classification system was used by Group 1 radiologists in only 14 (10.8 %) cases, while 20 (15.4 %) reports employed the Stoller classification. The remaining 96 (73.8 %) reports did not specify any classification system. Comparative analysis of interpretations by the two groups demonstrated agreement regarding anatomical injury locations in 61.5 % of all evaluated cases (80 out of 130). No statistically significant difference was observed in the mean edema volume assessments between the groups (p = 0.075). However, when evaluating intramuscular tendon involvement, identical assessments were seen by both groups in 67 cases (59.8 %), whereas discrepancies occurred in 45 cases (40.2 %). Cohen’s κ coefficient was 0.132, indicating weak agreement beyond chance.

Conclusion

Conclusion. Significant variability was observed in defining the precise anatomical location of muscle injuries and in recognizing intramuscular tendon lesions between experienced sports radiologists and general radiologists without such expertise. To improve diagnostic accuracy in MRI evaluations of ANСMI within athletic populations, it is strongly recommended to involve radiologists with relevant specialization and sufficient clinical experience in sports medicine.

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The authors declare that there are no conflicts of interest present.