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  1

参考中文标题:

骨神经:沉默的合作伙伴。

PMID及链接:

17235576 http://www.syyxw.com/Archive/Detail/17235576

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出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :473-5

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  2

参考中文标题:

成像颈椎损伤的童年。 [审查] [ 83参]

PMID及链接:

17061107 http://www.syyxw.com/Archive/Detail/17061107

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摘  要:

Cervical spine injuries of children, though rare, have a high morbidity and mortality. The pediatric cervical spine is anatomically and biomechanically different from that of adults. Hence, the type, level and outcome of cervical spine injuries in children are different from those seen in adults. Normal developmental variants seen in children can make evaluation of the pediatric cervical spine challenging. This article reviews the epidemiology of pediatric cervical spine trauma, normal variants seen in children and specific injuries that are more common in the pediatric population. We also propose an evidence-based imaging protocol to avoid unnecessary imaging studies and minimize radiation exposure in children. [References: 83]

参考中文摘要:

颈椎损伤的儿童,虽然罕见,具有较高的发病率和死亡率。小儿颈椎的解剖学和生物力学不同于成年人。因此,类型,级别和结果颈椎损伤的儿童是有别于成年人。正常发育的变种看到儿童可以评价小儿颈椎有挑战性。本文综述了流行病学小儿颈椎外伤,正常变异看到儿童和具体的伤害,更为常见的儿科人口。我们还建议以证据为基础的成像协议,以避免不必要的成像研究,并尽量减少暴露于辐射的儿童。 [参考文献: 83 ]

出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :477-94

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  3

参考中文标题:

肩关节MR关节造影后labrocapsular间接投掷复杂病理内部冲击和内部轮换赤字。

PMID及链接:

17340161 http://www.syyxw.com/Archive/Detail/17340161

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摘  要:

PURPOSE: To determine if overhead-throwing athletes with internal impingement pain and internal rotation deficit have thickening of the posterior inferior labrocapsular complex on MR arthrogram images. MATERIALS AND METHODS: This study was approved and a waiver of consent granted by our institutional review board. Twenty-six overhead-throwing athletes with internal impingement pain and internal rotation deficit, and 26 controls who had undergone MR arthrograms, were retrospectively examined. The MR studies were combined and read in a blind fashion. On an axial image through the posteroinferior glenoid rim, the readers measured the labral length, capsule-labrum length, and the posterior recess angle. A t-test was used to determine statistical significance. RESULTS: The mean labral length was 4.9 mm [standard deviation (SD) 1.4 mm] for the controls, and 6.4 mm (SD 1.6 mm) for the athletes (P = 0.001). The mean capsule-labrum length was 5.4 mm (SD 2.1 mm) for the controls, and 8.8 mm (SD 2.9 mm) for the athletes (P < 0.001). The mean posterior recess angle measured 65 degrees (SD 27 degrees) for the controls and 94 degrees (SD 38 degrees) for the athletes (P = 0.002). CONCLUSIONS: Overhead-throwing athletes with internal impingement pain and internal rotation deficit tend to have a thicker labrum and a shallower capsular recess in the posterior inferior shoulder joint than do non-overhead-throwing athletes. In many, the posteroinferior capsule is also thickened. These MR findings should alert the radiologist to closely inspect the posterior cuff and posterosuperior labrum for the tears associated with internal impingement.

参考中文摘要:

目的:如果要判断间接投掷运动员与内部撞击疼痛和内部轮换赤字已增厚的后下labrocapsular复杂的MR关节造影图像。材料与方法:本研究获得核准,并同意放弃所给予我们的机构审查委员会。 26个间接投掷运动员与内部撞击疼痛和内部轮换赤字,和26日进行了控制谁问arthrograms ,进行回顾性研究。磁共振研究相结合,并宣读了盲目时尚。对轴向图像通过posteroinferior盂缘,读者测量labral长,胶囊唇长度和角度后休会。如果T -试验是用来确定统计学意义。结果:平均labral长度为4.9毫米[标准偏差(标准差)一点四毫米]的控制,和6.4公厘( SD 1.6毫米)的运动员( P值0.001 ) 。平均胶囊唇长度为5.4公厘( SD二点一毫米)的控制,和8.8公厘( SD二点九毫米)的运动员( P “ 0.001 ) 。休会后,平均65度角测量(标准差27度)为控制和94度(标准差38度)的运动员( P值0.002 ) 。结论:高空投掷运动员与内部撞击疼痛和内部轮换赤字往往有较厚唇和较浅囊中的休会后下肩关节比非开销投掷运动员。在许多人来说,也是posteroinferior囊增厚。这些议员的调查结果应该提醒放射密切检查后唇袖口和后上方的眼泪与内部冲击。

出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :495-502

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  4

参考中文标题:

三角肌肌腱眼泪治疗慢性肩袖眼泪。

PMID及链接:

17390133 http://www.syyxw.com/Archive/Detail/17390133

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摘  要:

PURPOSE: To describe the magnetic resonance imaging (MRI) appearances of tears of the deltoid muscle and tendon in patients with rotator cuff tears and without a prior history of shoulder surgery. MATERIALS AND METHODS: Deltoid tears diagnosed on MR examinations were prospectively recorded between February 2003 through June 2004. The images of these patients were then retrospectively reviewed to determine the location of the deltoid tear, the presence of rotator cuff tears, tendon retraction, muscle atrophy, degree of humeral head subluxation, bony erosive changes involving the undersurface of the acromion, and the presence of edema or fluid-like signal intensity in the deltoid muscle and overlying subcutaneous tissues. RESULTS: There were 24 (0.3%) patients with deltoid tears; nine men and 15 women. The age range was 54 to 87 (average 73) years. The right side was involved in 20 cases, and the left in four cases. Fifteen patients had full thickness and nine had partial thickness tears of the deltoid. Shoulder pain was the most common presenting symptom. The physical examination revealed a defect in the region of the deltoid in two patients. Nineteen patients had tears in the muscle belly near the musculotendinous junction, and five had avulsion of the tendon from the acromial origin. Full thickness rotator cuff tears were present in all of the patients, and 22 patients had associated muscle atrophy. Subcutaneous edema and fluid-like signal was present in 15 patients. CONCLUSION: Tears of the deltoid muscle or tendon is an unusual finding, but they can be seen in patients with chronic massive rotator cuff tears. Partial thickness tears tend to involve the undersurface of the deltoid muscle and tendon. Associated findings such as intramuscular cyst or ganglion in the deltoid muscle belly and subcutaneous edema or fluid-like signal overlying the deltoid in a patient with a rotator cuff tear should raise the suspicion of a deltoid tear.

参考中文摘要:

目的:描述磁共振成像( MRI )表现眼泪三角肌肌腱患者肩袖眼泪,没有事先的历史肩部手术。材料与方法:三角肌眼泪诊断磁共振检查前瞻性记录2003年2月间,通过2004年6月。图像这些病人,然后回顾,以确定的位置三角肌泪,在场的肩袖撕裂,肌腱回缩,肌肉萎缩,一定程度的肱骨头半脱位,骨性糜烂变化涉及undersurface的肩峰,以及存在水肿或液体状信号强度在三角肌和覆皮下组织。结果:有24个( 0.3 % )患者三角肌眼泪; 9名男性和15名妇女。的年龄范围是54至87 (平均73岁) 。右侧参与了20例,左侧4例。 15例有充分的厚度和9已部分厚度眼泪的三角肌。肩部疼痛是最常见的症状。在理学检查发现的缺陷在该地区的三角肌2例。 19例含着眼泪腹部肌肉交界处附近的musculotendinous ,和5人的肌腱撕脱从肩峰来源。全层肩袖撕裂在场所有的患者, 22例肌萎缩有关。皮下水肿和液体样的信号是在15例。结论:泪三角肌或肌腱是一个不寻常的发现,但他们可以看出治疗慢性大规模袖眼泪。部分厚度眼泪往往涉及的undersurface的三角肌和肌腱。相关调查结果,如肌肉注射囊肿或神经节三角肌腹部和皮下水肿或液体状信号覆盖三角肌患者与肩袖撕裂应提高怀疑三角肌撕裂。

出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :503-7

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  5

参考中文标题:

关系的关节和肱骨的版本,冈上肌腱眼泪。

PMID及链接:

17375296 http://www.syyxw.com/Archive/Detail/17375296

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摘  要:

The aim of this study was to investigate the relationship of glenohumeral anatomic measurements on MR imaging with supraspinatus tendon tears. The study was approved by the institutional review board and informed consent was obtained from each subject. Forty-two patients (mean age 55.5 years; age range 40-73 years) with supraspinatus tendon tears and 50 asymptomatic shoulders of 32 controls (mean age 43 years; age range 17-69 years) without rotator cuff tears were included. The acromio-glenoid and supraspinatus-glenoid angles were measured on coronal images, the glenoid and humeral head version as well as the bicipital-humeral distance on axial images. Significant differences were found between the patients and controls for both glenoid version and bicipital-humeral distance, which are considered to influence the distribution of forces placed on the cuff (p < 0.05). The patients had a decreased glenoid version by an average of 2.3 degrees (-7.1 +/- 7.8 degrees vs. -4.8 +/- 5.6 degrees), and a decreased bicipital-humeral distance by an average of 2.7 mm (12.1 +/- 3.7 mm vs. 14.8 +/- 4.1 mm). No significant differences were found between these groups for humeral head version and the acromio-glenoid and supraspinatus-glenoid angles, which might contribute to extrinsic impingement by narrowing the supraspinatus tendon outlet. Differences in glenoid and humeral version may be responsible for RC tears by changing the orientation of the rotator cuff and thus increasing shearing stress.

参考中文摘要:

本研究的目的是调查的关系,肩关节解剖磁共振成像测量与冈上肌腱眼泪。这项研究是批准的机构审查委员会和知情同意,获得每个主题。 42个病人(平均年龄五十五点五年;年龄范围40-73岁)与冈上肌腱泪水, 50无症状的肩膀32对照组(平均年龄43岁,年龄范围17-69岁)无肩袖眼泪都包括在内。在肩盂和冈上,关节角度测量冠状图像,盂和肱骨头的版本,以及bicipital肱轴向距离的图像。显着性差异之间找到病人和控制两个版本,并bicipital盂肱距离,认为这是影响部队的分配放在袖口( p “ 0.05 ) 。患者减少关节版本平均2.3度(跌百分之七点一+ / - 7.8度,比-4.8 + / - 5.6度) ,并减少bicipital肱距离平均二点七毫米( 12.1 + / -三点七毫米与14.8 + / - 4.1毫米) 。无显着差异,这些集团之间的肱骨头版本和肩盂和冈上,关节角度,这可能有助于外部冲击的缩小冈上肌腱插座。差异的关节和肱骨版本可负责钢筋混凝土眼泪改变方向的肩袖,从而增加剪应力。

出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :509-14

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  6

参考中文标题:

影像学表现雪崩受害者。

PMID及链接:

17410358 http://www.syyxw.com/Archive/Detail/17410358

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摘  要:

OBJECTIVE: Skiing and hiking outside the boundaries remains an attractive wilderness activity despite the danger of avalanches. Avalanches occur on a relatively frequent basis and may be devastating. Musculoskeletal radiologists should be acquainted with these injuries. DESIGN AND PATIENTS: Fourteen avalanche victims (11 men and 3 women; age range 17-59 years, mean age 37.4 years) were air transported to a high-grade trauma centre over a period of 2 years. RESULTS: Radiographs, CT and MR images were prospectively evaluated by two observers in consensus. Musculoskeletal findings (61%) were more frequent than extraskeletal findings (39%). Fractures were most commonly seen (36.6%), involving the spine (14.6%) more frequently than the extremities (9.8%). Blunt abdominal and thoracic trauma were the most frequent extraskeletal findings. CONCLUSION: A wide spectrum of injuries can be found in avalanche victims, ranging from extremity fractures to massive polytrauma. Asphyxia remains the main cause of death along with hypoxic brain injury and hypothermia.

参考中文摘要:

目的:滑雪和徒步旅行的界线以外仍然是一个有吸引力的野外活动,尽管雪崩的危险。雪崩发生在一个相对频繁,可能是毁灭性的。肌肉骨骼放射应熟悉这些伤害。设计与患者: 14雪崩受害者( 11名男子和3名妇女,年龄范围17-59岁,平均年龄三十七点四年)的空中运送到高品位的创伤中心,为期2年。结果: X线, CT和MR图像进行前瞻性评价两个观察员共识。肌肉骨骼系统的调查结果( 61 % )有更频繁外发现比( 39 % ) 。骨折最常见( 36.6 % ) ,其中涉及脊柱( 14.6 % )多于四肢( 9.8 % ) 。闭合性腹部和胸部创伤是最常见的外的调查结果。结论:各种各样的伤病中可以找到雪崩受害者,从四肢骨折大规模多发。窒息仍然是主要的死亡原因与缺氧性脑损伤和低温。

出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :515-21

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  7

参考中文标题:

孤立monostotic肌内黏液瘤与骨纤维异常增殖症的一种罕见的变异Mazabraud综合征。 [修改] [ 26参]

PMID及链接:

17139504 http://www.syyxw.com/Archive/Detail/17139504

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摘  要:

The rare coexistence of intramuscular myxoma (IM) and fibrous dysplasia (FD) is known as Mazabraud's syndrome. IM tends to occur multifocally and is associated most frequently with polyostotic FD in Mazabraud's syndrome. We present an extremely rare combination of a solitary IM and monostotic FD as a variant of Mazabraud's syndrome, and discuss the importance of recognizing this rare coexistence for appropriate management of the patient. [References: 26]

参考中文摘要:

罕见的共存肌内黏液瘤( IM )和骨纤维异常增殖症( FD )的被称为Mazabraud综合征。即时通讯往往发生multifocally和相关的最常见的polyostotic消化不良的Mazabraud综合征。我们本是极其罕见的结合孤立IM和monostotic消化不良的一个变种Mazabraud综合征,并讨论的重要性,认识到这难得的共处的适当的管理病人。 [参考文献: 26 ]

出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :523-9

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  8

参考中文标题:

自然消退的骨软骨瘤。

PMID及链接:

17177023 http://www.syyxw.com/Archive/Detail/17177023

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摘  要:

Spontaneous regression of an osteochondroma is an infrequent event. In this report, two cases with spontaneous regression of osteochondromas are presented. The first case was a solitary osteochondroma of the pedunculated type involving the right proximal humerus in a 7-year-old boy. This lesion resolved over 15 months of observation. The second case was a 3-year-old girl with multiple osteochondromatosis, in whom sessile osteochondromas of the right tibia and left fibula regressed over 33 months. The mechanism of this phenomenon is discussed with a review of previous reports. Regarding treatment, careful observation may be acceptable for typical osteochondromas, especially in young children.

参考中文摘要:

自然消退的骨软骨瘤是一种少见的事件。在这份报告中, 2例骨软骨瘤自发回归的介绍。第一种情况下是一个孤独的骨软骨瘤蒂类型,涉及的权利肱骨近端在7岁的男孩。这种病变解决了15个月的观察。第二个案例是一个3岁的小女孩多骨软骨瘤病,骨软骨瘤的人柄的右胫骨和左腿腓骨倒退超过33个月。该机制对这一现象的讨论与审查以前的报告。关于治疗,仔细观察可以接受的典型的骨软骨瘤,特别是在年幼的孩子。

出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :531-4

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  9

参考中文标题:

奇怪旁osteochondromatous扩散肱骨近端:病例报告。

PMID及链接:

17492328 http://www.syyxw.com/Archive/Detail/17492328

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摘  要:

Bizarre parosteal osteochondromatous proliferation (BPOP), or Nora's lesion, is a rare lesion of bone occurring predominantly in the long bones of the hands and feet. It exists as a puzzling clinical entity of uncertain origins and high recurrence rates after surgical resection. To our knowledge, this clinical entity has not been reported in the proximal aspect of the humerus. An interesting report of a lesion occurring in the proximal humerus, which initially was misinterpreted as a parosteal osteosarcoma, is discussed outlining the clinical, radiographic and pathologic features of the BPOP lesion.

参考中文摘要:

奇怪旁osteochondromatous扩散( BPOP ) ,或者Nora的病变,是一种罕见的病变骨发生主要在长骨的手和脚。它存在的一个令人费解的临床实体不确定起源和高复发率后手术切除。据我们所知,这临床实体尚未报告近端方面的肱骨。一个有趣的报告,病变发生在肱骨近端,最初被误解为骨旁骨肉瘤,是讨论,概述了临床,影像学及病理特点BPOP病变。

出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :535-40

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  10

参考中文标题:

Hibernoma :病例报告显示有用的磁共振血管成像在肿瘤的特点。

PMID及链接:

17221278 http://www.syyxw.com/Archive/Detail/17221278

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Hibernoma is a rare, benign soft-tissue tumor composed of brown fat. In the past, there has been an extensive discussion of the CT attenuation and MRI signal characteristics of hibernomas. However, recent reports have focused upon the tumor vascularity of hibernomas. We describe the only case in the literature which utilizes state of the art contrast enhanced MR angiography to clearly characterize the surface and intratumoral vessels to help confirm the diagnosis of a hibernoma and aid in the preoperative planning.

参考中文摘要:

Hibernoma是一种罕见的良性软组织肿瘤的棕色脂肪组成。在过去,人们已广泛讨论的CT和MRI信号衰减特性的hibernomas 。然而,最近的报告着重于肿瘤血管的hibernomas 。我们描述的唯一案例在文献上它采用先进的对比增强磁共振血管造影,明确特点的内表面和船只,以帮助确定诊断的hibernoma和援助的术前规划。

出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :541-5

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  11

参考中文标题:

不寻常的分布红骨髓模仿绿色瘤患者急性髓系白血病。

PMID及链接:

17187288 http://www.syyxw.com/Archive/Detail/17187288

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摘  要:

We present a case of unusual distribution of red marrow in a patient with extramedullary acute myelogenous leukemia (AML). In adults, hematopoietic marrow is usually located in the axial skeleton and the proximal aspects of the limbs, except for the epiphyses. Nodular islets of red marrow located in the epiphyseal and distal parts of the limbs may mimic tumoral infiltration and be mistaken for chloroma in a patient with AML.

参考中文摘要:

我们提出一个不寻常的情况下分配的红骨髓患者外急性髓系白血病( AML ) 。成人骨髓造血通常位于轴向骨骼和近端方面的四肢,除了骨骺。结节性胰岛红骨髓位于远端骺和部分肢体可以模仿肿瘤浸润和被误诊为绿色瘤患者白血病。

出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :547-50

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  12

参考中文标题:

原发性颅外脑膜瘤前臂骨入侵。

PMID及链接:

17342548 http://www.syyxw.com/Archive/Detail/17342548

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摘  要:

We report here a rare case of primary extracranial meningioma in a 73-year-old woman with an asymptomatic mass located in the left distal-dorsal forearm. MRI revealed the lesion to be poorly circumscribed and unclear, with iso-signal intensity to muscle on T1 and with a relatively high signal intensity on T2-weighted imaging. The histopathology of the specimen from incision biopsy was typical of meningioma, showing bland spindle cell proliferation with a whorling pattern. Immunohistochemically, the tumor cells were positive for epithelial membrane antigen and vimentin, and negative for S-100 expression.

参考中文摘要:

我们这里报告一例罕见的原发性颅外脑膜瘤在一个73岁的女子与一个无症状大规模位于左侧远端背前臂。 MRI检查显示病灶是很差的限制和不明确的,符合ISO -信号强度肌肉在T1与相对较高的信号强度在T2加权成像。病理组织学的标本从切口活检是典型的脑膜瘤,显示乏味梭形细胞增殖与whorling模式。免疫组织化学,肿瘤细胞呈阳性反应,皮膜抗原和波形,和消极的S - 100表达。

出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :551-3

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  13

参考中文标题:

磁共振成像破裂春季韧带复合体与talo -长方体嵌塞。

PMID及链接:

17225153 http://www.syyxw.com/Archive/Detail/17225153

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摘  要:

The spring ligament complex is essential for the stability of the longitudinal arch of the foot and includes the ligaments between the calcaneus and the talus at the superomedial to inferoplantar aspect of the foot. Tears of the spring ligament complex are most commonly degenerative in etiology and secondary to concomitant abnormality of the posterior tibial tendon. We report MRI findings in a 30-year-old man who presented with traumatic rupture of the spring ligament complex, seen following dislocation of the talonavicular joint. We also describe the previously unreported MRI features of talo-cuboid impaction secondary to disruption of the spring ligament complex.

参考中文摘要:

春季韧带复合体是至关重要的稳定纵弓足,包括韧带之间的跟骨和距骨在superomedial向inferoplantar方面的脚。泪的春天韧带复合体是最常见的病因及退行性继发伴随畸形的胫后肌腱。我们报告MRI表现在30岁男子谁提出外伤性脾破裂的春天韧带复合体,看到下面的脱位talonavicular联合。我们还介绍了以前未报告的MRI表现talo -长方体嵌塞中学中断春季韧带复合体。

出  处:

Skeletal radiology. 2007 Jun  ,36 (6) :555-8

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