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1
参考中文标题:
是Paget氏骨消失病?。
PMID及链接:
16570174 http://www.syyxw.com/Archive/Detail/16570174
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2
参考中文标题:
痛苦的臀部:新概念。 [审查] [ 75参]
PMID及链接:
16552608 http://www.syyxw.com/Archive/Detail/16552608
摘 要:
Hip pain is a common condition, and the work-up often includes imaging. This article reviews the normal MR anatomy of the hip and the imaging findings of internal derangements, snapping hip, and femoral acetabular impingement. We will describe the role of MR arthrography in evaluating the patient with suspected labral and articular cartilage abnormalities, as well as the pitfalls in interpretation. We will review the causes of a snapping hip, and the role of sonography in evaluating and guiding treatment of the snapping iliopsoas tendon. We will also review the radiographic and MRI signs of femoroacetabular impingement (FAI), a cause of early degenerative joint disease and hip pain. [References: 75]
参考中文摘要:
髋关节疼痛是一种常见的情况,和工作行动往往包括成像。本文综述了正常磁共振解剖和髋关节的影像学表现内部derangements ,弹响髋,髋臼及股骨冲击。我们将描述的作用MR关节造影在评价患者涉嫌labral和关节软骨病变,以及陷阱的解释。我们会检讨原因,弹响髋,和所起的作用超声在评估和指导治疗的抢购髂腰肌肌腱。我们还将审查和MRI影像学的迹象femoroacetabular撞击(固定资产投资) ,引起早期退行性关节病,髋关节疼痛。 [参考文献: 75 ]
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3
参考中文标题:
超声引导下自体血液注射网球肘。
PMID及链接:
16552606 http://www.syyxw.com/Archive/Detail/16552606
摘 要:
OBJECTIVE: To assess the efficacy of autologous blood injection under sonographic guidance for the treatment of lateral epicondylitis. DESIGN AND PATIENTS: Thirty-five patients (23 men, 12 women, mean age 40.9) with refractory lateral epicondylitis (mean symptom duration 13.8 months) underwent sonographic evaluation prior to dry-needling the tendon and injection with autologous blood. Patients were reviewed, and measures of Nirschl and Visual Analogue Scores (VAS) were taken pre-procedure and post-procedure, at 4 weeks and 6 months. RESULTS: Following autologous blood injections, significant reductions were reported for Nirschl scores, which decreased from a median (inter-quartile range) pre-procedure score of 6 (6-7), to 4 (2-5) at 4 weeks (p < 0.001), and to 0 (0-1) at 6 months (p < 0.001). Similarly, significant reductions were reported for VAS scores from a median (inter-quartile range) pre-procedure score of 9 (8-10), to 6 (3-8) at 4 weeks (p < 0.001), and to 0 (0-1) at 6 months (p < 0.001). Sonography demonstrated a reduction in the total number of interstitial cleft formations and anechoic foci; a significant reduction in tendon thickness from a mean (SD) of 5.15 mm (0.79) at baseline to 4.82 mm (0.62) at 6 months post-procedure (p < 0.001) was observed. Hypoechoic change significantly reduced from a median (inter-quartile range) of 7 (6-7) at baseline to 2 (1-3) at 6 months post-procedure (p < 0.001). Neovascularity also significantly decreased from a median (inter-quartile range) of 6 (4-7) at baseline to 1 (0-3) at 6 months post-procedure (p < 0.001), although sonographic abnormality remained in many asymptomatic patients. CONCLUSIONS: Autologous blood injection is a primary technique for the treatment of lateral epicondylitis. Sonography can be used to guide injections and monitor changes to the common extensor origin.
参考中文摘要:
目的:评价自体输血的疗效超声指导下注射治疗外侧髁。设计与患者: 35例( 23名男子, 12名妇女,平均年龄40.9 )难治外侧髁(平均症状持续时间十三点八个月)进行超声评价之前干的肌腱和针注射自体输血。患者进行了审查,并采取措施的Nirschl和视觉模拟评分( VAS )提供商采取了预先程序和后的程序,在4周和6个月。结果:自体血液注射,大幅度减少了报告的Nirschl分数,而减少了中间(间四分范围)前程序6分( 6-7 ) , 4 ( 2-5 )在4周( p “ 0.001 ) , 0 ( 0-1 )在6个月( P ” 0.001 ) 。同样地,大幅度减少了报告的增值服务分数中位数(间四分范围)前程序评分9 ( 8月10日) , 6 ( 3-8 )在4周( p “ 0.001 ) , 0 ( 0-1 )在6个月( P “ 0.001 ) 。超声表现出减少的总数间裂编队和消声灶;显着降低肌腱厚度平均(标准差) 5.15毫米( 0.79 )在基准四点八二毫米( 0.62 )在6个月后的程序( p “ 0.001 ) ,观察。低回声改变大大减少了中间(间四分范围) 7 ( 6-7 )在基准2 ( 1-3 )在6个月后的程序( p “ 0.001 ) 。 Neovascularity也显着下降的中位数(间四分范围) 6 ( 4-7 )为基准,以1 ( 0-3 )在6个月后的程序( p “ 0.001 ) ,但超音波异常仍然在许多无症状病人。结论:自体血注射液是一种主要技术治疗外侧髁。超声可用于指导注射和监测变化的共同伸肌来源。
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4
参考中文标题:
磁共振成像结果成人髋臼发育不良。
PMID及链接:
16570172 http://www.syyxw.com/Archive/Detail/16570172
摘 要:
OBJECTIVE: To evaluate the diagnostic accuracy of MR imaging in the identification of labral and articular cartilage lesions in patients with acetabular dysplasia. DESIGN AND PATIENTS: Pre-operative MR imaging was performed on 27 hips in 25 consecutive patients (16 males, 9 females, age range 19-52 years, mean age 31.2 years) with radiographic evidence of acetabular dysplasia (centre-edge angle of Wiberg <20 degrees). The average duration of symptoms was 16.2 months. Two musculoskeletal radiologists assessed MR images in consensus for the presence of abnormality involving the acetabular labrum and adjacent acetabular articular cartilage. A high resolution, non-arthrographic technique was used to assess the labrum and labral chondral transitional zone. Surgical correlation was obtained in all cases by a single surgeon experienced in hip arthroscopy and ten patients with normal hip MRI were included to provide a control group. RESULTS: The acetabular labra in the dysplastic hips demonstrated abnormal signal intensity, and had an elongated appearance when compared with the control group (mean length 10.9 mm vs 6.4 mm). Morphological appearances in the labra included surface irregularity, fissures and cleft formation. MR imaging correctly identified the severity of chondral abnormality in 24 of 27 hips (89%) when compared with arthroscopic findings. CONCLUSIONS: MR imaging demonstrates an elongated labrum, focal intra-substance signal change and irregularity and fissuring of the margins in patients with acetabular dysplasia. Abnormality is also identified at the labral chondral transitional zone, where fissuring, focal clefts, chondral deficiency and subchondral cyst formation may be apparent. A high-resolution, non-arthrographic technique can provide an accurate preoperative assessment and evaluate the presence of premature osteoarthritis.
参考中文摘要:
目的:评价诊断准确性的磁共振成像在确定labral和关节软骨病变患者的髋臼发育不良。设计与患者:术前进行磁共振成像对27髋25例( 16男,女9例,年龄范围19-52岁,平均年龄三十一点二年)与放射线的证据髋臼发育不良(中心边缘角维贝格“ 20度) 。时间平均症状为16.2个月。两个肌肉骨骼放射评估磁共振图像的共识,存在异常涉及髋臼唇和邻近髋臼关节软骨。高分辨率,非arthrographic技术,用于评估和labral唇软骨过渡带。手术的相关性,获得在所有情况下,由一个有经验的外科医生在髋关节和10例正常髋关节MRI检查包括提供一个对照组。结果:髋臼发育不良labra在臀部显示异常信号的强度,并且被拉长了的外观相比,对照组(平均长度十点九毫米与六点四毫米) 。形态表现在labra包括表面不规则,裂隙和裂隙形成。磁共振成像正确识别的严重性,软骨异常24 27髋( 89 % )相比,关节镜结果。结论:磁共振成像表明拉长唇,协调内部的物质变化和异常信号和fissuring的利润率患者的髋臼发育不良。异常情况还确定了在labral软骨过渡区,在那里fissuring ,联络裂,软骨和软骨下囊肿症的形成可能是显而易见的。高分辨率,非arthrographic技术可以提供一个准确的术前评估和评价存在的不成熟的骨关节炎。
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5
参考中文标题:
计算机断层扫描分析髋臼前倾角和绑架。
PMID及链接:
16570170 http://www.syyxw.com/Archive/Detail/16570170
摘 要:
PURPOSE: The purpose of this study is to define the normal range of acetabular abduction and anteversion in relation to pelvic anatomy as depicted on conventional CT scan. METHODS: We retrospectively reviewed 100 pelvic CT scans performed on patients presenting for evaluation of non-orthopaedic pathology. The study group consisted of 58 women and 42 men, aged between 18 and 88 years. Standard imaging protocol included an anteroposterior (AP) topogram with contiguous 5-mm thick axial images from the superior margin of the iliac crest to the lesser trochanter of the femur. The acetabular abduction was measured from the AP topogram by obtaining the angle between a line drawn from the acetabular teardrop to the lateral acetabular margin and a horizontal line between the ischial tuberosities. Acetabular anteversion was measured on axial images at the level of the mid-femoral head. RESULTS: We found the mean acetabular abduction to be 39 degrees (standard deviation 4 degrees, range 27 to 51 degrees) and the mean acetabular anteversion to be 23 degrees (standard deviation 5 degrees, range 12 to 39 degrees). Data suggests that acetabular anteversion may average 2.7 degrees lower in males than females and increase slightly with age, while abduction may tend to decrease with age. Ninety percent of patients had acetabular abduction between 31 and 46 degrees; the 90% central range for acetabular anteversion was estimated to be from 14 to 31 degrees. CONCLUSION: CT scanning is useful in accurately defining the normal range of acetabular abduction and antiversion. Knowledge of this normal anatomy will allow accurate assessment of acetabular component position as delineated on conventional CT scanning.
参考中文摘要:
目的:本研究的目的是确定正常范围绑架和髋臼前倾与盆腔解剖所描述的常规CT扫描。方法:我们回顾100骨盆CT扫描对患者进行评价,提出对非整形外科病理学。该研究小组由58个妇女和42名男子,年龄介乎18岁至88岁。标准成像议定书包括前后(美联社) topogram与毗连的5毫米厚的轴向图像上级缘髂骨较轻的股骨粗隆。髋臼绑架是衡量从AP topogram获得之间的夹角线从髋臼泪滴向外侧髋臼缘和水平线之间的坐骨粗隆。髋臼前倾角测量轴向图像的水平中期股骨头。结果:髋臼绑架的意思是39度(标准差4度,射程27至51度) ,平均髋臼前倾角为23度(标准偏差5度,射程12至39度) 。数据显示,髋臼前倾角2.7度,可平均降低男性比女性,并略有增加,与年龄,而绑架可能会随着年龄下降。百分之九十的病人髋臼绑架31和46摄氏度; 90 %中央山脉髋臼前倾角据估计, 14日至31度。结论: CT扫描是有用的准确界定的正常髋臼绑架和antiversion 。了解这个正常解剖将使准确评估髋臼组成部分的立场上划定常规CT扫描。
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6
参考中文标题:
手术计划的全髋关节置换术:精度计算机辅助EndoMap软件预测元件尺寸。
PMID及链接:
16572344 http://www.syyxw.com/Archive/Detail/16572344
摘 要:
PURPOSE: The purpose of our study was to assess the accuracy of a computer-assisted templating in the surgical planning of patients undergoing total hip arthroplasty utilizing EndoMap software (Siemans AG, Medical Solutions, Erlangen, Germany). Endomap Software is an electronic program that uses DICOM images to analyze standard anteroposterior radiographs for determination of optimal prosthesis component size. METHODS: We retrospectively reviewed the preoperative radiographs of 36 patients undergoing uncomplicated primary total hip arthroplasty, utilizing EndoMap software, Version VA20. DICOM anteroposterior radiographs were analyzed using standard manufacturer supplied electronic templates to determine acetabular and femoral component sizes. No additional clinical information was reviewed. Acetabular and femoral component sizes were assessed by an orthopedic surgeon and two radiologists. Mean and estimated component size was compared with component size as documented in operative reports. RESULTS: The mean estimated acetabular component size was 53 mm (range 48-60 mm), 1 mm larger than the mean implanted size of 52 mm (range 48-62 mm). Thirty-one of 36 acetabular component sizes (86%) were accurate within one size. The mean calculated femoral component size was 4 (range 2-7), 1 size smaller than the actual mean component size of 5 (range 2-9). Twenty-six of 36 femoral component sizes (72%) were accurate within one size, and accurate within two sizes in all but four cases (94%). CONCLUSION: EndoMap Software predicted femoral component size well, with 72% within one component size of that used, and 94% within two sizes. Acetabular component size was predicted slightly better with 86% within one component size and 94% within two component sizes.
参考中文摘要:
目的:我们的研究,以评估的准确性电脑辅助模板在手术规划患者全髋关节置换术利用EndoMap软件( Siemans公司医疗解决方案,德国埃尔兰根) 。 Endomap软件是一种电子程序使用DICOM标准的图像分析标准前后X光片确定最佳修复元件尺寸。方法:我们回顾性分析术前X光片的36例进行简单的初级全髋关节置换术,利用EndoMap软件,版本VA20 。 DICOM标准前后X光片进行分析利用标准的制造商提供的电子模板,以确定髋臼及股骨元件尺寸。任何额外的临床资料进行了审查。髋臼及股骨元件尺寸进行评估的整形外科医生和2名放射。平均数和估计元件尺寸比较元件尺寸为执行报告中记载。结果:平均估计髋臼元件尺寸为53毫米(范围48-60段毫米) ,大于1毫米的平均种植面积为52毫米(范围48-62毫米) 。 31个36个髋臼部分尺寸( 86 % )是准确的在一个大小。平均计算股骨元件尺寸为4 (范围2-7 ) , 1个规模小于实际意味着元件尺寸的5条(范围2-9 ) 。 26个36股部分尺寸( 72 % )是准确的尺寸范围内,并准确地在两个大小,但在所有4起案件( 94 % ) 。结论: EndoMap软件预测股骨元件尺寸良好, 72 %的一个组成部分的使用面积,以及94 %的两种规格。髋臼元件尺寸略好,预测86 %的一个组成部分的规模和94 %两部分大小。
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7
参考中文标题:
急性全部styloideum损伤的一个优秀运动员。
PMID及链接:
16547750 http://www.syyxw.com/Archive/Detail/16547750
摘 要:
The os styloideum, an accessory carpal bone, may suffer injury during traumatic wrist flexion. The case described corresponds to an acute os styloideum injury in an elite athlete; a diagnosis made using high-resolution computed tomography and magnetic resonance imaging permitted not only the identification of the anomaly and associated abnormalities but also ruled out more significant injury to the extensor carpi radialis brevis.
参考中文摘要:
操作系统styloideum ,从犯腕骨,可能遭受损伤的外伤性腕部屈曲。描述的情况相对应的一种急性损伤的全部styloideum的优秀运动员;诊断采用的高分辨率计算机断层扫描和磁共振成像允许不仅查明异常及相关的异常,而且还排除了更重大的伤害伸腕桡短。
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8
参考中文标题:
渐进非传染性前椎融合(哥本哈根综合症)在3个孩子:功能磁共振成像和X线。
PMID及链接:
16328382 http://www.syyxw.com/Archive/Detail/16328382
摘 要:
Progressive non-infectious anterior vertebral fusion is a rare childhood disease of unknown aetiology. It commonly presents with kyphosis associated with progressive fusion in the thoracolumbar spine. MR imaging features have not previously been described to our knowledge. Three cases presenting to our institution are described. All three children had other congenital or developmental problems. Plain radiographs showed typical features with narrowing and irregularity of the anterior endplates and developing anterior vertebral fusion. MR imaging was available in all (in one case sequentially at ages 1 and 12 years), and features demonstrated were anterior disc narrowing and anterior endplate irregularity progressing to fusion. Associated bone oedema or fatty replacement was seen in the endplates, and was most marked at the anterior corners.
参考中文摘要:
渐进非传染性前椎融合是一种罕见的儿童疾病病因不明。它通常与后凸提出相关的逐步融合在胸腰段脊柱。磁共振成像的特点而以前并未说明我们的知识。三起案件向我们介绍机构。所有的三个孩子有其他先天性或发育问题。 X线显示典型特征与缩小和不规则前终板和发展前椎融合。磁共振成像是适用于所有(在一个案件中,比上一季度在1岁和12岁) ,以及表现出的特点是盘前缩小和前挡板不规则进展到Fusion 。相关骨水肿或脂肪替代被视为在终板,是最显着的前弯道。
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9
参考中文标题:
增生性愈伤组织形成的成骨不全症V型模仿骨肉瘤: 4年的后续行动的决议。
PMID及链接:
16308718 http://www.syyxw.com/Archive/Detail/16308718
摘 要:
We report a case of hyperplastic callus formation that occurred in both femurs in a patient with type V osteogenesis imperfecta (OI), with 4-year follow-up and resolution. The clinical, histological and imaging aspects of this condition are discussed. Recognition of the hyperplastic callus formation in this particular type of OI is important in order to avoid misdiagnosis.
参考中文摘要:
我们报告一例增生形成愈伤组织发生在股骨患者V型成骨不全症(着) ,与4年的后续行动和决议。临床,病理和影像学方面的条件进行了讨论。承认增生形成愈伤组织在这特定类型的差异是重要的,以避免误诊。
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10
参考中文标题:
磁共振成像的双边横向先天性髌骨脱位的unossified 。
PMID及链接:
16308717 http://www.syyxw.com/Archive/Detail/16308717
摘 要:
We describe our experience using magnetic resonance imaging (MRI) to evaluate the unossified dislocated cartilaginous patella in a 6-year-old male patient with restricted extension and flexion deformity of both knees. MRI is used widely in the visualization of cartilage since it can show cartilage directly. In addition, FS FLASH 3D sequence has recently been accepted as a suitable sequence in the evaluation of hyaline cartilage. MRI makes it possible to evaluate ligamentous, tendinous, muscular, and cartilaginous structures as well as the abnormalities related to them. We applied this technique in our case and found it very effective in locating the unossified dislocated cartilaginous patella. We also observed structural changes such as bilateral lateral displacement of short quadriceps tendon inserting into diminutive patella, insertion of bilateral patellar tendons into anterolateral tibia, and a stretching of the medial collateral ligament associated with valgus stress.
参考中文摘要:
我们描述我们的经验,利用磁共振成像( MRI )来评价unossified髌骨脱臼软骨在6岁的男性病人,限制延长和屈曲畸形的两个膝盖上。 MRI是中广泛使用的可视化软骨因为它可以直接显示软骨。此外,财政司司长闪光的3D序列最近被接受为一个合适的序列评价透明软骨。 MRI检查可以评估韧带,腱,肌肉,软骨和结构,以及与其有关的异常。我们应用这种技术在我们的情况,并发现它非常有效地定位unossified软骨髌骨脱臼。我们还观察到的结构性变化,如双边侧向位移短期股四头肌腱插入小髌骨,插入到双边髌骨腱前胫骨和伸展的内侧副韧带与外翻应力。
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11
参考中文标题:
影像学表现自发支队三角肌作为一个复杂的大规模肩袖撕裂。
PMID及链接:
16328380 http://www.syyxw.com/Archive/Detail/16328380
摘 要:
A tear at the origin of the deltoid muscle is uncommon and usually occurs as a complication of shoulder surgery. We report a case of spontaneous deltoid detachment as a complication of massive rotator cuff tear in a 70-year-old woman evaluated by standard radiographs, ultrasound, arthrography and MR-arthrography. We present the multimodality imaging findings with review of the literature. We found that ultrasound is an accurate modality in detecting and assessing spontaneous detachment of the deltoid muscle. As ultrasound is a noninvasive, low-cost, and universally available imaging modality we suggest using ultrasound as the first modality for evaluation of spontaneous detachment of the deltoid muscle.
参考中文摘要:
撕裂的起源三角肌是罕见,通常发生的肩部手术后的并发症。我们报告一例自发三角肌支队作为一个复杂的大规模肩袖撕裂中的一名70岁女子评价标准X光片,超声,造影和磁共振造影。我们目前的综合影像学表现及文献复习。我们发现,超声是一种准确的方法检测和评估自发支队三角肌。随着超声是一种无创性,低成本,并普遍获得成像方式,我们建议使用超声作为第一方式评价自发支队三角肌。
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求助全文(仅为测试发帖,无法获取全文)