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  1

参考中文标题:

影像学表现femoroacetabular撞击综合征。 [修改] [ 21参]

作者单位:

Department of Radiologal Sciences, University of Oklahoma Health Sciences Center, 825 N.E. 10th Street, Suite 1400, Oklahoma City, OK 73104, USA.

PMID及链接:

16172860 http://www.syyxw.com/Archive/Detail/16172860

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摘  要:

Femoroacetabular impingement syndrome (FAI) is a pathologic entity which can lead to chronic symptoms of pain, reduced range of motion in flexion and internal rotation, and has been shown to correlate with degenerative arthritis of the hip. History, physical examination, and supportive radiographic findings such as evidence of articular cartilage damage, acetabular labral tearing, and early-onset degenerative changes can help physicians diagnose this entity. Several pathologic changes of the femur and acetabulum are known to predispose patients to develop FAI and recognition of these findings can ultimately lead to therapeutic interventions. The two basic mechanisms of impingement-cam impingement and pincer impingement-are based on the type of anatomic anomaly contributing to the impingement process. These changes can be found on conventional radiography, MR imaging, and CT examinations. However, the radiographic findings of this entity are not widely discussed and recognized by physicians. In this paper, we will introduce these risk factors, the proposed supportive imaging criteria, and the ultimate interventions that can help alleviate patients' symptoms. [References: 21]

参考中文摘要:

Femoroacetabular撞击综合征(议员)是一种病理实体可导致慢性症状的痛苦,减少运动范围屈曲和内旋,并已证明相关的退化性关节炎髋关节。史,体格检查, X线表现和支持,如证据的关节软骨损伤,髋臼labral撕裂,和早发性退行性变化可以帮助医生诊断这种实体。一些病理变化的股骨和髋臼是众所周知的易患病人制定固定资产投资,并承认这些调查结果可以最终导致治疗干预。的两个基本机制的冲击凸轮撞击和夹击撞击,是基于类型的解剖异常有助于撞击过程。这些变化可以发现常规X线摄影,磁共振成像和CT检查。但是, X线表现的这个实体没有广泛的讨论和认可的医生。在本文中,我们将介绍这些风险因素,拟议的支持成像标准,最终的干预,可以帮助减轻病人的症状。 [参考文献: 21 ]

出  处:

Skeletal radiology. 2005 Nov  ,34 (11) :691-701

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  2

参考中文标题:

皮射频热凝骨骨瘤:因素影响治疗效果。

作者单位:

Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry SY10 7AG, UK.

PMID及链接:

16007462 http://www.syyxw.com/Archive/Detail/16007462

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摘  要:

OBJECTIVE: To examine factors which affect local recurrence of osteoid osteomas treated with percutaneous CT-guided radiofrequency thermocoagulation. DESIGN AND PATIENTS: A prospective study was carried out on 45 patients with osteoid osteoma who underwent percutaneous radiofrequency thermocoagulation with a minimum follow-up of 12 months. RESULTS: There were seven local recurrences (16%); all occurred within the first year. Local recurrence was significantly related to a non-diaphyseal location (P<0.01). There was no significant relationship (P=0.05) between local recurrence and age of the patient, duration of symptoms, previous treatment, size of the lesion, positive biopsy, radiofrequency generator used or the number of needle positions. There were no complications. CONCLUSIONS: Osteoid osteomas in a non-diaphyseal location are statistically more likely to recur than those in a diaphyseal location when treated with CT-guided percutaneous radiofrequency thermocoagulation. This relationship between local recurrence and location has not been previously reported.

参考中文摘要:

目的:探讨影响因素局部复发的治疗骨质骨瘤经CT引导下射频热。设计与患者:前瞻性研究进行了45例骨样骨瘤谁接受经皮射频热最低后续行动的12个月。结果:有7个局部复发( 16 % ) ;发生在所有的第一年。局部复发率显着相关的非骨干位置( P “ 0.01 ) 。无显着关系( P值0.05 )之间的局部复发和患者年龄,症状的持续时间,以前的治疗,病灶大小,积极活检,射频发生器使用或针头的人数立场。没有任何并发症。结论:骨样骨瘤在非骨干位置的统计更可能发生在比那些骨干位置治疗后的CT引导下经皮射频热。这局部复发之间的关系和位置还没有以前的报告。

出  处:

Skeletal radiology. 2005 Nov  ,34 (11) :702-6

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  3

参考中文标题:

原发性滑膜骨软骨瘤病提出的紧缩capsulitis 。

作者单位:

Department of Radiology, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire SY10 7AG, UK.

PMID及链接:

16132979 http://www.syyxw.com/Archive/Detail/16132979

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摘  要:

Primary synovial chondromatosis of the joints can present as capsular constriction with peri-articular osteopenia. This rare presentation is highlighted in three cases (two hips and one shoulder). The diagnosis in all the patients was made on arthrography and/or MRI/CT and was confirmed histologically. Synovial chondromatosis should be considered in patients with this presentation. Arthrography is the best imaging modality to confirm the cause (synovial chondromatosis) and effect (constrictive capsulitis).

参考中文摘要:

原发性滑膜软骨瘤病的关节囊可以收缩本作为与周围的关节骨质疏松。这种罕见的演示突出3例( 2髋部和肩膀) 。诊断所有患者是在关节和/或MRI / CT和病理证实。滑膜软骨瘤病,应考虑患者的这一表述。造影是最好的成像方式,以确认原因(滑膜软骨瘤病)和效果(缩窄capsulitis ) 。

出  处:

Skeletal radiology. 2005 Nov  ,34 (11) :707-13

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  4

参考中文标题:

4 Ť磁共振成像chondrocalcinosis结合三维CT , X线和关节镜:报告3例。

作者单位:

Imaging Research Laboratories, Robarts Research Institute, 100 Perth Drive, P.O. Box 5015, London, Ontario N6A5K8, Canada.

PMID及链接:

16167133 http://www.syyxw.com/Archive/Detail/16167133

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摘  要:

OBJECTIVE: To describe 4 T MRI techniques in imaging chondrocalcinosis within the knee and examine the results together with those demonstrated using three-dimensional (3D) computed tomography, conventional radiography, and arthroscopy. DESIGN AND PATIENTS: From a larger clinical imaging study of early osteoarthritis, knee arthroscopy patients were imaged using high-field MRI and high-resolution 3D CT prior to their surgery. Retrospective review of the imaging data diagnosed three patients with chondrocalcinosis. Fat-suppressed 3D spoiled gradient (3D SPGR) and two-dimensional fat-suppressed fast spin echo (FSE) imaging was performed at 4 T. The MR images, multi-planar reformatted CT (MPR-CT) and maximum intensity projection CT (MIP-CT) images, and radiographs were examined by a musculoskeletal radiologist for the presence and location of chondrocalcinosis. The findings from arthroscopy were also included. RESULTS: MRI showed 16 sites of punctate hypointense regions from 18 articular surfaces and five of six menisci with similar signal characteristics. Both meniscal chondrocalcinosis and meniscal tears were clearly visible using the 3D SPGR sequence. Only three sites were demonstrated to have calcification using MPR-CT and MIP-CT revealed an additional three. In articular cartilage surfaces showing surface disruption, arthroscopy demonstrated 11 sites with crystal deposition. Arthroscopy also revealed five menisci with calcification present. CONCLUSION: Our preliminary findings suggest that imaging chondrocalcinosis using spoiled gradient 4 T MRI is superior and complementary to the other imaging modalities in the detection of crystal deposition in both articular cartilage and menisci.

参考中文摘要:

目的: 4 Ť核磁共振成像技术在膝关节chondrocalcinosis和审查的结果连同这些证明用三个三维( 3D )电脑断层扫描,常规X线和关节镜检查。设计与患者:从更大的临床影像学研究的早期骨性关节炎,膝关节镜成像患者使用高场强磁共振成像和高分辨率三维CT之前手术。回顾性诊断的影像资料3例chondrocalcinosis 。脂肪抑制扰相梯度三维(三维梯度回波同)和二维脂肪抑制快速自旋回波股份公司( FSE )成像是完成4吨的MRI图像,多平面重建的CT (平面扫描)和最大密度投影的CT (炎性蛋白的CT )图像和X光检查的肌肉骨骼放射的存在和位置chondrocalcinosis 。关节镜的结果也包括在内。结果: MRI显示16个网站的点状低的地区由18个关节面和六个半月板类似的信号特征。这两个半月板chondrocalcinosis和半月板眼泪清晰可见使用三维梯度回波同序列。只有3个网站被证明具有钙化使用平面扫描和MIP -电脑断层显示另外三个。关节软骨表面显示表面破坏,关节镜显示11幅晶体沉积。关节镜检查还显示五个半月板钙化本。结论:我们的初步调查结果表明,成像chondrocalcinosis使用破坏梯度吨MRI是上级和补充其他成像方法检测晶体沉积在关节软骨和半月板。

出  处:

Skeletal radiology. 2005 Nov  ,34 (11) :714-21

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  5

参考中文标题:

MRI和超声在单独肌肉和软组织囊虫病。

作者单位:

Jankharia Imaging CT/MRI, Mumbai, Maharashtra, India. bhavin@jankharia.com

PMID及链接:

16167132 http://www.syyxw.com/Archive/Detail/16167132

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摘  要:

Solitary cysticercosis of muscles and soft tissue is a rare disease and can cause a diagnostic dilemma clinically. We present the MRI and ultrasound findings in six patients with solitary muscular and soft tissue cysticercosis. Five of them had clear cysts that displayed low signal intensity on T1-weighted images and high signal intensity on T2-weighted images. Four of these cysts had scolices within them. One patient had an ill-defined hyperintense lesion on T2-weighted images without any clear cyst. Ultrasound performed in all patients showed similar findings, with the scolices being more clearly appreciated. MRI and ultrasound are useful in the diagnosis of solitary muscular and soft tissue cysticercosis and they reliably establish the diagnosis when a clear cyst with scolex is seen.

参考中文摘要:

孤立囊虫病的肌肉和软组织是一种罕见的疾病,并可能导致临床诊断困境。我们目前的磁共振成像和超声结果在36例单独肌肉和软组织囊虫病。其中5人已明确囊肿这显示低信号强度对T1加权图像和高信号T2加权图像。其中有4个囊肿已scolices内。 1例患者有不良定义高病变的T2加权图像没有任何明确囊肿。超声履行所有患者类似的调查结果显示,与scolices被更清楚地赞赏。 MRI和超声是有用的诊断孤立肌肉和软组织囊虫病和他们建立可靠的诊断时,明确囊肿是头节。

出  处:

Skeletal radiology. 2005 Nov  ,34 (11) :722-6

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  6

参考中文标题:

定量超声手指骨在队列的同卵双胞胎:影响,遗传和环境因素。

作者单位:

Department of Radiology, Scientific Institute Hospital Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy. guglielmi_g@hotmail.com

PMID及链接:

15999282 http://www.syyxw.com/Archive/Detail/15999282

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摘  要:

OBJECTIVE: Our objective was to evaluate the similarities and differences in bone mass and structure between pairs of monozygotic twins as measured by means of the quantitative ultrasound (QUS) technique. DESIGN: A cohort of monozygotic twins was measured by QUS of the hand phalanges using the DBM sonic bone profiler (IGEA, Carpi, Italy). The parameters studied were amplitude-dependent speed of sound (AD-SoS), ultrasound bone profile index (UBPI), signal dynamics (SDy) and bone transmission time (BTT). Linear correlation coefficients, multivariate linear analysis and the ANOVA test were used to assess intrapair associations between variables and to determine which factors influence the intrapair differences in QUS variables. PATIENTS: One hundred and six pairs of monozygotic twins were enrolled in the study, 68 females and 38 males in the age range 5 to 71 years. RESULTS: Significant intrapair correlations were obtained in the whole population and separately for males and females, regarding height ( r =0.98-0.99, p <0.0001), weight ( r =0.95-0.96, p <0.0001), AD-SoS ( r =0.90-0.92, p <0.0001), BTT ( r =0.94-0.95, p <0.0001) and other QUS parameters ( r >0.74, p <0.0001). Multivariate analysis revealed that intrapair differences between AD-SoS, SDy, UBPI and BTT are significantly influenced by age in the whole population and in the female population. Furthermore, the ANOVA test showed, for the female group, a significant increase in the intrapair differences in SDy and UBPI above 40 years. CONCLUSIONS: A relative contribution of genetic factors to skeletal status could be observed by phalangeal QUS measurement in monozygotic twins. A significant increase in the intrapair difference in QUS parameters with increasing age and onset of menopause also suggests the importance of environmental factors in the female twin population.

参考中文摘要:

目的:我们的目标是评价的异同骨量和结构之间对同卵双胞胎作为衡量手段的定量超声(定量超声)技术。设计:队列的同卵双胞胎是由定量超声测量的手指骨使用脱钙骨探查声波( IGEA ,鹅,意大利) 。参数研究了振幅依赖音速(广告SOS儿童村) ,超声骨剖面指数( UBPI ) ,信号动态( SDy )和骨传输时间(过渡时期工作队) 。线性相关系数,多元线性分析和方差分析试验被用来评估对内协会之间的变量,并确定哪些因素影响对内差异定量超声变数。患者: 106 6对同卵双胞胎参加了学习, 68名女性和男性在38岁以下范围5至71岁。结果:相关性得到了对内在整个人口和分别为男性和女性,就高度(注册商标= 0.98-0.99 ,磷“ 0.0001 ) ,体重(注册商标= 0.95-0.96 ,磷” 0.0001 ) ,广告SOS救援中心(注册商标= 0.90-0.92 ,磷“ 0.0001 ) ,过渡时期工作队(注册商标= 0.94-0.95 ,磷” 0.0001 )和其他定量超声参数(注册商标“ 0.74 ,磷” 0.0001 ) 。多变量分析表明,对内差异广告SOS儿童村, SDy , UBPI和过渡时期工作队的影响是显着的年龄在整个人口和女性人口。此外,方差分析结果显示,女组,显着增加对内差异SDy和UBPI超过40年。结论:相对贡献遗传因素骨骼状况可以观察到指骨定量超声测量的同卵双胞胎。显着增加,对内差异定量超声参数随发病年龄和更年期还建议的重要性,环境因素在女性双胞胎人口。

出  处:

Skeletal radiology. 2005 Nov  ,34 (11) :727-35

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  7

参考中文标题:

滑膜软骨瘤病的脚呈现跖跗关节脱位。

作者单位:

Department of Radiology, The Royal National Orthopaedic Hospital NHS Trust, Stanmore, Middlesex HA7 4LP, UK. Asaifuddin@aol.com

PMID及链接:

15990990 http://www.syyxw.com/Archive/Detail/15990990

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摘  要:

Primary synovial chondromatosis is rare in the foot. We report a case of synovial chondromatosis affecting multiple sites of the foot and causing bone erosions in a 44-year-old woman. Radiographs demonstrated erosions of multiple metatarsals including the tarsometatarsal joints, resulting in Lisfranc tarsometatarsal dislocation. Magnetic resonance imaging showed the widespread synovial proliferation and soft tissue masses affecting the foot and helped in arriving at a differential diagnosis and plan for needle biopsy. Diagnosis was made initially by needle biopsy under computed tomography guidance and was subsequently confirmed by histopathological assessment of the surgically excised synovial masses. To our knowledge, multifocal synovial chondromatosis causing Lisfranc dislocation in the foot has not been reported previously.

参考中文摘要:

原发性滑膜软骨瘤病是非常罕见的脚。我们报告一例滑膜软骨瘤病影响多个站点的脚,并造成骨糜烂在44岁女子。 X光片显示糜烂多跖骨包括跖跗关节,导致跖跗跖跗关节脱位。磁共振成像显示了广泛的滑膜增生和软组织群众影响英尺,并帮助达成一项鉴别诊断和计划穿刺活检。诊断是最初由穿刺活检的指导下计算机断层扫描,随后证实了病理学评估群众滑膜切除手术。据我们所知,多滑膜软骨瘤病引起跖跗关节脱位的脚还没有以前的报告。

出  处:

Skeletal radiology. 2005 Nov  ,34 (11) :736-9

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  8

参考中文标题:

的四十字标志的同时bicompartmental内侧和外侧斗处理半月板眼泪。

作者单位:

Department of Radiology, University of Miami School of Medicine/Jackson Memorial Hospital, 1611 NW 12 Avenue, Miami, FL 33136, USA.

PMID及链接:

15895223 http://www.syyxw.com/Archive/Detail/15895223

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摘  要:

We report the second known case of bicompartmental bucket-handle tears of the medial and lateral menisci and the first documented case of the bucket-handle tears occurring simultaneously following trauma, which occurred after a motorcycle accident. Both bucket-handle fragments were displaced into the intercondylar notch. An anterior cruciate ligament tear was also present. Coronal images demonstrated four structures in the intercondylar notch: the anterior and posterior cruciate ligaments and the medial and lateral bucket-handle meniscal fragments.

参考中文摘要:

我们报告的第二个已知的案件bicompartmental斗处理眼泪内侧和外侧半月板,并首次记录案件斗柄眼泪同时发生下面的创伤,之后发生的一次摩托车事故。双方斗处理片段流离失所纳入间缺口。一个前十字韧带撕裂也出席了会议。日冕图像显示四个结构间切迹:对前,后交叉韧带和内侧和外侧斗处理半月板碎片。

出  处:

Skeletal radiology. 2005 Nov  ,34 (11) :740-4

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  9

参考中文标题:

脊柱上皮样血管内皮瘤与上皮angiosarcomatous领域。

作者单位:

Department of Pathology and Oncology, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan.

PMID及链接:

15877225 http://www.syyxw.com/Archive/Detail/15877225

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摘  要:

Epithelioid hemangioendothelioma is a distinctive vascular tumor rarely involving bones. We report a case of epithelioid hemangioendothelioma in the cervical spine with angiosarcomatous areas. A 50-year-old female presented with dizziness while walking. A mixed sclerotic and osteolytic or destructive lesion was radiographically disclosed in her upper cervical vertebrae. Histologically, a laminectomy specimen exhibited areas of ordinary epithelioid hemangioendothelioma together with foci of more atypical epithelioid cell proliferation, closely resembling epithelioid angiosarcoma. This phenomenon has been exceptionally described in cases with skeletal lesions, which are typically of low-grade malignancy.

参考中文摘要:

上皮样血管内皮瘤是一种独特的血管肿瘤很少涉及骨头。我们报告一例上皮样血管内皮瘤在颈椎angiosarcomatous地区。一位50岁的女性头晕而散步。混合硬化和溶骨性或破坏性病变X线中披露她的上颈椎。组织学上,一个椎板切除标本展示区的普通上皮样血管内皮瘤连同灶更非典型上皮细胞增殖,上皮样血管肉瘤极为相似。这种现象已非常描述例骨骼病变,这是典型的低度恶性肿瘤。

出  处:

Skeletal radiology. 2005 Nov  ,34 (11) :745-9

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  10

参考中文标题:

上皮样血管内皮瘤的表型所引起的血管瘤的腓骨。

作者单位:

Department of Diagnostic Radiology, Changi General Hospital, Singapore.

PMID及链接:

15834563 http://www.syyxw.com/Archive/Detail/15834563

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摘  要:

The classification of certain vascular bone tumors that show an epithelioid cytologic appearance remains confusing, with overlap in features of epithelioid hemangioma, hemangioendothelioma and epithelioid hemangioendothelioma. Radiographs of a 27-year-old woman who presented with ankle pain showed an expanded lytic-sclerotic lesion in the distal left fibula. Magnetic resonance imaging showed an intramedullary lesion with a small lateral intracortical component. The lesion was hypo- to isointense to muscle on T1-weighted images and heterogeneously hyperintense on T2-weighted images. Initial incisional biopsy was inconclusive. Open biopsy showed hemangioendothelioma with epithelioid morphology, and the lesion was completely resected with reconstruction using a peroneal fibular rotation graft. Examination of the resected specimen showed focal hemangioendothelioma with an epithelioid phenotype arising in a hemangioma. This case illustrates the difficulty and pitfalls of making the correct diagnosis on the basis of a small biopsy specimen.

参考中文摘要:

分类的某些血管骨肿瘤,显示了上皮细胞的外观仍然混乱,与重叠功能的上皮样血管瘤,血管内皮细胞瘤和上皮样血管内皮瘤。 X光片的27岁女子谁提出脚踝疼痛表明扩大溶解,硬化性病变远端左腿腓骨骨折。磁共振成像显示髓内病变的一个小侧面intracortical组成部分。病变是低到isointense肌肉在T1加权像和异质性高的T2加权图像。初步切口活检定论。开放活检显示上皮样血管内皮瘤的形态,并完全切除病灶与重建使用轮换腓腓骨移植。检查切除标本显示联络的上皮样血管内皮瘤型血管瘤中产生。这一案例说明的困难和隐患,使正确的诊断的基础上,一个小活检标本。

出  处:

Skeletal radiology. 2005 Nov  ,34 (11) :750-4

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