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1
参考中文标题：
修订置换术：1更新。
作者单位：
Hip and Knee Arthroplasty Team, Nuffield Orthopaedic Centre, Oxford, UK. danhwilliams@hotmail.com
PMID及链接：
19701811 http://www.syyxw.com/Archive/Detail/19701811
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出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1031-6
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2
参考中文标题：
Camurati -恩吉尔曼疾病：成像，临床特点及鉴别诊断。
作者单位：
Clinic of Chest Diseases, Allergology and Radiology, Vilnius University Hospital Santariskiu klinikos, Vilnius, Lithuania.
PMID及链接：
19214502 http://www.syyxw.com/Archive/Detail/19214502
全文链接：
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摘 要：
We report four sporadic and three familial patients with Camurati-Engelmann disease. One patient had follow-up examinations over 8 years. Pain in the extremities and muscle weakness were common clinical symptoms. Most patients also had cranial nerve impairment, hepatosplenomegaly, a waddling gait, and elevated serum alkaline phosphatase levels. Long bones were affected in all. We discuss the differential diagnosis for this interesting bone entity.
参考中文摘要：
我们报告四个零星和三个家族患者Camurati -恩吉尔曼疾病。一个病人后续检查了8年。疼痛，四肢和肌肉无力是常见的临床症状。大多数患者也有颅神经损害，肝脾肿大，一个摇摆步态，并升高血清碱性磷酸酶水平。长骨的影响在所有。我们讨论的鉴别诊断本有趣骨实体。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1037-43
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3
参考中文标题：
调查的初步管理和成像议定书舟状骨骨折的隐匿在英国医院。
作者单位：
Department of Trauma and Orthopaedics, Countess of Chester Hospital NHS Foundation Trust, Countess of Chester Health Park, Chester, UK. sbrookesfazakerley@yahoo.co.uk
PMID及链接：
19194702 http://www.syyxw.com/Archive/Detail/19194702
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摘 要：
OBJECTIVE: The aim of this research was to survey how occult fractures of the scaphoid bone are both imaged and managed initially. MATERIALS AND METHODS: A total of 832 questionnaires were sent via e-mail to active associate members of the British Orthopaedic Association. Included was a series of questions regarding the timing of initial and subsequent orthopaedic review of this group of patients and the use of serial radiographs and second-line imaging techniques. RESULTS: Nearly half of the UK's acute NHS trusts were represented (45%). The response rate was 16% (130 out of 832). Only 16% of respondents were aware of a local imaging protocol for the investigation of suspected fractures of the scaphoid. Ninety-four percent of respondents performed a second radiograph at first fracture clinic review. Fifty-eight percent used magnetic resonance imaging (MRI) as a second-line investigation; with computed tomography scan and radionuclide isotope bone scan being performed by 26% and 16% respondents, respectively. CONCLUSIONS: The survey revealed a wide variation in the management of occult fractures of the scaphoid. MRI has been shown to be both sensitive and specific in diagnosing occult carpal bone fractures. There is a need to standardise the management of these injuries to ensure early diagnosis and limit unnecessary wrist immobilisation.
参考中文摘要：
目的：本研究调查如何隐匿的舟状骨骨折的骨都是影像和管理开始。材料与方法：共832共发出问卷通过电子邮件发送给积极准成员的英国整形外科协会。包括了一系列有关的问题的时机初次及以后的骨科审查的这组病人和使用串行线和第二线成像技术。结果：近一半的英国急性琥珀酰亚胺相信派代表出席了会议（ 45 ％ ） 。答复率为16 ％ （ 130的832 ） 。只有16 ％的受访者知道有一个地方成像议定书调查可疑的舟状骨骨折。 92百分之四的受访者进行了第二次X光首先骨折诊所审查。第五十五百分之八使用磁共振成像（ MRI ） ，作为第二线的调查;与电脑断层扫描和放射性核素同位素骨扫描正在执行的26 ％和16 ％的受访者分别。结论：调查结果显示了广泛的变化管理中的隐匿性骨折的舟。磁共振成像已经被证明是双方的敏感性和特异性诊断隐匿性腕骨折。有必要的标准化管理，以确保这些损伤早期诊断和限制不必要的手腕固定。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1045-8
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4
参考中文标题：
超声的手和脚的rheumatological障碍：对临床诊断的信心和耐心的管理。
作者单位：
Department of Medicine, McMaster University, Ontario, Canada.
PMID及链接：
19551379 http://www.syyxw.com/Archive/Detail/19551379
全文链接：
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摘 要：
PURPOSE: The purpose of the study was to quantify the impact that ultrasound (US) of the hands and feet has on the rheumatologists' diagnostic confidence and on patient management. MATERIALS AND METHODS: There were 62 consecutive referrals from two rheumatologists for US of the hands and/or feet for this prospective controlled observational study. Measurements of diagnostic confidence for both specific clinical findings as well as overall diagnosis using a Likert scale were made both before and after the US examination in each case. Proposed management was also recorded before US and then with the benefit of the US result. McNemar's test was performed to determine differences in diagnostic certainty and proposed management before and after US. RESULTS: The physician certainty for specific clinical findings increased significantly following US for synovitis (9.7 vs 38.7%), tenosynovitis (9.7 vs 46.8%), erosions (1.6 vs 58.1%), enthesitis (50.0 vs 83.9%) and other (53.2 vs 77.4%). The physician certainty for overall diagnosis increased significantly for seronegative arthritis (46.8 vs 61.3%), inflammatory osteoarthritis (46.8 vs 87.1%), and primary osteoarthritis (46.8 vs 73.0%). A total of 88.7% of patients had disease-modifying antirheumatic drugs as a proposed management option before US vs 48.4% after US. Before US, 4.8% of patients had non-steroidal anti-inflammatory drug as a proposed management option versus 45.2% after US. CONCLUSION: Ultrasound of the hands and/or feet significantly influenced the rheumatologists' diagnostic confidence in specific clinical findings and management plans.
参考中文摘要：
目的：研究的目的是量化的影响，超声（美国）的手和脚已经对风湿科医师'诊断的信心和对病人的管理。材料与方法：有62个连续的推介两个风湿科医师对美国的双手和/或脚控制这一潜在的观测研究。测量诊断信心具体临床表现，以及全面的诊断使用利克特量表作了之前和之后，美国考试在每一种情况下。拟议的管理也记录，然后在美国的利益，美国的结果。麦克尼马尔的测试是确定不同的诊断肯定，并提出管理之前和之后美国。结果：医生确定具体临床表现为显着增加以下美国滑膜炎（ 9.7比38.7 ％ ） ，腱鞘炎（ 9.7比46.8 ％ ） ，糜烂（ 1.6比58.1 ％ ） ，附着点（ 50.0比83.9 ％ ）和其他（ 53.2比77.4 ％ ） 。医生诊断确定性大大增加总的阴性关节炎（ 46.8比61.3 ％ ） ，炎性关节炎（ 46.8比87.1 ％ ） ，小学骨关节炎（ 46.8比73.0 ％ ） 。总共有88.7 ％的患者疾病的修改药作为建议管理办法之前，美国队后，美国的48.4 ％ 。在美国， 4.8 ％的患者有非甾体抗炎药作为拟议的管理办法与45.2 ％ ，因美国。结论：超声的双手和/或脚明显影响风湿科医师'的信心，具体诊断的临床结果和管理计划。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1049-54
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中文提供：
5
参考中文标题：
在T1和T2弛豫时间及磁化转移率中的应用髌骨软骨骨关节炎的早期诊断。
作者单位：
Department of Radiology, Shanghai No.6 People's Hospital affiliated to Shanghai Jiaotong University, Shanghai, China. yaoweiwu@yahoo.com
PMID及链接：
19688346 http://www.syyxw.com/Archive/Detail/19688346
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摘 要：
OBJECTIVES: We compare the T1 and T2 relaxation times and magnetization transfer ratios (MTRs) of normal subjects and patients with osteoarthritis (OA) to evaluate the ability of these techniques to aid in the early diagnosis and treatment of OA. MATERIALS AND METHODS: The knee joints in 11 normal volunteers and 40 patients with OA were prospectively evaluated using T1 relaxation times as measured using delayed gadolinium-enhanced MRI of cartilage (dGEMRIC), T2 relaxation times (multiple spin-echo sequence, T2 mapping), and MTRs. The OA patients were further categorized into mild, moderate, and severe OA. RESULTS: The mean T1 relaxation times of the four groups (normal, mild OA, moderate OA, and severe OA) were: 487.3 +/- 27.7, 458.0 +/- 55.9, 405.9 +/- 57.3, and 357.9 +/- 36.7 respectively (p <0.001). The mean T2 relaxation times of the four groups were: 37.8 +/- 3.3, 44.0 +/- 8.5, 50.9 +/- 9.5, and 57.4 +/- 4.8 respectively (p < 0.001). T1 relaxation time decreased and T2 relaxation time increased with worsening degeneration of patellar cartilage. The result of the covariance analysis showed that the covariate age had a significant influence on T2 relaxation time (p < 0.001). No significant differences between the normal and OA groups using MTR were noted. CONCLUSION: T1 and T2 relaxation times are relatively sensitive to early degenerative changes in the patellar cartilage, whereas the MTR may have some limitations with regard to early detection of OA. In addition, The T1 and T2 relaxation times negatively correlate with each other, which is a novel finding.
参考中文摘要：
目标：我们比较T1和T2弛豫时间及磁化转移率（中期）正常人和骨关节炎（OA）患者，以评估这些技术的能力，以便帮助早期诊断和治疗关节炎。材料与方法：在11例正常志愿者的关节和膝关节炎患者40例进行了前瞻性评估使用T1弛豫时间的测量使用延迟钆增强软骨（dGEMRIC），T2弛豫时间（多自旋回波序列磁共振成像中，T2映射） ，和中期审查。 OA的患者进一步分为轻度，中度和重度办公自动化。结果：平均的4个小组T1弛豫时间（正常，轻度办公自动化，办公自动化中度和重度OA）的分别为：487.3 + / - 27.7，458.0 + / - 55.9，405.9 + / - 57.3，和357.9 + / - 36.7 （P均“0.001）。平均T2的4个小组弛豫时间分别为：37.8 + / - 3.3，44.0 + / - 8.5，50.9 + / - 9.5，和57.4 + / - 4.8（P均“0.001）。 T1弛豫时间下降和T2弛豫时间日益严重的髌骨软骨退变的增加。协方差分析结果表明，协变量的年龄了对T2弛豫时间显着影响（均P“0.001）。与正常办公使用车站团体无显着差异说。结论：T1和T2弛豫时间比较敏感，在早期髌骨软骨退行性改变，而地铁可能与办公自动化方面及早发现一些限制。此外，T1和T2弛豫时间呈负彼此，这是一个新发现关联。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1055-62
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中文提供：
6
参考中文标题：
冈上肌腱眼泪：比较三维美国和MR关节造影与手术的相关性。
作者单位：
Department of Radiology, Kangwon National University Hospital, Kangwon-do, Korea.
PMID及链接：
19543893 http://www.syyxw.com/Archive/Detail/19543893
全文链接：
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摘 要：
OBJECTIVE: The objective of the study was to compare the diagnostic reliability of 3D US with MR arthrography in diagnosing supraspinatus tendon tears, with arthroscopic findings used as the standard. MATERIALS AND METHODS: In a prospective study 50 patients who later underwent arthroscopic surgery of the rotator cuff were examined pre-operatively by 3D US with MR arthrography. The presence or absence of a full- or partial-thickness supraspinatus tendon tear and the tear size as demonstrated by each imaging and arthroscopy was recorded. The tear size was divided into three grades: small (<1 cm), medium (1-3 cm), and large (>3 cm). RESULTS: The arthroscopic diagnosis was a full-thickness tear in 40 patients, partial-thickness tears in 5, and intact supraspinatus tendon in 5. 3D US correctly diagnosed 35 out of 40 full-thickness tears and MR arthrography 39 out of 40 full-thickness tears. Regarding partial-thickness tears, 3D US underestimated 2 cases as no tear and overestimated 1 case as a full-thickness tear. MR arthrography underestimated 1 case as a partial-thickness tear and overestimated 2 cases as full-thickness and partial-thickness tears respectively. 3D US and MR arthrography yield a sensitivity for full-thickness tears of 87.5% and 97.5% with specificity of 90.0% and 90.0%. Based on the grading system, 3D US measurements correctly predicted the tear size of 23 (65.7%) of the 35 full-thickness tears and MR arthrography 30 (75.0%) of the 39 full-thickness tears. CONCLUSION: Three-dimensional ultrasound seems to be a promising imaging modality comparable to MR arthrography for the assessment of the supraspinatus tendon tears.
参考中文摘要：
目的：该研究的目标是比较可靠的诊断三维美国与MR关节造影诊断冈上肌腱的眼泪，与关节镜结果所采用的标准。材料与方法：前瞻性研究50例谁接受关节镜手术后的肩袖检查术前的三维美国与MR关节造影。是否存在着一个完整的或部分厚度冈上肌腱撕裂和催泪规模就表明了每个成像和关节镜检查记录。催人泪下的大小分为三个等级：小“ （ < 1厘米） ，中期（ 1-3公分） ，大（ ” 3厘米） 。结果：关节镜诊断是一个全层撕裂40例，部分厚度在5眼泪，和完整的冈上肌腱在5 。三维正确诊断35个美国的40个全层眼泪和磁共振造影39的40个全层眼泪。关于部分厚度眼泪，三维美国低估2例无撕裂和高估1例为全层撕裂。 MR关节造影低估1例为部分厚度催泪和高估2例为全层和部分厚度分别眼泪。三维美国和MR关节造影产量的敏感性为全层撕裂87.5 ％和97.5 ％的特异性90.0 ％ ， 90.0 ％ 。基于分级系统，三维测量准确预测美国的催泪大小23 （ 65.7 ％ ）的35个全层眼泪和MR关节造影30 （ 75.0 ％ ）的39个全层眼泪。结论：三维超声似乎是一个充满希望的成像方式相比，磁共振造影评估的冈上肌腱眼泪。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1063-9
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中文提供：
7
参考中文标题：
内观察员和interobserver可靠性'皮'计算机断层扫描方法量化关节骨缺损在肩关节前方不稳定。
作者单位：
Department of Radiology, Catholic University, Rome, Italy.
PMID及链接：
19466406 http://www.syyxw.com/Archive/Detail/19466406
全文链接：
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摘 要：
OBJECTIVE: To evaluate the intra-observer and interobserver reliability of the 'Pico' computed tomography (CT) method of quantifying glenoid bone defects in anterior glenohumeral instability. MATERIALS AND METHODS: Forty patients with unilateral anterior shoulder instability underwent CT scanning of both shoulders. Images were processed in multiplanar reconstruction (MPR) to provide an en face view of the glenoid. In accordance with the Pico method, a circle was drawn on the inferior part of the healthy glenoid and transferred to the injured glenoid. The surface of the missing part of the circle was measured, and the size of the glenoid bone defect was expressed as a percentage of the entire circle. Each measurement was performed three times by one observer and once by a second observer. Intra-observer and interobserver reliability were analyzed using intraclass correlation coefficients (ICCs), 95% confidence intervals (CIs), and standard errors of measurement (SEMs). RESULTS: Analysis of intra-observer reliability showed ICC values of 0.94 (95% CI = 0.89-0.96; SEM = 1.1%) for single measurement, and 0.98 (95% CI = 0.96-0.99; SEM = 1.0%) for average measurement. Analysis of interobserver reliability showed ICC values of 0.90 (95% CI = 0.82-0.95; SEM = 1.0%) for single measurement, and 0.95 (95% CI = 0.90-0.97; SEM = 1.0%) for average measurement. CONCLUSION: Measurement of glenoid bone defect in anterior shoulder instability can be assessed with the Pico method, based on en face images of the glenoid processed in MPR, with a very good intra-observer and interobserver reliability.
参考中文摘要：
目的：评价内观察员和interobserver可靠性'皮'计算机断层扫描（ CT ）方法量化关节骨缺损前肩关节不稳定。材料与方法： 40例肩关节前方不稳定单方面接受CT扫描的两个肩膀。图像处理了多平面重建（ MPR ）提供一个恩面对鉴于盂。根据皮的方法，一个圆圈被提请的劣势部分健康关节和移交给受伤关节。表面失踪部分的圆圈，测量，以及大小关节骨缺损是一个百分比来表示整个循环。每个测量进行三次一位观察员和一次第二个观察员。内观察员和可靠性进行了分析interobserver使用内相关系数（国际商会） ， 95 ％置信区间（独联体） ，和标准误差的测量（专员） 。结果：分析内部观察员可靠性表明国际商会值0.94 （ 95 ％ CI为0.89-0.96 ;扫描电镜= 1.1 ％ ）为单一测量， 0.98 （ 95 ％ CI为0.96-0.99 ;扫描电镜= 1.0 ％ ）的平均测量。分析显示，国际刑事法院interobserver可靠性值0.90 （ 95 ％ CI为0.82-0.95 ;扫描电镜= 1.0 ％ ）为单一测量， 0.95 （ 95 ％ CI为0.90-0.97 ;扫描电镜= 1.0 ％ ）的平均测量。结论：测量关节骨缺损在肩关节前方不稳定可以评估的Pico方法的基础上，恩脸图像的关节处理重建，以一个非常好的内部观察员和interobserver可靠性。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1071-5
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中文提供：
8
参考中文标题：
颈椎椎间孔硬膜外注射类固醇的管理颈椎神经根：一个比较研究微粒与非类固醇微粒。
作者单位：
Department of Radiology, Seoul National University Bundang Hospital, Gyeonggi-Do, Korea.
PMID及链接：
19543892 http://www.syyxw.com/Archive/Detail/19543892
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摘 要：
OBJECTIVE: To determine if a particulate steroid which has a risk for embolic infarct would be more effective than a non-particulate steroid for transforaminal epidural steroid injection (TFESI). The purpose of this study was (1) to compare the effect of cervical TFESI using particulate (e.g., triamcinolone) and non-particulate (e.g., dexamethasone) steroids and (2) to evaluate the effectiveness of cervical TFESI in general. MATERIALS AND METHODS: From January 2006 to August 2008, 159 consecutive patients [male:female (M:F) 89:70; mean age 53 years, range 33-75 years] who underwent cervical TFESI were included in this non-randomized study. For cervical TFESI, triamcinolone was injected into 97 patients and dexamethasone into 62 patients. Short-term follow-up was conducted within 1 month. The outcome was classified as effective or ineffective. Fisher's exact test was used to analyze the difference of outcome according to the injected steroid (triamcinolone vs dexamethasone). Other possible outcome predictors, such as age, gender, duration of radiculopathy, predominant symptom, attack of radiculopathy, cause of radiculopathy, number of nerve root compression levels, previous operation, and failure of previous interlaminar epidural injection, were also analyzed. RESULTS: Cervical TFESI using triamcinolone (78/97, 80.4%) was slightly more effective than that using dexamethasone (43/62, 69.4%), which was not significant (P = 0.129). In general, cervical TFESIs were effective in 121 of 159 patients (76.1%) at short-term follow-up. The only significant outcome predictor was whether the patient had had a previous operation (6/13, 46/2%) or not (115/146, 78.8%) (P = 0.015). CONCLUSION: There was no significant difference between particulate or non-particulate steroid for the effect of cervical TFESI. Cervical TFESI was effective in managing cervical radiculopathy in general.
参考中文摘要：
目的：如果要判断颗粒类固醇具有风险栓塞梗死将更为有效比非颗粒类固醇椎间孔硬膜外类固醇注射（ TFESI ） 。本研究的目的是： （ 1 ）比较颈椎TFESI使用微粒（例如，曲）和非微粒（如地塞米松）类固醇和（二）评价的有效性宫颈癌TFESI一般。材料与方法：从2006年1月至2008年8月， 159例[男性：女性（男：女） 89:70 ，平均年龄53岁，范围33-75岁]谁接受颈椎TFESI被列入这一非随机试验研究。子宫颈癌TFESI ，曲注入97例，地塞米松到62例。短期随访1个月内进行。结果被归类为有效或无效。 Fisher的精确检验，分析结果的差异，根据注射类固醇（曲安奈德与地塞米松） 。其他可能的结果预测，诸如年龄，性别，期限根，主要症状，发作的神经根，造成神经根，一些神经根压迫的水平，以往的运作，并没有先前间硬膜外注射，进行了分析。结果：颈椎TFESI使用曲（九十七分之七十八， 80.4 ％ ）略比更有效地使用地塞米松（ 43/62 ， 69.4 ％ ） ，这是没有意义（ P = 0.129 ） 。一般来说，子宫颈癌TFESIs是有效的121 159例（ 76.1 ％ ）短期的后续行动。唯一重要的成果是预测患者是否有以前的操作（ 6月13日，第46 / 2 ％ ）或没有（ 146分之115 ， 78.8 ％ ） （ P值0.015 ） 。结论：无显着性差异颗粒或非类固醇微粒的影响颈椎TFESI 。颈椎TFESI有效管理颈神经根一般。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1077-82
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9
参考中文标题：
超声引导注射麻醉前斜角肌调查神经胸廓出口综合征。
作者单位：
Division of Musculoskeletal Radiology, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. mtorriani@hms.harvard.edu
PMID及链接：
19440705 http://www.syyxw.com/Archive/Detail/19440705
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摘 要：
OBJECTIVE: To describe the technique and complications of sonographically guided anesthetic injection of the anterior scalene muscle in patients being investigated for neurogenic thoracic outlet syndrome. MATERIAL AND METHODS: Subjects were identified via a retrospective review of medical records. For the procedure a 25-gauge needle was introduced into the anterior scalene muscle under real-time ultrasound guidance followed by injection of local anesthetic. The procedures were evaluated for technical success, which was defined as satisfactory identification of anterior scalene muscle, intramuscular needle placement, and intramuscular delivery of medication. There was a short-term follow-up to determine procedure-related complications and rate of unintended brachial plexus (BP) block, manifested by upper extremity paresthesias and/or weakness. RESULTS: Twenty-six subjects with suspected neurogenic thoracic outlet syndrome underwent 29 injections (three subjects received bilateral injections). Technical success was achieved in all procedures. The mean duration of the procedure was 30 min, and there were no cases of intravascular needle placement or neurogenic pain during the injection. No major complications occurred. Temporary symptoms of partial BP block occurred after nine injections (9/29, 31%), and a temporary complete BP block occurred after one injection (1/29, 3%). CONCLUSION: Sonographically guided anesthetic injection of the anterior scalene muscle is a safe and well-tolerated diagnostic test for patients being investigated for neurogenic thoracic outlet syndrome.
参考中文摘要：
目的：描述技术及并发症的超声引导麻醉注射前斜角肌被调查患者的神经胸廓出口综合征。材料与方法：受试者为确定通过回顾性的医疗记录。的程序25衡量针引入前斜角肌根据实时超声引导其次是注射局部麻醉剂。评价的程序的技术取得成功，其定义是令人满意的鉴定前斜角肌，肌肉注射针的位置，和肌内提供药物。有一个短期的后续行动，以确定程序有关的并发症和意外率臂丛（ BP ）的阻挡，所表现出上肢paresthesias和/或弱点。结果： 26名受试者怀疑神经胸廓出口综合征接受注射29日（三个主题得到了双边注射） 。技术成功实现了所有程序。平均持续时间的程序是30分钟，没有箱子内针或神经性疼痛安置在注射。无重大并发症发生。临时症状部分的BP块注射后发生的九（ 9月29日， 31 ％ ） ，和一个临时的BP块完成后发生的一次注射（ 1月29日， 3 ％ ） 。结论：超声引导麻醉注射前斜角肌是一种安全，耐受性良好的诊断测试的患者正在接受调查的神经胸廓出口综合征。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1083-7
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10
参考中文标题：
粉碎下肢骨折与2008年四川地震：部位，数量和状态的评价，数字成像和多层计算机断层扫描。
作者单位：
Department of Radiology, West China Hospital of Sichuan University, Sichuan, China.
PMID及链接：
19554326 http://www.syyxw.com/Archive/Detail/19554326
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摘 要：
OBJECTIVE: To investigate features of crush extremity fractures associated with massive earthquake on digital radiography (DR) and multidetector computed tomography (MDCT). MATERIALS AND METHODS: Six hundred and twenty-three consecutive patients with clinically confirmed crush extremity fractures arising from the 2008 Sichuan earthquake were enrolled into our study. Six hundred and eleven patients with suggested extremity fractures underwent DR, and 12 patients with possible knee fractures underwent MDCT. Image data were retrospectively reviewed, with the focus on anatomic sites, numbers, and status of the fractures. RESULTS: Extremity fractures occurred in lower extremities in 428 patients, upper extremities in 151, and both lower and upper extremities in 44. Lower extremity fractures were more common than upper extremity fractures (P < 0.05), and the commonly involved bones were the tibia and fibula in 141 patients, femur in 102, tibia in 52, and fibula in 40. According to the numbers of bones involved, multiple bone fractures occurred in 336 patients and included lower extremity fractures in 231, upper extremity fractures in 61, and both lower and upper fractures in 44. Multiple fractures in lower extremities were seen more often than in upper extremities (P < 0.05). As for status of the extremity fractures, comminuted fractures occurred in 324 patients and included lower extremity fractures in 248, upper extremity fractures in 51, and both lower and upper extremity fractures in 25. Comminuted fractures were more common in lower extremities than in upper extremities (P < 0.05). CONCLUSION: Multiple and comminuted fractures, predominantly in the lower extremities, could be considered as features of crush extremity fractures associated with the massive Sichuan earthquake.
参考中文摘要：
目的：探讨肢体功能粉碎骨折与大地震的数字X线摄影（ DR ）的和多层计算机断层扫描（多排螺旋CT ） 。材料与方法： 600名和23例患者临床证实粉碎下肢骨折引起的2008年四川地震进入到我们的研究。 600名和11例下肢骨折接受建议议员，以及12例接受尽可能多排螺旋CT膝关节骨折。图像数据进行了回顾，重点部位，数字和地位的骨折。结果：下肢骨折发生在下肢428例，上肢的151 ，和双下肢和上肢的44 。下肢骨折的程度比上肢骨折（ P “ 0.05 ） ，与常见的胫骨和腓骨141例， 102例股骨，胫骨52 ，和腓骨40 。根据参与人数的骨头，骨骨折多发生在336例，其中包括下肢骨折231 ，上肢骨折61和双下肢和上肢骨折44 。多处骨折下肢被视为往往在上肢（ P “ 0.05 ） 。至于地位，肢体骨折，粉碎性骨折发生324例，其中包括下肢骨折248 ，上肢骨折的51岁，和双下肢和上肢骨折25 。粉碎性骨折是较常见的下肢比上肢（ P “ 0.05 ） 。结论：多和粉碎性骨折，主要是下肢，可视为特点粉碎下肢骨折与四川大规模地震。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1089-97
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11
参考中文标题：
超声引导下注射曲安奈德和布比卡因在管理日Quervain的疾病。
作者单位：
Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK.
PMID及链接：
19484469 http://www.syyxw.com/Archive/Detail/19484469
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摘 要：
OBJECTIVE: The aim of this study was to describe the technique and usefulness of ultrasound-guided intrasynovial injection of triamcinolone and bupivacaine in treatment of de Quervain's disease. MATERIALS AND METHODS: A total of 17 patients with symptomatic De Quervain's disease were included in this study. The procedure involved confirmation of diagnosis with ultrasound followed by guided injection of a mixture of 20 mg of triamcinolone (40 mg/ml) and 1 ml of 0.5% bupivacaine. Ultrasound guidance with a high resolution 15-Mhz footprint probe was used for injection into the first dorsal extensor compartment tendon sheath (E1). The response to ultrasound-guided injection was ascertained at the post procedure outpatient clinic appointment according to the follow-up clinic notes. RESULTS: There were 14 female and 3 male patients aged 29 to 74 years. Mean duration of symptoms was 8.9 months. One patient had an atypical septum in the first extensor compartment and the extensor pollicis brevis alone was involved. The mean post-injection follow-up was at 6.75 weeks. One patient was lost to follow-up. Fifteen out of 16 patients had significant symptomatic relief (93.75%). There were no immediate or delayed complications. Recurrence of symptoms was seen in 3 (20%) patients. CONCLUSION: Ultrasound-guided injection of triamcinolone and bupivacaine is safe and useful in controlling symptoms of De Quervain's disease. Correct needle placement with ultrasound guidance avoids intratendinous injection as well as local complications like fat atrophy and depigmentation.
参考中文摘要：
目的：本研究以描述技术和有益的超声引导下注射曲安奈德intrasynovial和布比卡因治疗日Quervain的疾病。材料与方法：共有17例症状者Quervain病被列入本研究。涉及的程序确认与超声诊断其次是引导注射混合了20毫克的曲（ 40毫克/毫升） ， 1毫升的0.5 ％布比卡因。超声引导高分辨率15 - MHz的足迹探针用于注入第一背伸肌室腱鞘（素E1 ） 。应对超声引导下注射确定后程序在门诊预约根据后续临床笔记。结果：有14名女和3例男性29岁到74岁。症状平均持续时间为8.9个月。 1例有非典型隔第一伸肌室和拇短伸肌单独参与。平均后注射后续在六点七五周。 1例失去随访。 15的16例患者有明显症状的救济（ 93.75 ％ ） 。目前还没有人员或延迟并发症。复发的症状主要出现在3 （ 20 ％ ）患者。结论：超声引导下注射曲安奈德和布比卡因是安全和有益的控制症状者Quervain的疾病。正确针安置与超声引导避免intratendinous注射以及局部并发症像脂肪萎缩和脱色。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1099-103
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12
参考中文标题：
无痛性肿块的腿：诊断和讨论。
作者单位：
Department of Radiology, Hospital Virgen de la Victoria, Campus Universitario de Teatinos s/n, Málaga, Spain.
PMID及链接：
19633841 http://www.syyxw.com/Archive/Detail/19633841
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出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1105-6, 1119-20
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13
参考中文标题：
磁共振成像外观部分背阔肌肌腱撕裂。
作者单位：
Department of Radiology, Vancouver General Hospital, University of British Columbia, JP Pavilion, Vancouver BC, Canada.
PMID及链接：
19449000 http://www.syyxw.com/Archive/Detail/19449000
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摘 要：
There is still a paucity of information about the clinical presentation, treatment and imaging findings of latissimus muscle tears. Only one study has specifically described the magnetic resonance imaging (MRI) features of latissimus tendon tears. We describe a case of a high-grade tear in the latissimus muscle tendon in an active water skier with no significant prior medical history. MRI demonstrated at least a 50% tear of the latissimus tendon, manifesting as increased signal intensity on T2-weighted sequences and surrounding edema, as well as a diminutive tendon at the humeral insertion.
参考中文摘要：
现在仍然缺乏有关临床表现，治疗和影像学表现背阔肌肌眼泪。只有一个研究具体介绍了磁共振成像（ MRI ）特点背阔肌肌腱眼泪。我们描述一个属高档催泪的背阔肌肌肌腱积极水滑雪者无显着事先病史。磁共振成像显示，至少50 ％的催泪的背阔肌肌腱，表现为信号强度的增加T2加权序列和周围水肿，以及一个小肌腱在肱骨插入。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1107-10
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14
参考中文标题：
磁共振酒窝登录束缚后膝关节脱位。
作者单位：
Department of Radiology, Providence Hospital and Medical Center, Southfield, MI 48075, USA. aharb4242@hotmail.com
PMID及链接：
19543725 http://www.syyxw.com/Archive/Detail/19543725
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摘 要：
While posterolateral knee dislocation is a rare entity, its identification has important implications. The invagination of skin seen in posterolateral knee dislocations is referred to as the "dimple sign" on physical exam. We report a case where the "dimple sign" was also demonstrated on magnetic resonance imaging. Failure to recognize this finding on imaging will render the knee irreducible, as a result of interposed tissues, until discovered by the orthopedic surgeon intraoperatively. The incarcerated medial capsule and medial collateral ligament could also be misinterpreted as torn meniscus, as occurred in our case.
参考中文摘要：
虽然后膝关节脱位是一种罕见的实体，它的识别具有重要的意义。皮肤的内陷看到后膝关节脱位是被称为“酒窝征”的体检。我们报告的情况下“酒窝征”也表现出对磁共振成像。不承认这一结果对成像会使膝盖束缚，由于插嘴组织，直到发现了整形外科术。被监禁的内侧囊和内侧副韧带也可能被误解为半月板撕裂，因为发生在我们的案例。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1111-4
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15
参考中文标题：
神经炎性骨腓总神经：1例报告。
作者单位：
The London Sarcoma Unit, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK. diotrigkilidas@hotmail.com
PMID及链接：
19669757 http://www.syyxw.com/Archive/Detail/19669757
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摘 要：
Neuritis ossificans is an extremely rare reactive process affecting peripheral nerves, which can be challenging to diagnose and treat. Magnetic resonance imaging (MRI) is an excellent imaging modality for these lesions, showing inflammatory reaction around the nerve. Only a few cases have been previously reported, and all of the patients underwent surgical resection. In this article we report the first case of neuritis ossificans affecting the common peroneal nerve, treated non-operatively, and we review the literature.
参考中文摘要：
神经炎性骨是十分罕见的反应过程的影响外周神经，可具有挑战性的诊断和治疗。磁共振成像（MRI）是一种优良的这些病变的成像模式，显示周围神经炎症反应。只有少数个案，此前曾报道，和所有的患者接受手术切除。在本文中，我们报告的神经炎影响骨化腓总神经第一例，治疗非手术，我们回顾文献。
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1115-8
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16
参考中文标题：
浏览器的说明。
作者单位：
PMID及链接：
19784645 http://www.syyxw.com/Archive/Detail/19784645
出 处：
Skeletal radiology. 2009 Nov ,38 (11) :1121-2
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