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1
参考中文标题:
超声肌腱眼泪。第1部分:总的考虑和上肢。 [审查] [ 52参]
PMID及链接:
15999281 http://www.syyxw.com/Archive/Detail/15999281
摘 要:
The role of ultrasound (US) in assessing musculoskeletal disorders is persistently increasing because of its low cost, readiness, noninvasiveness, and possibility of allowing a dynamic examination. Secondary to increased sport practice, tendon tears are more frequently observed in daily medical practice. They deserve early diagnosis to allow proper treatment that can limit functional impairment. The aim of this review article is twofold: to illustrate the US appearance of normal tendons and to describe the US findings of the most common tendon tears. [References: 52]
参考中文摘要:
超声波的作用(美国)在评估肌肉骨骼疾患是持续增加,因为它成本低,准备noninvasiveness ,并有可能使一个充满活力的检查。中学增加运动的惯例,肌腱眼泪更经常地在日常生活中观察到医疗实践。他们应该得到早期诊断,允许适当的治疗,可以限制功能障碍。这样做的目的是两方面的评论文章:以说明美国外观正常肌腱,并说明美国发现最常见的肌腱眼泪。 [参考文献: 52 ]
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参考中文标题:
超声评价正常的外在和内在的腕关节韧带:初步的经验。
PMID及链接:
16010593 http://www.syyxw.com/Archive/Detail/16010593
摘 要:
OBJECTIVE: To determine normal anatomy of extrinsic and intrinsic carpal ligaments at ultrasonography (US). DESIGN AND VOLUNTEERS: In the first part of the study, two musculoskeletal radiologists retrospectively reviewed in consensus the photographs of anatomic sections and dissections derived from 20 cadaveric wrists. This cadaveric study gave the two readers the opportunity to learn the anatomy and orientation of the various extrinsic and intrinsic carpal ligaments and, thus, to develop a US protocol to facilitate the recognition of each carpal ligament. In the second part of the study, these two radiologists prospectively and independently evaluated the visibility of extrinsic and intrinsic carpal ligaments in 30 wrists of volunteers, using the same US protocol. RESULTS: With regard to extrinsic carpal ligaments, the radioscaphocapitate ligament (partially visible, 38%; completely visible, 62%), the radiolunotriquetral ligament (partially visible, 27%; completely visible, 73%), the palmar ulnotriquetral ligament (partially visible, 12%; completely visible, 88%), and the dorsal radiotriquetral ligament (partially visible, 7%; completely visible, 93%) were visualized at US. The dorsal ulnotriquetral ligament (partially visible, 21%; completely visible, 74%), the ulnolunate ligament (partially visible, 5%; completely visible, 70%), and the radial collateral ligament (partially visible, 18%; completely visible, 12%) were more difficult to recognize. The radioscapholunate ligament was never seen. With regard to intrinsic carpal ligaments, the dorsal (partially visible, 11%; completely visible, 89%) and palmar (partially visible, 38%; completely visible, 62%) scaphotriquetral ligaments as well as the dorsal scapholunate ligament (partially visible, 3%; completely visible, 97%) were visualized at US. The dorsal lunotriquetral ligament (partially visible, 39%; completely visible, 61%) and the palmar scapholunate ligaments (partially visible, 12%; completely visible, 81%) were more difficult to recognize. CONCLUSION: US may be helpful in identifying the major extrinsic and intrinsic carpal ligaments.
参考中文摘要:
目的:确定正常解剖的外在和内在的腕关节韧带在超声(美国) 。设计和志愿者:在第一部分的研究中,两个肌肉骨骼放射回顾在协商一致的照片解剖科和夹层来自20尸手腕。这尸研究了两个读者有机会学习解剖学和方向的各种外在和内在的腕关节韧带,因此,制定一项议定书,以促进美国承认每个腕韧带。在第二部分的研究,这两个放射前瞻性和独立评价的能见度外在和内在的腕关节韧带在30手腕的志愿者,利用同样的美国议定书。结果:关于外在腕关节韧带,韧带的radioscaphocapitate (部分可见, 38 % ;完全可见, 62 % ) ,该radiolunotriquetral韧带(部分可见, 27 % ;完全可见, 73 % ) ,掌ulnotriquetral韧带(部分可见, 12 % ;完全可见, 88 % ) ,和背radiotriquetral韧带(部分可见, 7 % ;完全可见, 93 % )是在美国的形象。背ulnotriquetral韧带(部分可见, 21 % ;完全可见, 74 % ) ,在ulnolunate韧带(部分可见, 5 % ;完全可见, 70 % ) ,和径向韧带(部分可见, 18 % ;完全可见, 12 % )是更难以识别。韧带的桡是从未见过。至于内在的腕关节韧带,背(部分可见, 11 % ;完全可见, 89 % )和帕尔马(部分可见, 38 % ;完全可见, 62 % ) scaphotriquetral韧带以及背舟韧带(部分可见, 3 % ;完全可见, 97 % )是在美国的形象。背lunotriquetral韧带(部分可见, 39 % ;完全可见, 61 % )和掌舟韧带(部分可见, 12 % ;完全可见, 81 % )较困难承认。结论:美国可能有助于查明主要的外在和内在的腕关节韧带。
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参考中文标题:
胶粘剂capsulitis :超声变化间隔与肩袖关节镜相关。
PMID及链接:
15999280 http://www.syyxw.com/Archive/Detail/15999280
摘 要:
OBJECTIVE: To evaluate the sonographic findings of the rotator interval in patients with clinical evidence of adhesive capsulitis immediately prior to arthroscopy. DESIGN AND PATIENTS: We prospectively compared 30 patients with clinically diagnosed adhesive capsulitis (20 females, 10 males, mean age 50 years) with a control population of 10 normal volunteers and 100 patients with a clinical suspicion of rotator cuff tears. Grey-scale and colour Doppler sonography of the rotator interval were used. RESULTS: Twenty-six patients (87%) demonstrated hypoechoic echotexture and increased vascularity within the rotator interval, all of whom had had symptoms for less than 1 year. Three patients had hypoechoic echotexture but no increase in vascularity, and one patient had a normal sonographic appearance. All patients were shown to have fibrovascular inflammatory soft-tissue changes in the rotator interval at arthroscopy commensurate with adhesive capsulitis. None of the volunteers or the patients with a clinical diagnosis of rotator cuff tear showed such changes. CONCLUSIONS: Sonography can provide an early accurate diagnosis of adhesive capsulitis by assessing the rotator interval for hypoechoic vascular soft tissue.
参考中文摘要:
目的:评价超声结果肩间隔患者临床证据胶粘剂capsulitis前夕镜。设计与患者:我们将来的30例相比,临床诊断胶粘剂capsulitis ( 20女性, 10男性,平均年龄50岁) ,以控制人口的10例正常志愿者和100例临床怀疑肩袖眼泪。灰阶和彩色多普勒超声的肩被用来间隔。结果: 26例( 87 % )表现出低echotexture和增加血管内的旋转间隔,所有这些人都出现了不到1年。 3名患者已低echotexture ,但没有增加血管, 1例有一个正常的超声外观。所有病人均表现出纤维炎症软组织的变化肩间隔镜与胶粘剂capsulitis 。没有志愿者或患者的临床诊断肩袖撕裂表明这种变化。结论:超声可以提供早期准确诊断的胶粘剂capsulitis通过评估肩间隔低血管的软组织。
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参考中文标题:
放射性评估腰骶部营养不良性变化,高档滑脱。
PMID及链接:
16021446 http://www.syyxw.com/Archive/Detail/16021446
摘 要:
OBJECTIVE: To analyse radiographic correlates for the clinical status of patients and the deformation reducibility of high-grade lumbosacral spondylolisthesis. We also clarify the clinical and radiographic correlates of a new parameter for S1 dystrophy, the "S1 index". DESIGN AND PATIENTS: One hundred cases of high-grade isthmic lumbosacral spondylolisthesis were reviewed. We noted the dystrophic changes in the cranial sacral endplate, and the caudal endplate of L5. The severity of the spondylolisthesis was evaluated by measuring the lumbosacral kyphosis. The clinical status and the deformation reducibility (dependent on the stiffness of the deformation) were compared with these dystrophic patterns, the sagittal slope of S1 and S2 endplates and a sacral morphological marker, the S1 index. RESULTS: Lumbosacral kyphosis was less severe in cases with dystrophic changes of the posterior cranial edge of S1 and/or of the posterior caudal edge of L5 but its reducibility was worse. These patients were more functionally impaired. We describe and analyse this situation as a partial lumbosacral disc failure responsible for the less severe L5 slipping. The S1 index was strongly correlated with the grade of slipping, the lumbosacral kyphosis and its reducibility. We noted the same configuration among patients with a smaller S1 index, i.e. vertical S1 and S2 vertebral bodies associated with more severe but more reducible lumbosacral kyphosis. CONCLUSION: Analysing specific criteria, we think it is possible to note progressive dystrophic changes according to the natural history of lumbosacral spondylolisthesis. We think that repeated measurements of these morphological parameters in patients diagnosed with a low-grade lumbosacral spondylolisthesis could be helpful in the early detection of evolving lumbosacral kyphosis and L5 slipping.
参考中文摘要:
目的:分析X线相关的临床状况的患者和变形还原高档腰骶部滑脱。我们还澄清相关的临床和影像学的一个新的参数中一营养不良的“中一指数” 。设计与患者:一是一○○案件高档腰骶部滑脱峡部进行了审查。我们注意到,营养不良性变化,颅骶骨终板和尾板的腰5 。严重的腰椎滑脱的评价衡量腰骶部后凸畸形。临床地位和变形还原(依赖于僵硬变形)进行比较,这些营养不良模式,矢状斜坡S1和S2终板和骶形态标记,该指数中一。结果:腰骶椎后凸畸形不太严重的情况下与营养不良的变化后颅边缘S1和/或后缘腰5骶管,但其还原性差。这些患者更多功能受损。我们描述和分析这种情况的部分腰椎间盘突出失败负责那么严重腰5下滑。该指数是一强烈的相关性与品位下降,腰骶后凸畸形及其还原。我们注意到同样的配置患者小一指数,即垂直S1和S2椎体与更严厉的,但更多的还原腰骶部后凸畸形。结论:分析具体标准,我们认为这是可能注意到逐步营养不良性变化根据自然历史腰骶部滑脱。我们认为,反复测量这些形态学参数患者诊断为低度腰骶部滑脱可有助于早期发现演变腰骶部脊柱后凸和L5下滑。
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5
参考中文标题:
脂肪瘤立影响多个关节。
PMID及链接:
15782340 http://www.syyxw.com/Archive/Detail/15782340
摘 要:
Lipoma arborescens is a rare benign intra-articular lesion of unknown etiology that usually involves the suprapatellar pouch of the knee joint. Clinically, the most common finding is a slow-growing painless swelling, accompanied by intermittent effusion of the joint. We report a case of a multifocal lipoma arborescens localized in the knees and the hips in a 24-year-old man, initially mimicking an inflammatory arthropathy. The diagnosis of lipoma arborescens was made by magnetic resonance imaging of the hips and the knees. Under arthroscopic guidance, the synovial biopsy of the right knee disclosed the specific histological signs of lipoma arborescens. As far as we know, this is the third case of multifocal lipoma arborescens reported in the English literature.
参考中文摘要:
脂肪瘤是一种罕见的乔木良性关节内病变的病因不明,通常涉及suprapatellar袋膝关节。临床上最常见的发现是一个缓慢增长的无痛性肿胀,伴有间歇性积液联合。我们报告一个多脂肪瘤立位于膝盖和臀部的24岁男子,最初模仿是一种炎症性关节病。诊断脂肪瘤立作了磁共振成像的臀部和膝盖。关节镜指导下,滑膜活检的右膝盖的具体组织披露的迹象,脂肪瘤立。据我们所知,这是第三个案件多脂肪瘤立在英文文献。
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参考中文标题:
骨膜软骨肉瘤在一个9岁的女孩与骨软骨瘤病。
PMID及链接:
15723209 http://www.syyxw.com/Archive/Detail/15723209
摘 要:
A 9-year-old girl with multiple osteochondromatosis presented with a 1 year history of a gradually enlarging surface lesion originating from the midsection of the right humerus, distal to an osteochondroma. Radiographically and histologically this lesion proved to be a periosteal chondrosarcoma adjacent to an osteochondroma.
参考中文摘要:
一个9岁的女孩多骨软骨瘤病提交了一份1年历史的逐渐扩大表面病变来自中部权肱骨,远端的骨软骨瘤。 X线和病理病变证明这是一个毗邻骨膜软骨肉瘤的骨软骨瘤。
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7
参考中文标题:
磁共振外观透明细胞肉瘤的肌腱和aponeuroses (恶性黑色素瘤软) : X线,病理对照。
PMID及链接:
16132975 http://www.syyxw.com/Archive/Detail/16132975
摘 要:
Clear cell sarcoma of tendons and aponeuroses (CCSTA) is a rare aggressive soft tissue tumor that frequently produces melanin. Its MR findings are rarely described in the literature. We report the case of a previously healthy 54-year-old man with clear cell sarcoma of the thigh who presented with a large painless mass of 1 year's duration. MR imaging showed the tumor to be of high signal intensity on fast spin-echo and STIR images. Both fine needle aspiration and excisional biopsy showed abundant melanin pigments. Histologic diagnosis was compatible with CCSTA.
参考中文摘要:
透明细胞肉瘤的肌腱和aponeuroses ( CCSTA )是一种罕见的软组织肿瘤侵略性经常产生黑色素。其结果,很少议员中描述的文献。我们报告的情况下,先前健康的54岁男子与透明细胞肉瘤的大腿谁提出一个大的无痛性肿块1年的时间。磁共振成像显示,肿瘤具有较高的信号强度快速自旋回波和STIR图像。两个细针穿刺和切除活检显示丰富的黑色素颜料。病理诊断符合CCSTA 。
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8
参考中文标题:
移位性骨折的前寰椎synchondrosis 。
PMID及链接:
15841372 http://www.syyxw.com/Archive/Detail/15841372
摘 要:
In the acute setting, accurate radiological interpretation of paediatric cervical spine trauma can be difficult due to a combination of normal variants and presence of multiple synchondroses. We present a rare case of a fracture through the anterior atlantal synchondrosis in a paediatric spine. A five-year-old boy, who fell backwards onto the top of his head while swinging across on a monkey bar frame, presented with neck pain, cervical muscle spasm and decreased right lateral rotation and extension of his neck. Computed tomography showed a displaced diastatic fracture through right anterior atlantal synchondrosis. There are only 12 cases of paediatric C1 fractures reported in the world literature. The importance of considering this diagnosis in the appropriate clinical setting, and the normal variants in the paediatric atlas that can cause diagnostic dilemma to the interpreting radiologist, are discussed in this case report.
参考中文摘要:
急性设定,准确的解释儿科放射性颈椎外伤可能很难由于多种正常变异和存在多个synchondroses 。我们提出一个罕见病例骨折通过前寰椎synchondrosis在儿科脊椎。一个5岁的男孩,谁下跌倒退到头顶上,而摆在猴子酒吧内,提交了颈部疼痛,颈部肌肉痉挛,降低右外侧旋转和延长他的脖子上。电脑断层扫描发现一个流离失所diastatic骨折右前寰椎synchondrosis 。只有12例报告儿科的C1骨折的世界文学。必须考虑这一诊断在适当的临床环境中,和正常的变异图谱的儿科诊断可能造成困境的解释放射,讨论在这种情况下,报告。
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9
参考中文标题:
低度恶性纤维肉瘤:超声及核磁共振结果在两起案件。
PMID及链接:
15592668 http://www.syyxw.com/Archive/Detail/15592668
摘 要:
Low-grade fibromyxoid sarcoma is a rare, slow-growing, yet metastasizing neoplasm characterized by histopathological fibrous/myxoid zonal alternations, which occasionally display an intralesional multinodular appearance. We report on the radiological features of two cases of low-grade fibromyxoid sarcoma. Case 1 was a large ovoid mass with a well-defined margin in the thigh, showing the characteristic multiple, intralesional variable-sized nodules on high-frequency ultrasound (US) and magnetic resonance imaging (MRI), some of the nodules showing a target-like appearance. Case 2 was a dumbbell-shaped chest wall mass showing invasive features without the intralesional multinodular appearance on MRI. The gross radiological appearances of our two cases were somewhat dissimilar, but they shared a pattern of low/high signal zonal distinction without hemorrhage or necrosis within the masses on MRI.
参考中文摘要:
低度恶性纤维肉瘤是一种罕见的,生长缓慢,但转移性肿瘤病理特点纤维/黏液纬向改变,有时显示病灶内multinodular外观。我们报告的辐射功能的两例低度恶性纤维肉瘤。病例1是一个大卵形大规模的明确界定的毛利率的大腿,显示的特征多个,病灶内可变大小结节的高频超声(美国)和磁共振成像( MRI ) ,一些结节显示目标样外观。病例2是一个哑铃形胸壁大规模显示侵入功能的病灶内multinodular外观的MRI 。总值放射性露面的两起案件有所不同,但它们共同的格局,低/高信号区的区分没有出血或坏死范围内群众的MRI 。
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10
参考中文标题:
木村氏病的胳膊肘。
PMID及链接:
15895225 http://www.syyxw.com/Archive/Detail/15895225
摘 要:
Kimura's disease rarely involves a location outside the head and neck. We report a case of Kimura's disease in a young Asian man involving both elbows. Magnetic resonance imaging showed a soft-tissue mass of irregularly infiltrative strands in the subcutaneous fat accompanied with medial epitrochlear lymphadenopathy. The MRI appearance is described and the entity is briefly reviewed.
参考中文摘要:
木村氏病很少涉及境外某个地点的头部和颈部。我们报告一例木村氏病在亚洲青年男子涉及肘。磁共振成像显示,软组织肿块的不规则浸润链的皮下脂肪伴内侧epitrochlear淋巴结肿大。 MRI表现的描述和实体简要回顾。
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11
参考中文标题:
摘要骨骼肌的欧洲放射学会。在牛津大学举行了会议,8-9 2005年7月。
PMID及链接:
16132977 http://www.syyxw.com/Archive/Detail/16132977
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