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  1

参考中文标题:

磁共振成像结果患者腓肌腱和腓腱鞘炎。

作者单位:

Department of Radiology, University of Wisconsin Hospital, Clinical Science Center- E3/311, 600 Highland Avenue, Madison, WI 53792-3252, USA. rkijowski@uwhealth.org

PMID及链接:

17136379 http://www.syyxw.com/Archive/Detail/17136379

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摘  要:

OBJECTIVE: To compare the magnetic resonance (MR) imaging findings of a group of patients with clinically diagnosed peroneal tendonopathy and peroneal tenosynovitis with the MR imaging findings of a control group of patients with no clinical evidence of peroneal tendon disorder. SUBJECTS AND METHODS: The MR examinations of 24 patients with symptomatic peroneal tendinopathy or peroneal tenosynovitis and 70 patients with no clinical evidence of peroneal tendon disorder were retrospectively reviewed to determine the presence or absence of four MR imaging findings: 1) predominantly or uniform intermediate signal intensity within the peroneal tendons on one or more axial proton density-weighted images, 2) predominantly or uniform intermediate signal intensity within the peroneal tendons on three consecutive axial proton density-weighted images, 3) intermediate T2 signal intensity within the peroneal tendons, and 4) circumferential fluid within the common peroneal tendon sheath greater than 3 mm in maximal width. The sensitivity and specificity of these MR imaging findings for determining the presence or absence or symptomatic peroneal tendinopathy or peroneal tenosynovitis were calculated. RESULTS: The sensitivity of MR imaging findings 1, 2, 3, and 4 for determining the presence of peroneal tendinopathy or peroneal tenosynovitis were 92%, 92%, 50%, and 17% respectively. The specificity of MR imaging findings 1, 2, 3, and 4 for determining the absence of peroneal tendinopathy or peroneal tenosynovitis were 57%, 79%, 93%, and 100% respectively. CONCLUSION: The presence of predominantly or uniform intermediate signal intensity within the peroneal tendons on three consecutive axial proton density-weighted images is a highly sensitive and moderately specific indicator of symptomatic peroneal tendinopathy. The presence of intermediate T2 signal within the peroneal tendons, and the presence of circumferential fluid within the peroneal tendon sheath greater than 3 mm in maximal width, are highly specific indicators of peroneal tendinopathy and peroneal tenosynovitis respectively.

参考中文摘要:

目的:比较磁共振(先生)的影像学表现的一组病人的临床诊断和腓腓tendonopathy腱鞘炎与磁共振成像结果对照组的病人没有临床证据腓肌腱障碍。主题和方法:采用磁共振检查的24例症状或腓腓肌腱腱鞘炎70例,并没有临床证据腓肌腱障碍进行回顾,以确定是否存在着四个磁共振成像结果: 1 )主要或制服中间信号强度腓肌腱内的一个或多个轴向质子密度加权像, 2 )主要或制服中间信号强度腓肌腱内的三个连续轴向质子密度加权像, 3 )信号强度中间时刻的腓骨肌腱,和4 )环流体的共同腓腱鞘大于3毫米,最大宽度。的敏感性和特异性这些磁共振成像研究结果,以确定是否存在或有症状或腓腓肌腱腱鞘炎计算。结果:灵敏度的磁共振成像研究结果1 , 2 , 3 , 4 ,以确定存在或腓腓肌腱腱鞘炎分别为92 % , 92 % , 50 %和17 % 。特异性磁共振成像研究结果1 , 2 , 3 , 4 ,以确定没有或腓腓肌腱腱鞘炎了57 % , 79 % , 93 %和100 % 。结论:存在的主要或制服中间信号强度腓肌腱内的三个连续轴向质子密度加权像是一个高度敏感和中度具体指标症状腓骨肌腱。在场的中间时刻信号内腓肌腱,和在场的圆周流体的腓腱鞘大于3毫米,最大宽度,高度具体指标和腓腓肌腱腱鞘炎分别。

出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :105-14

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  2

参考中文标题:

肌腱足底方面的脚:磁共振成像与解剖相关的尸体。

作者单位:

Radiology, University of California San Diego, 3350 LaJolla Village Dr, San Diego, CA 92161, USA. yacubian@ig.com.br

PMID及链接:

17033851 http://www.syyxw.com/Archive/Detail/17033851

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摘  要:

OBJECTIVE: The purpose of this anatomic imaging study was to illustrate the normal complex anatomy of tendons of the plantar aspect of the ankle and foot using magnetic resonance (MR) imaging with anatomic correlation in cadavers. DESIGN: Seven fresh cadaveric feet (obtained and used according to institutional guidelines, with informed consent from relatives of the deceased) were studied with intermediate-weighted fast-spin-echo MR imaging. For anatomic analysis, cadaveric specimens were sectioned in 3-mm-thick slices in the coronal and axial planes that approximated the sections acquired at MR imaging. RESULTS: The entire courses of the tendons into the plantar aspect of the foot were analyzed. The tibialis posterior tendon has a complex distal insertion. The insertions in the navicular, second, and third cuneiforms bones were identify in all cases using axial and coronal planes. A tendinous connection between the flexor hallucis longus and the flexor digitorum longus tendons was identified in five of our specimens (71%). The coronal plane provided the best evaluation. The peroneus longus tendon changes its direction at three points then obliquely crosses the sole and inserts in the base of the first metatarsal bone and the plantar aspect of the first cuneiform. CONCLUSIONS: MR imaging provides detailed information about the anatomy of tendons in the plantar aspect of the ankle and foot. It allows analysis of their insertions and the intertendinous connection between the flexor hallucis longus and the flexor digitorum longus tendons.

参考中文摘要:

目的:本解剖成像研究来说明复杂的解剖正常肌腱的足底方面的足踝使用磁共振(先生)成像与解剖学相关的尸体。设计:新鲜尸体七英尺(获取和使用根据机构的准则,与知情同意死者亲属) ,研究了中间加权快速自旋回波磁共振成像。为解剖分析,标本切片中有3毫米厚的片在冠状和轴飞机接近节上获得磁共振成像。结果:整个课程的跖肌腱方面的脚进行了分析。的胫骨后肌腱有一个复杂的远端插入。在插入的舟,第二和第三cuneiforms骨骼确定在所有情况下使用轴向和日冕飞机。阿腱之间的联系拇长屈肌和趾长屈肌肌腱被确定的5个标本( 71 % ) 。在冠状面提供了最好的评价。腓骨长肌腱的改变其方向三点然后斜穿过的唯一插入基第一跖骨和足底方面的第一次楔形文字。结论:磁共振成像提供详细资料,解剖肌腱足底方面的足踝。它可以分析其插入和intertendinous之间的联系拇长屈肌和趾长屈肌肌腱。

出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :115-22

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  3

参考中文标题:

超声检测迅速糜烂疾病的早期类风湿关节炎:未来的纵向研究。

作者单位:

Division of Clinical Immunology and Rheumatology, Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA.

PMID及链接:

17033852 http://www.syyxw.com/Archive/Detail/17033852

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OBJECTIVE: To evaluate and compare sequential ultrasound exams (US) with power-Doppler (PD) to radiography for the detection of synovitis and erosions in patients with early RA. METHODS: Radiographs and US with PD of the hands and feet were performed at baseline and 6+/- 2 months afterwards in 21 early RA patients. Their mean (range) age was 42.6 (21-81) years and the female/male ratio was 4:3; mean disease duration was 9 (1-28) months. Joints assessed were bilateral 2nd and 5th MCPs, 5th MTPs and the most swollen PIP in each hand, for a total of eight joints per patient. Radiographs (PA, lateral and pronated oblique) were read for erosions using the method of Sharp/van der Heijde. On US, erosions were defined as cortical defects greater than 2 mm in diameter with an irregular floor. Synovitis was rated as +1 (increase in joint fluid without synovial hyperemia), +2 (mild blood flow), +3 (moderate blood flow), and +4 (severe blood flow). Two blinded trained assessors read all images. RESULTS: US detected 15 erosions in 10 patients at baseline and 31 erosions in 12 patients on follow-up; radiographs could detect only one erosion at baseline and five erosions in three patients on follow-up. PD detected synovitis in all patients at baseline and on follow-up. Of the joints found to have synovitis, 64% were identified as such at baseline and 38% on follow-up. CONCLUSIONS: Sequential US can determine disease progression in patients with early RA. Such data may allow the clinician to treat RA patients earlier in the hope of preventing joint damage.

参考中文摘要:

目的:评价和比较序列超声考试(美国)与功率多普勒( PD )的,以X光检测结节性滑膜炎和糜烂患者早期RA 。方法: X线片和美国与帕金森病的手和脚分别在基线和6 + / - 2个月后,在21个早期RA患者。他们的平均(范围)年龄为42.6 ( 21-81岁)和女性/男性的比例为4:3 ,平均病程为9 ( 1-28 )个月。接头评估双边MCP的第2和第5 ,第5次台胞证和最嚣张画中画在每个手,共8个关节,每个病人。 X光片(巴勒斯坦权力机构,横向和旋斜)宣读的糜烂采用夏普/范德尔Heijde 。在美国,糜烂被界定为皮质缺损大于2毫米,直径不规则发言。结节性滑膜炎被评定为一(增加关节液无滑膜充血) , 2 (轻度血流) , 3 (中度血流量)和4 (严重血流量) 。两个盲训练评审阅读所有图像。结果: 15日美国发现10例糜烂在基准线和31糜烂12例的后续行动; X光片可以发现只有一个侵蚀基准和五个糜烂3例的后续行动。局部放电检测结节性滑膜炎的所有患者在基线和后续行动。关节发现有结节性滑膜炎, 64 %被确定为基准,例如在38 %的后续行动。结论:序贯美国可以判断疾病进展患者早期RA 。这些数据可能使临床医生治疗早期RA患者,希望防止关节破坏。

出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :123-8

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  4

参考中文标题:

的作用, X线测量在评价先天性马蹄内翻足手术结果。

作者单位:

Orthopaedics, Sao Lucas Hospital, Sao Manoel 315/302, Porto Alegre, RS 90620-110, Brazil. mfridman@terra.com.br

PMID及链接:

17047899 http://www.syyxw.com/Archive/Detail/17047899

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A series of 50 patients with 71 clubfeet treated surgically was evaluated after exclusion of individuals with associated malformations, syndromes, neurological disorders, previous surgery and age over 30 months at the time of the surgical procedure. They underwent soft-tissue releases that addressed all the components of the deformity, including, when necessary, the calcaneocuboid joint. The age of the patients at the time of the surgery ranged from 6 to 26 months and the mean follow-up period was 77.03 months. The scores resulting from the application of the functional rating system designed by Laaveg and Ponseti were compared with several radiological parameters described in the medical literature to verify the degree of statistical association between these variables. The talo-first metatarsal angle, the calcaneal-second and fifth metatarsal angles were the only radiological measurements that correlated well with the functional score.

参考中文摘要:

一系列的50例手术治疗71 clubfeet进行了评估后排斥的个人相关畸形,综合征,神经系统紊乱,以往手术和年龄超过30个月的时候,外科手术。他们经历了软组织发布,讨论的所有组成部分畸形,包括必要时, calcaneocuboid联合。岁的患者在手术时的6 〜 26个月,平均随访期为七十七点○三个月。得分造成的应用功能评价系统设计的Laaveg和Ponseti比较几种放射性参数描述的医学文献,以验证程度的统计这些变量之间的联系。该talo ,第一跖骨角,跟骨,第二和第五跖骨角度是唯一的放射性测量,以及相关的功能评分。

出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :129-38

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  5

参考中文标题:

腱鞘囊肿在腓肠肌来源:一系列一十案件。

作者单位:

Department of Radiology, RNOH Stanmore, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.

PMID及链接:

17061106 http://www.syyxw.com/Archive/Detail/17061106

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OBJECTIVE: To describe ganglion cysts arising close to the origin of the medial and lateral head of gastrocnemius as identified on magnetic resonance (MR) imaging. DESIGN AND PATIENTS: We present a series of ten cases of ganglion cysts arising close to the gastrocnemius origin from the medial and lateral femoral condyles. These were collected over a 6-year period from our imaging database. All patients attended for routine MR imaging of the knee with a variety of clinical presentations. Data collected included patient demographics, ganglion size, ganglion site, clinical presentation and ancillary MR imaging findings. The ten patients in this series consisted of seven males and three females, five right and five left knees, age range 27-68 years, mean age 40.6 years. RESULTS: The mean maximal dimension of the ganglion cysts was 26 mm, range 15-40 mm. The medial gastrocnemius origin was involved in eight patients and the lateral origin in two patients. The MR imaging findings consisted of both uni- and multi-loculated cysts, often containing numerous septations with fluid signal characteristics. The cysts were extra-capsular with no clear communication with the joint. One patient presented with a popliteal soft tissue mass and none of the cases required surgical intervention for cyst removal. CONCLUSIONS: MR imaging may identify ganglion cysts arising in an intra- or extra-articular site around the knee. This series documents the MR imaging characteristics of ganglion cysts arising close to the gastrocnemius origin and discusses the relevance of this imaging finding.

参考中文摘要:

目的:神经节囊肿接近所产生的起源,内侧和外侧的腓肠肌头确定磁共振(先生)成像。设计与患者:我们目前的一系列十箱子节囊肿产生接近源于腓肠肌内侧和股外侧髁。这些收集到的6年间从我们的影像数据库。所有患者参加例行磁共振成像膝关节与各种临床表现。收集的数据,包括病人的人口统计,神经节的大小,神经节网站,临床表现和辅助磁共振成像结果。这10个病人在这个系列包括7名男性和3名女性, 5个和5个右左膝盖,年龄范围27-68岁,平均年龄四十点六年。结果:最大尺寸节囊肿是26毫米,射程15-40毫米。内侧腓肠肌原籍参与8例和横向来源2例。磁共振成像的研究结果包括两个大学和多loculated囊肿,往往含有大量的流体septations信号特征。囊肿是外囊,没有明确的沟通与联合。一位病人提出一个腘软组织肿块,并没有任何情况下需要手术治疗的囊肿切除。结论:磁共振成像可确定神经节囊肿引起的内部或关节外网站在膝关节周围。这一系列文件的磁共振成像特征节囊肿产生接近腓肠肌起源,并讨论了相关的影像学调查。

出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :139-43

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  6

参考中文标题:

比较CT和MRI患者胫骨平台骨折: CT检查可预测韧带撕裂或半月板损伤? 。

作者单位:

Department of Radiology, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Parkway, Bronx, NY 10461, USA.

PMID及链接:

17136560 http://www.syyxw.com/Archive/Detail/17136560

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OBJECTIVE: (1) To determine the accuracy of computed tomography (CT) in the evaluation of ligament tear and avulsion in patients with tibial plateau fracture. (2) To evaluate whether the presence or severity of fracture gap and articular depression can predict meniscal injury. DESIGN AND PATIENTS: A fellowship-trained musculoskeletal radiologist retrospectively reviewed knee CT and MRI examinations of 41 consecutive patients presenting to a level 1 trauma center with tibial plateau fractures. Fracture gap, articular depression, ligament tear and footprint avulsions were assessed on CT examinations. The MRI studies were examined for osseous and soft tissue injuries, including meniscal tear, meniscal displacement, ligament tear, and ligament avulsion. RESULTS: CT demonstrated torn ligaments with 80% sensitivity and 98% specificity. Only 2% of ligaments deemed intact on careful CT evaluation had partial or complete tears on MRI. Although the degree of fracture gap and articular depression was significantly greater in patients with meniscal injury compared with those without meniscal injury, ROC analysis demonstrated no clear threshold for gap or depression that yielded a combination of high sensitivity and specificity. CONCLUSIONS: In the acute setting, CT offers high sensitivity and specificity for depicting osseous avulsions, as well as high negative predictive value for excluding ligament injury. However, MRI remains necessary for the preoperative detection of meniscal injury.

参考中文摘要:

目的: ( 1 )如果要判断的准确性,计算机断层扫描( CT )在评价韧带撕裂和撕脱伤患者的胫骨平台骨折。 ( 2 ) ,评估是否存在或严重性关节骨折的差距和抑郁可以预测半月板损伤。设计与患者:一项奖学金训练肌肉骨骼放射回顾膝关节CT和MRI检查41例患者介绍到1级创伤中心,胫骨平台骨折。骨折间隙,关节抑郁,韧带撕裂和足迹avulsions分摊CT检查。的MRI研究,审查骨和软组织损伤,包括半月板撕裂,半月板位移,韧带撕裂,并韧带撕脱。结果: CT显示撕裂韧带的80 %的敏感性和特异性98 % 。只有2 %的韧带被完好无损仔细CT评价了部分或完全眼泪的MRI 。虽然一定程度的骨折和关节间隙显着抑郁症患者半月板损伤与那些没有半月板损伤, ROC曲线分析表明没有明确的门槛差距或抑郁症的产生有高的灵敏度和特异性。结论:急性设置,电脑断层提供高灵敏度和特异性的描绘骨avulsions ,以及高阴性预测值排除韧带损伤。但是,仍然是必要的磁共振成像术前检测半月板损伤。

出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :145-51

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  7

参考中文标题:

施尼茨勒综合征: 3年期放射性的后续行动。

作者单位:

Department of Radiology, Hopital Bichat, 46 rue Henri Huchard, 75018 Paris, France.

PMID及链接:

16602013 http://www.syyxw.com/Archive/Detail/16602013

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摘  要:

Schnitzler's syndrome comprises urticaria, monoclonal gammapathy, inflammatory signs (fever, enlarged lymph nodes, hyperleukocytosis), and bone lesions. We report the imaging findings and follow-up of a new case with extensive osteosclerosis of the iliac bone, associated with inflammatory signal changes on MRI and foci of increased uptake on bone scintigraphy. When a diagnosis of Schnitzler's syndrome is established, treatment should be towards symptoms only; a long follow-up is warranted, as a delayed evolution towards a lymphoproliferative syndrome is possible.

参考中文摘要:

施尼茨勒综合征包括荨麻疹,单克隆gammapathy ,炎症的迹象(发烧,淋巴结肿大, hyperleukocytosis )和骨病变。我们的成像结果的报告和后续行动的一个新的案例具有广泛骨硬化的髂骨,与炎症信号变化的MRI和灶上增加摄取骨显像。当诊断施尼茨勒综合征成立,治疗应争取症状,仅一个长期的后续行动是必要的,作为一个延迟演变走向淋巴增生综合征是可能的。

出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :153-6

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  8

参考中文标题:

Intraneural数字神经血管瘤的诊断与磁共振成像。

作者单位:

Department of Radiology, Hacettepe University School of Medicine, 06100 Ankara, Turkey. ulkuk@hacettepe.edu.tr

PMID及链接:

16552604 http://www.syyxw.com/Archive/Detail/16552604

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摘  要:

Hemangioma may occur at any location. Although the imaging findings of hemangioma are well known, it may be difficult to differentiate this entity from other soft-tissue tumors. Intraneural hemangiomas are extremely rare. We present a girl with a painful swelling in the fourth web space of her right hand. Since it was painful, the referring clinician considered the possibility of a glomus tumor. However, demonstration of dilated feeding or draining vessels suggested the diagnosis of hemangioma. At surgery a hemangioma of the ulnar digital nerve of the ring finger was resected marginally.

参考中文摘要:

血管瘤,可能会发生在任何地点。虽然血管瘤的影像学表现是众所周知的,因此可能很难区分这种实体其他软组织肿瘤。 Intraneural血管瘤极为罕见。我们提出一个女孩,一个痛苦的肿胀第四网络空间的右手。由于这是痛苦的,是指临床审议的可能性血管球瘤。然而,示范扩张喂养或排水船只建议血管瘤的诊断。在血管瘤的手术1尺数字神经无名指切除轻微。

出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :157-60

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  9

参考中文标题:

脊柱提出在年轻时:病例报告和审查。 [修改] [ 10参]

作者单位:

Department of Pediatrics, Mayo Clinic and Mayo Foundation, 200 First Street, Rochester, MN 55905, USA.

PMID及链接:

16715245 http://www.syyxw.com/Archive/Detail/16715245

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摘  要:

The diagnosis of juvenile spondyloarthritis (JSA) is rarely entertained in young children who present with back and leg pain. We present a case of a 6-year-old male who presented with a 3-year history of severe back and leg pain and a positive Gower's sign, and was given a presumed diagnosis of muscular dystrophy. Presenting serologic evaluation included a mildly elevated sedimentation rate and C-reactive protein (CRP). Computed tomography of the pelvis demonstrated large erosions affecting both sacro-iliac joints. Despite the unusually young age of this patient, ankylosing spondylitis seemed the most plausible diagnosis. Following rheumatological evaluation and treatment for JSA, he showed significant clinical improvement. His disease, however, has not entirely remitted with signs of enthesitis at the Achilles tendon and knees.We present this case to illustrate that JSA could account for symptoms at an early age and not considering it could lead to multiple medical visits and diagnoses. To our knowledge, based on a search of the World literature, this would appear to be the youngest case of JSA reported with demonstrable severe sacroiliitis. [References: 10]

参考中文摘要:

诊断少年脊柱(共同警备区)很少受理幼童目前与谁腰腿痛。我们报告的病例是一个6岁的男谁提交了一份3年历史的严重腰腿痛和积极高尔的签署,并获得了推定诊断肌营养不良症。提出血清学评价包括轻度升高血沉和C -反应蛋白( CRP ) 。电脑断层显示骨盆大糜烂影响到骶髂关节。尽管非常年轻的病人,强直性脊柱炎似乎是最合理的诊断。以下rheumatological评价和治疗共同警备区,他有显着临床改善。他的疾病,但是,还没有完全汇的迹象附着在跟腱和knees.We目前这种情况下,可以说明,共同警备区帐户症状在早期阶段,而不是考虑它可能导致多种医疗访问和诊断。据我们所知,基于搜索的世界文学,这似乎是最年轻的案件有明显的共同警备区报道严重骶髂关节炎。 [参考文献: 10 ]

出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :161-4

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  10

参考中文标题:

Myopericytoma在Kager的脂肪垫。

作者单位:

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

PMID及链接:

16570177 http://www.syyxw.com/Archive/Detail/16570177

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摘  要:

Myopericytoma is a recently described, rare, soft-tissue tumour with perivascular differentiation of myoid cells. We present a case of myopericytoma occurring around the ankle in a 68-year old man. The patient presented with a history of a lump around the ankle of 4 years' duration. Clinical presentation, radiological features and histopathologic findings of this case are reported, and the relevant literature is reviewed.

参考中文摘要:

Myopericytoma是最近介绍,稀有,软组织肿瘤与周围肌样细胞分化。我们提出一个案件myopericytoma发生在踝关节在68岁的男子。病人与历史的一次脚踝周围的4年时间。临床表现,影像学特点和病理结果这一案件的报告,以及有关的文献回顾。

出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :165-9

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  11

参考中文标题:

Cerebrotendinous黄瘤症提出双边跟腱xanthomata 。

作者单位:

Tumour Surgery, Nuffield Orthopaedic Centre, Windmill Road, Oxford, OX3 7LD, UK,

PMID及链接:

16715243 http://www.syyxw.com/Archive/Detail/16715243

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摘  要:

We report on a case of a 36-year-old lady who presented with large, painful soft-tissue swellings of both Achilles tendons. MRI demonstrated fusiform enlargement involving the Achilles tendons bilaterally. The tendons returned heterogeneous signal intensity characterised by a diffuse reticulated appearance. The right tendon mass was treated with a wide marginal excision and Achilles tendon reconstruction. The histology confirmed Achilles tendon xanthoma. Further metabolic investigation revealed the patient to have a rare autosomal recessive condition called cerebrotendinous xanthomatosis (CTX). Her brother was also affected. CTX is easily treatable if diagnosed early, and should be suspected in patients presenting with bilateral Achilles tendon xanthomas and normal plasma lipid levels.

参考中文摘要:

我们报告一例36岁的老太太谁大提出的,痛苦的软组织肿胀两个跟腱。磁共振成像显示梭形扩大涉及跟腱双边。异构的肌腱返回信号强度特点是弥漫网状外观。大众的权利肌腱治疗广泛边缘切除跟腱重建。病理证实跟腱黄色瘤。进一步代谢调查发现病人有一种罕见的常染色体隐性条件要求cerebrotendinous黄瘤症(环磷酰胺) 。她的弟弟也受到影响。环磷酰胺是很容易治疗,如果早期诊断,并应提出怀疑患者双侧跟腱黄色瘤和正常血脂水平。

出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :171-5

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  12

参考中文标题:

腰椎间盘退行性疾病:基因分型,磁共振成像和表型。

作者单位:

Divison of Radiology, Cleveland Clinic Foundation, Cleveland Clinic Lerner College of Medicine, Cleveland, OH 44195, USA. Modicm1@ccf.org

PMID及链接:

16738912 http://www.syyxw.com/Archive/Detail/16738912

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出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :91-3

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  13

参考中文标题:

郎格罕细胞组织细胞增生症。 [审查] [ 81参]

作者单位:

Musculoskeletal Radiology, Massachusetts General Hospital, Yawkey 6E 55 Fruit Street, Boston, MA 02114, USA. kbhoover@partners.org

PMID及链接:

17028900 http://www.syyxw.com/Archive/Detail/17028900

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摘  要:

Langerhans cell histiocytosis (LCH) is a complex disease entity comprised of three distinct clinical syndromes that demonstrate indistinguishable histology. These syndromes are: eosinophilic granuloma, which is predominantly osseous or pulmonary; Hand-Schuller-Christian's disease, which involves multiple organ systems and, most typically, the skull base; and Letterer-Siwe's disease, the most severe disease manifestation, which typically involves the abdominal viscera. This article reviews our current understanding of Langerhans cell histiocytosis by discussing the history, histology, etiology, and treatment of the disease. It focuses on the radiographic findings and imaging modalities that are the most useful in disease diagnosis and management. [References: 81]

参考中文摘要:

郎格罕细胞组织细胞增生症(症)是一种复杂的疾病实体组成的三个不同的临床症状,表明区分组织。这些症状包括:嗜酸性肉芽肿,这主要是骨或肺;韩一薛一柯病,其中涉及多器官系统,最典型,颅底;和勒一雪氏病,最严重的疾病的表现,这通常涉及腹部内脏。本文我们目前的了解,郎格罕细胞组织细胞增生症的讨论历史,组织学,病原学和治疗该疾病。它的重点是发现和X线成像方式,是最有益的疾病诊断和管理。 [参考文献: 81 ]

出  处:

Skeletal radiology. 2007 Feb  ,36 (2) :95-104

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