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1
参考中文标题：
应力性骨折的鉴别病理性骨折：一个多学科综合的办法。 [审查] [ 47参]
作者单位：
The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. lfayad1@jhmi.edu
PMID及链接：
15838703 http://www.syyxw.com/Archive/Detail/15838703
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摘 要：
Whereas stress fractures occur in normal or metabolically weakened bones, pathologic fractures occur at the site of a bone tumor. Unfortunately, stress fractures may share imaging features with pathologic fractures on plain radiography, and therefore other modalities are commonly utilized to distinguish these entities. Additional cross-sectional imaging with CT or MRI as well as scintigraphy and PET scanning is often performed for further evaluation. For the detailed assessment of a fracture site, CT offers a high-resolution view of the bone cortex and periosteum which aids the diagnosis of a pathologic fracture. The character of underlying bone marrow patterns of destruction can also be ascertained along with evidence of a soft tissue mass. MRI, however, is a more sensitive technique for the detection of underlying bone marrow lesions at a fracture site. In addition, the surrounding soft tissues, including possible involvement of adjacent muscle, can be well evaluated with MRI. While bone scintigraphy and FDG-PET are not specific, they offer a whole-body screen for metastases in the case of a suspected malignant pathologic fracture. In this review, we present select examples of fractures that underscore imaging features that help distinguish stress fractures from pathologic fractures, since accurate differentiation of these entities is paramount. [References: 47]
参考中文摘要：
而应力性骨折发生在正常或代谢削弱骨骼，病理性骨折发生在现场的骨肿瘤。不幸的是，应力性骨折影像学特征可共享与病理性骨折普通X线摄影，因此其他方式通常用来区分这些实体。附加横断面成像CT或MRI以及显像和PET扫描，往往表现为进一步的评估。为详细评估骨折网站，提供的CT高分辨率鉴于骨皮质和骨膜艾滋病诊断的病理性骨折。根本性质的骨髓格局的破坏也可以连同证据确定的软组织肿块。 MRI检查，但是，是一个比较敏感技术检测骨髓病变根本上骨折的网站。此外，周围的软组织，包括可能参与邻近肌肉，能较好地评价与MRI 。虽然骨显像和葡萄糖聚酯没有具体的，他们提供了一个全身屏幕转移的情况下，怀疑恶性病理性骨折。在这次审查中，我们现在选择的例子骨折强调影像学特征，以帮助区分应力性骨折的病理性骨折，因为准确区分这些实体是至关重要的。 [参考文献： 47 ]
出 处：
Skeletal radiology. 2005 May ,34 (5) :245-59
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2
参考中文标题：
肩锁关节囊肿：九箱子一假的肩膀上。
作者单位：
Department of Diagnostic, Interventional and Pediatric Radiology, University Hospital of Bern, 3010 Bern, Switzerland. dechen.tshering@insel.ch
PMID及链接：
15723212 http://www.syyxw.com/Archive/Detail/15723212
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摘 要：
OBJECTIVE: (1) To analyse the imaging appearances of nine patients with acromioclavicular joint cysts presenting as shoulder masses for tumor staging with operative, histopathological and joint aspiration findings.DESIGN AND PATIENTS: Retrospective review of imaging and correlation with clinical, operative and surgical notes. Images were reviewed by two musculoskeletal radiologists by consensus. Nine patients who presented clinically with a shoulder mass were evaluated by radiographs (n=9), ultrasound (n=1), conventional arthrography (n=3), MRI (n=6; with direct MR arthrography n=2, indirect MR arthrography n=4).RESULTS: All patients had a focal mass superior to the AC joint, with a size ranging from 1.5 cm to 6 cm and a mean of 3.27 cm. Correlation was available with surgery (n=7), histopathology (n=2) and cyst aspiration (n=2). Two patients were managed conservatively. Geyser sign was positive in all three arthrograms. All MRIs revealed extensive rotator cuff tears with a column of fluid extending from the glenohumeral joint through the rotator cuff tear into the acromioclavicular joint and acromioclavicular cyst. Chondrocalcinosis was seen in the acromioclavicular joint cyst (n=2) and in the glenohumeral joint (n=1). Aspirate in two patients contained calcium pyrophosphate dihydrate crystals.CONCLUSION: Acromioclavicular joint cysts may present as a tumor mass. They are associated with extensive rotator cuff tears and there is usually communication of the cyst with the joint space. This feature excludes a diagnosis of tumor. AC joint cysts may be associated with calcium pyrophosphate dihydrate deposition disease.
参考中文摘要：
目的： （ 1 ）分析影像学表现9例肩锁关节囊肿群众提出的肩膀为肿瘤分期与手术，病理和共同的愿望findings.DESIGN与患者：回顾性成像和相关临床，手术及手术笔记。图像进行了审查两个肌肉骨骼放射一致通过。谁提出的9例临床与肩部的质量进行了评价片（ 9例） ，超声（ 1例） ，常规造影（ 3例） ，磁共振成像（每组6只;直接MR关节造影2例，间接问造影4例） 。结果：所有患者进行了协调大规模优于交流联合，以大小不等一点五厘米至6厘米，平均三点二七厘米。提供相关手术（ 7例） ，病理（ 2例）和囊肿的愿望（ 2例） 。两名病人的管理保守。间歇泉的迹象是积极的所有三个arthrograms 。所有核磁共振成像显示广泛的肩袖撕裂与一列从流体的肩关节联合通过肩袖撕裂的肩锁关节和肩囊肿。 Chondrocalcinosis被视为在肩锁关节囊肿（ 2例）和肩关节联合（ 1例） 。分泌物2例载焦磷酸钙二水crystals.CONCLUSION ：肩锁关节囊肿可能作为一个肿块。它们与广泛的肩袖撕裂和通常的沟通囊肿与联合空间。此功能不包括诊断肿瘤。交流联合囊肿可能与二水焦磷酸钙沉积病。
出 处：
Skeletal radiology. 2005 May ,34 (5) :260-5
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3
参考中文标题：
摄影肘关节评价剥脱性骨软骨炎患者的capitellum 。
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@mail.radiology.wisc.edu
PMID及链接：
15761743 http://www.syyxw.com/Archive/Detail/15761743
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摘 要：
OBJECTIVE: This study was performed to determine the ability of a routine radiographic examination of the elbow to detect osteochondritis dissecans of the capitellum and associated intra-articular loose bodies. DESIGN AND PATIENTS: The study group consisted of 15 patients with osteochondritis dissecans of the capitellum confirmed by surgery or magnetic resonance imaging. Seven of the 15 patients had associated intra-articular loose bodies confirmed by surgery. All 15 patients had anteroposterior and lateral radiographs and magnetic resonance imaging of their symptomatic elbow. Nine of the 15 patients had subsequent elbow surgery. We reviewed the original interpretations of the radiographic examinations of the elbow of all 15 patients to determine whether osteochondritis dissecans of the capitellum and associated intra-articular loose bodies had been identified prospectively. We also reviewed the elbow radiographs of all 15 patients to determine whether osteochondritis dissecans of the capitellum and associated intra-articular loose bodies could be identified retrospectively. RESULTS: Osteochondritis dissecans of the capitellum was detected during the initial interpretations of the radiographic examinations of the elbow in seven of 15 patients. Osteochondritis dissecans of the capitellum was detected during retrospective review of the elbow radiographs in 10 of 15 patients. Intra-articular loose bodies were detected during the initial interpretations of the radiographic examinations of the elbow in three of seven patients. Intra-articular loose bodies were detected during retrospective review of the elbow radiographs in four of seven patients. CONCLUSIONS: A routine radiographic examination of the elbow has limited sensitivity for detecting osteochondritis dissecans of the capitellum and associated intra-articular loose bodies.
参考中文摘要：
目的：本研究是为了确定是否有能力进行例行X光检查发现肘关节剥脱性骨软骨炎的capitellum及相关关节内游离体。设计与患者：研究组15例剥脱性骨软骨炎的capitellum证实手术或磁共振成像。七个了相关的15例关节内游离体证实了手术。全部15例，前后和侧面X光片和磁共振成像其症状肘。九， 15个病人随后肘部手术。我们审查了原始的解释， X线检查肘关节所有15个病人，以确定是否剥脱性骨软骨炎的capitellum及相关关节内游离体已被确定前瞻性。我们还审查了肘关节X线的所有15个病人，以确定是否剥脱性骨软骨炎的capitellum及相关关节内游离体可确定追溯。结果：剥脱性骨软骨炎的capitellum发现在最初的解释， X线检查肘关节7 15例。剥脱性骨软骨炎的capitellum发现在回顾肘关节X线中的10个15例。关节内游离体发现在最初的解释， X线检查肘关节三个7例。关节内游离体检测在回顾肘关节X线中的4个7例。结论：常规X线检查肘关节已限制灵敏度检测剥脱性骨软骨炎的capitellum及相关关节内游离体。
出 处：
Skeletal radiology. 2005 May ,34 (5) :266-71
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4
参考中文标题：
预测值钆增强鉴别转氨酶/西部脂肪良性脂肪瘤。
作者单位：
Department of Orthopedics, State University of New York Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA. panzarem@upstate.edu
PMID及链接：
15742204 http://www.syyxw.com/Archive/Detail/15742204
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摘 要：
OBJECTIVE: To determine the predictive value of gadolinium enhancement on MRI in differentiating atypical lipomatous tumor (ALT)/well-differentiated (WD) liposarcoma from benign fatty tumors. DESIGN: All histologically proven fatty tumors with preoperative gadolinium-enhanced MRI were reviewed. Only those tumors with predominantly fatty signal were included. Sensitivity, specificity, and positive and negative predictive values for both gadolinium enhancement and biopsy as predictors for the final diagnosis of ALT/WD liposarcoma were calculated. PATIENTS: From 129 patients evaluated for fatty tumors between 1994 and 2002, the patient population was narrowed to 32 excised fatty tumors with preoperative gadolinium-enhanced MRI. RESULTS: As a predictor of ALT/WD liposarcoma, the presence of gadolinium enhancement showed 100% sensitivity, 71% specificity, 53% positive predictive value and 100% negative predictive value. Needle or incisional biopsy yielded 57% sensitivity, 100% specificity, 100% positive predictive value and 63% negative predictive value for a diagnosis of ALT/WD liposarcoma. CONCLUSIONS: Gadolinium enhancement of a homogeneous fatty soft tissue tumor is a sensitive screening tool to determine possible diagnosis of ALT/WD liposarcoma. Biopsy, on the other hand, is specific but insensitive.
参考中文摘要：
目的：确定预测值钆增强磁共振成像在鉴别非典型脂肪瘤（备选案文） /高分化（西部）脂肪肉瘤良性脂肪瘤。设计：所有病理证实脂肪瘤术前钆增强MRI进行了审查。只有那些肿瘤主要脂肪酸信号都包括在内。敏感性，特异性，阳性和阴性预测值为钆增强和活检预测最后诊断肝/西部脂肪肉瘤计算。病人：从129例脂肪瘤评价1994年和2002年之间，病人人口缩小到32切除脂肪瘤术前钆增强MRI 。结果：正如预测中ALT /西部脂肪肉瘤，存在钆增强显示100 ％的敏感性，特异性71 ％ ， 53 ％ ，阳性预测值和100 ％阴性预测值。切口活检针或取得57 ％的敏感性，特异性100 ％ ， 100 ％ ，阳性预测值和63 ％的阴性预测值为诊断肝/西部脂肪肉瘤。结论：钆增强均匀脂肪软组织肿瘤是一个敏感的筛选工具，以确定可能的诊断肝/西部脂肪肉瘤。活组织检查，另一方面，是具体的，但不敏感。
出 处：
Skeletal radiology. 2005 May ,34 (5) :272-8
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5
参考中文标题：
哈里斯行胫骨跨越世纪：比较两个种群，中世纪和现代中欧。
作者单位：
Department of Diagnostic Radiology, University Hospital of Bern, Inselspital, 3010 Bern, Switzerland. Shinaameen@yahoo.com
PMID及链接：
15586281 http://www.syyxw.com/Archive/Detail/15586281
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摘 要：
OBJECTIVE: To determine the incidence of Harris lines in two medieval populations which inhabited the Canton of Berne, in Central Switzerland, and to compare the results with those of a contemporary population living in the same geographical area. A simplified method is described for measuring the age of the individual at the time of formation of Harris lines, with possible future applications. DESIGN AND PATIENTS: Radiographs of 112 well-preserved tibiae of skeletons of two medieval populations from the eighth to fifteenth centuries were reviewed for the incidence of Harris lines. The results were compared with those of 138 current patients living in the same geographic location in Central Switzerland. Age and gender of the medieval individual were determined using known anthropological methods. Age of bone at the time of formation of Harris lines was estimated according to the method of Maat. RESULTS: Harris lines were found in 88 of 112 (80%) of the examined medieval skeletons and in 28 of 138 (20%) of the living individuals. Higher incidences of Harris lines were found at the age of 2 years and at ages between 8 and 12 years in both populations. No gender difference was found regarding the incidence of Harris lines. In both populations the occurrence of Harris lines was associated with certain diseases such as degenerative bone disease, trauma, osteoporosis, rheumatoid arthritis, peripheral vascular diseases, rickets and bony deformities. CONCLUSION: A high incidence of Harris lines was found in the medieval population, perhaps reflecting difficult living and hygienic conditions, but also the poor care and neglect of the children population. Measuring the age of the individual at the time of formation of Harris lines is simple and may have future clinical applications in the paediatric population for medico-legal purposes. The application of Harris lines as a marker in follow-up of osteoporosis may need further evaluation.
参考中文摘要：
目的：确定的发病率哈里斯线在两个中世纪的人口居住在广东的伯尔尼，在瑞士中部，并比较结果与当代人口居住在同一地理区域。一种简化的方法来衡量所描述的年龄，个人的时候，形成的哈里斯线，与未来可能的应用。设计与患者： X线112保存完好的胫骨的骨骼两个中世纪人口从第八至十五世纪的审查率哈里斯线。结果进行了比较与当前的138例住在同一地理位置在瑞士中部。年龄和性别的中世纪确定个人使用已知人类学方法。年龄骨的时候，形成的哈里斯行估计根据玛阿特方法。结果：哈里斯线中发现88 112 （ 80 ％ ）的审查中世纪骨骼和28 138 （ 20 ％ ）的个人的生活。发病率较高的线路哈里斯被发现在2岁和8岁和12岁两个人口。没有性别差异，有关的发病率哈里斯线。在这两个种群发生哈里斯线是与某些疾病，如退行性骨疾病，外伤，骨质疏松症，类风湿关节炎，周围血管疾病，佝偻病和骨畸形。结论：发病率高哈里斯线中发现中世纪人口，也许反映了困难的生活和卫生条件，但也对穷人的照顾和忽视儿童的人口。测量的年龄，个人的时候，形成的哈里斯线很简单，可能在今后的临床应用的儿科人口法医目的。哈里斯的应用为标志线的后续骨质疏松症可能需要进一步评价。
出 处：
Skeletal radiology. 2005 May ,34 (5) :279-84
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6
参考中文标题：
尤文氏肉瘤肱骨模仿纤维异常增殖症的影像学和生物学行为。
作者单位：
Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA. sundarm@ccf.org
PMID及链接：
15838704 http://www.syyxw.com/Archive/Detail/15838704
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摘 要：
We present the case of a 12-year-old girl who presented with a pathological fracture through a benign-appearing osteolytic lesion that was presumed to represent fibrous dysplasia. The fracture healed, and over the next 2.5 years there was further refracturing and healing with progressive osteolysis. A biopsy was performed and revealed Ewing's sarcoma. The disease was locally controlled by neoadjuvant chemotherapy and radiation therapy. The patient is disease free with excellent function 6 years following the discovery of the lesion. We illustrate and discuss the sequence of events.
参考中文摘要：
我们目前的情况下， 12岁的女孩谁提出一个病理性骨折通过良性出现溶骨性病变被推定为代表纤维异常增殖症。骨折愈合，在未来2.5年有进一步压裂和愈合逐步溶骨。活检进行揭示尤文氏肉瘤。是当地的疾病控制的新辅助化疗和放射治疗。病人是无病具有优良功能6岁以下的发现病灶。我们说明并讨论了一系列事件。
出 处：
Skeletal radiology. 2005 May ,34 (5) :285-9
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7
参考中文标题：
五年期演变成骨肉瘤最初毛细血管扩张管理作为一个动脉瘤样骨囊肿。
作者单位：
Department of Anatomic Pathology (Second Department of Pathology), Pathological Sciences, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, 812-8582 Fukuoka, Japan.
PMID及链接：
15570421 http://www.syyxw.com/Archive/Detail/15570421
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摘 要：
We present the clinical, radiographic, and pathologic features of a telangiectatic osteosarcoma (TOS) of the right femoral neck in a 20-year-old man which was initially diagnosed and managed as an aneurysmal bone cyst (ABC). The lesion recurred twice. At the second recurrence TOS was diagnosed. The first local recurrence was recognized 4 years 8 months after the first operation. The clinical diagnosis for the recurrent lesion was recurrent ABC, and curettage and bone graft with internal fixation were performed. The second local recurrence was observed 8 months after the second surgery. The right lesser trochanter appeared destroyed on the radiograph, and a large medial soft tissue mass was demonstrated by computed tomography. The patient underwent wide resection of the tumor with prosthetic replacement of the right proximal femur. The histologic section for this lesion showed a blood-filled cystic lesion, and its wall contained sarcomatous cells with atypical mitoses and tumor osteoid. The histologic diagnosis for the second recurrent lesion was high-grade TOS. The retrospective review of the histologic section for the primary lesion showed similar features to ABC except for a few bizarre cells without mitosis in the tissue of cystic wall. The patient demonstrates no evidence of disease 13 months after the last surgery without adjuvant therapy (he declined chemotherapy).
参考中文摘要：
我们目前的临床， X线，病理特点和毛细血管扩张的骨肉瘤（服务条款）的权利股骨颈骨折的20岁男子最初诊断和管理作为一个动脉瘤样骨囊肿（ ABC ）的。复发病灶的两倍。在第二次复发的TOS诊断。第一局部复发承认4年8个月后的第一次手术。临床诊断为复发性病变复发美国广播公司，并刮除植骨内固定进行。第二局部复发，观察8个月后，第二次手术。小转子的权利似乎破坏的X光，和一个大型内侧软组织肿块证明了计算机断层扫描。病人接受全切除肿瘤假体置换权股骨近端。组织学病变节这表明血液填充囊性病变，其壁载肉瘤细胞非典型有丝分裂和肿瘤骨。病理诊断为第二复发病灶高档服务条款。在回顾性的病理科的原发灶表现出类似的功能，对美国广播公司除了一些奇怪的细胞有丝分裂组织中囊壁。病人没有任何证据表明疾病的13个月后的最后手术无辅助治疗（他拒绝化疗） 。
出 处：
Skeletal radiology. 2005 May ,34 (5) :290-4
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8
参考中文标题：
软组织骨肉瘤中的毛细血管扩张的年轻病人：成像和immunostains 。
作者单位：
Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 10400 Bangkok, Thailand. avsr@mahidol.ac.th
PMID及链接：
15570422 http://www.syyxw.com/Archive/Detail/15570422
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摘 要：
Telangiectatic osteosarcoma of the soft tissue is rare and generally affects adults older than 50 years of age. We present the case of a 17-year-old male who developed a mass in the right thigh. The CT and MRI findings suggested a malignant hemorrhagic tumor without discernable osteoid matrix. Differential diagnosis included various hemorrhagic mesenchymal tumors. Histology revealed large multiple cysts lined with septae and filled with numerous giant cells, pleomorphic spindle cells, and occasionally an osteoid-like substance. Immunostaining for osteocalcin was positive in the cytoplasm of both stromal mononucleate and multinucleate giant cells. Surgery and adjuvant chemotherapy were applied and the patient survives to the time of writing after 30 months of follow-up without recurrence or metastasis.
参考中文摘要：
毛细血管扩张骨肉瘤是罕见的软组织的影响和一般成年人50岁以上的年龄。我们目前的情况下， 17岁的男性谁制定了一个大规模的右大腿。 CT和MRI的结果表明，失血性肿瘤恶性骨基质没有觉察。鉴别诊断包括各种出血性骨髓瘤。组织学发现大型多个囊肿内衬septae和充满了无数巨细胞，多形性梭形细胞，有时一个骨样物质。骨钙素免疫染色阳性的细胞都基质mononucleate和多核巨细胞。手术和化疗的应用，病人存活的时间写在30个月的随访无复发或转移。
出 处：
Skeletal radiology. 2005 May ,34 (5) :295-8
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9
参考中文标题：
Erdheim -切斯特病儿童磁共振成像显示回归骨髓变化。
作者单位：
Department of Pediatrics, Chonbuk National University Medical School, 561-712 Jeonbuk, Korea.
PMID及链接：
15480644 http://www.syyxw.com/Archive/Detail/15480644
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摘 要：
OBJECTIVE: Erdheim-Chester disease is a disseminated xanthogranulomatous infiltrative disease of unknown origin that generally presents in adulthood. A review of the English-language literature demonstrated that pediatric cases were extremely rare, and to our knowledge, only two cases, a 7- and 14-year-old, have been published. DESIGN AND PATIENT: We report a case of Erdheim-Chester disease in a 10-year-old girl evaluated with MR imaging. Radiographs revealed typical bilateral, symmetric osteosclerosis of the metaphyseal regions of long bones of the upper and lower extremities. RESULTS: A histologic examination demonstrated foamy histiocytes in bone marrow smears. Bilateral symmetric low signal intensities of both proximal tibiae and distal femurs were demonstrated on T1-weighted MR images. After oral steroid therapy for 8 months, follow-up MR imaging showed remarkable restoration of normal high signal intensity in both the tibial and femoral metaphyses. CONCLUSION: To our knowledge, this may be the first case of Erdheim-Chester disease that showed normal restoration of the abnormal signal intensities in the metaphyses of long bones after steroid therapy.
参考中文摘要：
目的： Erdheim -切斯特病是一种散发黄色浸润性疾病，原因不明，一般呈现在成年。审查的英文文献表明，小儿病例极为罕见，而且就我们所知，只有两个情况下， 7 -和14岁，已经出版。设计和耐心：我们报告一例Erdheim -切斯特疾病在10岁的女孩评价磁共振成像。 X光片显示典型的双边，对称的干骺端骨硬化地区的长骨的上下肢。结果：组织学检查表明泡沫组织球在骨髓涂片。双边对称低信号强度都近端和远端股骨胫骨被证明在T1加权磁共振图像。口服类固醇治疗的8个月，后续磁共振成像显示，显着恢复正常的高信号强度的胫骨和股骨干骺端。结论：据我们所知，这可能是第一例Erdheim -切斯特疾病，恢复正常的异常信号强度在长骨干骺端的类固醇治疗后。
出 处：
Skeletal radiology. 2005 May ,34 (5) :299-302
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中文提供：
10
参考中文标题：
内神经纤维瘤孤立的胫骨。
作者单位：
Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, 325, Section 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, Republic of China. gsh5@seed.net.tw
PMID及链接：
15838705 http://www.syyxw.com/Archive/Detail/15838705
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摘 要：
A solitary intraosseous neurofibroma is rare and mostly occurs in the mandible. We report a case of a solitary intraosseous neurofibroma of the tibia. The radiographic findings were nonspecific and showed an eccentrically located, osteolytic lesion with a thin sclerotic border in the diaphysis of the left proximal tibia. The entity of intraosseous neurofibroma is briefly reviewed.
参考中文摘要：
孤独内神经纤维瘤是罕见的，主要发生在颌骨。我们报告一例孤独内神经纤维瘤的胫骨。 X线结果显示，非特异性和偏心位置，溶骨性病变的薄硬化边界的骨干左胫骨近端。实体内神经纤维瘤是简要回顾。
出 处：
Skeletal radiology. 2005 May ,34 (5) :303-6
相关链接：
PubMed Google学术搜索 Google引文
中文提供：
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