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1
参考中文标题：
科学不端行为。
PMID及链接：
17205322 http://www.syyxw.com/Archive/Detail/17205322
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出 处：
Skeletal radiology. 2007 Mar ,36 (3) :179
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2
参考中文标题：
CT引导下穿刺活检骨与软组织肿瘤：一病理学家的观点。
PMID及链接：
17139502 http://www.syyxw.com/Archive/Detail/17139502
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出 处：
Skeletal radiology. 2007 Mar ,36 (3) :181-2
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3
参考中文标题：
当前应用先进的横截面成像技术在评价痛苦术。 [修改] [ 50参]
PMID及链接：
17151850 http://www.syyxw.com/Archive/Detail/17151850
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摘 要：
Patients with a painful arthroplasty can present a clinical diagnostic dilemma. Aspirates are often negative for infection and alignment of the prosthesis on conventional radiographs is usually satisfactory. These patients can have a myriad of soft tissue as well as osseous pathologies, which may be clinically unsuspected or radiographically occult. The ability of advanced cross-sectional imaging to diagnose osseous and soft tissue injuries has been well documented, but applications to arthroplasty imaging are often limited by regional metallic artifacts. Adjustment of standard imaging parameters can make CT and MR imaging useful adjuncts in imaging the painful arthroplasty, especially in the setting of normal radiographs. Ultrasound can be used to evaluate the periprosthetic soft tissues and provide a real-time method of evaluating the dynamic relationship of the periprosthetic soft tissues to the arthroplasty components, and it also can be used as a guide for diagnostic and therapeutic interventions. [References: 50]
参考中文摘要：
一个痛苦的患者关节可以提出临床诊断的难题。抽吸往往是负面的感染和调整义肢常规X线通常是令人满意的。这些患者可以有无数的软组织和骨疾病，这可能是临床X线意外或隐匿。的能力，先进的横截面成像诊断骨与软组织损伤一直都有详细记载，但应用关节成像往往是有限的区域金属文物。调整的标准成像参数可以使CT和MR影像有用的附加成像术的痛苦，特别是在建立正常的X光片。超声可用于评价周围软组织，并提供一个实时评价方法的动态关系的软组织周围的关节部分，也可作为指导诊断和治疗的干预措施。 [参考文献： 50 ]
出 处：
Skeletal radiology. 2007 Mar ,36 (3) :183-93
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4
参考中文标题：
诊断优于labral病变：比较noncontrast磁共振成像与间接MR关节造影在unexercised肩上。
PMID及链接：
17139503 http://www.syyxw.com/Archive/Detail/17139503
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摘 要：
OBJECTIVE: To prospectively compare the accuracy of noncontrast magnetic resonance imaging (MRI) with indirect MR arthrography (I-MRa) of unexercised shoulders for diagnosis of superior glenoid labral lesions. MATERIALS AND METHODS: Institutional Review Board approval and patient informed consent were obtained for this prospective study. Superior labral findings on shoulder MRI and unexercised I-MRa studies of 104 patients were correlated with findings at arthroscopic shoulder surgery. Two musculoskeletal radiologists independently reviewed the two sets of MR images while blinded to arthroscopic results. For each radiologist, the McNemar test was used to detect statistically significant differences between techniques. RESULTS: The superior labrum was intact in 24 and abnormal in 80 subjects. For detection of superior labral lesions by each radiologist, I-MRa was more sensitive (84-91%) than MRI (66-85%), with statistically significant improvement in sensitivity for one reader (p = 0.003). However, I-MRa was less specific (58-71%) than MRI (75-83%). Overall, accuracy was slightly improved on I-MRa (78-86%) compared with MRI (70-83%), but this difference was not statistically significant for either reader. CONCLUSION: Compared with noncontrast MRI, I-MRa was more sensitive for diagnosis of superior glenoid labral lesions. However, the diagnostic value of I-MRa in shoulders remaining at rest is potentially limited by decreased specificity of the technique.
参考中文摘要：
目的：比较的准确性noncontrast磁共振成像（ MRI ）与间接MR关节造影（一姆拉）的诊断unexercised肩膀上盂labral病变。材料与方法：机构审查委员会的批准和病人知情同意的获得了本前瞻性研究。高级labral结果肩膀MRI和unexercised我成像研究104例，与关节镜结果在肩部手术。肌肉骨骼放射两个独立审查了两套磁共振图像而失明，以关节镜结果。对于每个放射的麦克尼马尔试验检测统计学显着性差异的技术。结果：上盂唇完整的24和80个科目异常。检测优于labral病变每个放射，我造影更敏感（ 84-91 ％ ）高于磁共振成像（ 66-85 ％ ） ，与统计显着改善灵敏度一位读者（ p值= 0.003 ） 。然而，我成像不太具体（ 58-71 ％ ）高于磁共振（ 75-83 ％ ） 。总体而言，准确性是略有改善，我血管成像（ 78-86 ％ ）与磁共振成像（ 70-83 ％ ） ，但这种差异无统计学意义任读者。结论：与noncontrast磁共振成像，我造影更敏感的诊断上盂labral病变。然而，诊断价值的I - MRA在肩膀留在休息可能是有限的下降特异性的技术。
出 处：
Skeletal radiology. 2007 Mar ,36 (3) :195-202
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5
参考中文标题：
远端交叉腱鞘炎的腕：一个鲜为人知的伸肌肌腱与特点磁共振成像功能。
PMID及链接：
17177022 http://www.syyxw.com/Archive/Detail/17177022
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摘 要：
OBJECTIVE: To present the MRI imaging findings of extensor tenosynovitis at the distal intersection or crossover between the second (extensor carpi radialis longus (ECRL) and brevis (ECRB)) and third (extensor pollicis longus (EPL)) extensor compartment tendons, and the anatomical details that may play a role in the pathogenesis of this condition. DESIGN AND PATIENTS: The imaging studies and clinical records of five patients (three females and two males, with ages ranging between 22 and 78 years; mean age, 49 years) presenting with pain on the dorsal and radial aspect of the wrist were reviewed by two musculoskeletal radiologists in consensus. Three cases were identified serendipitously during routine clinical reading sessions; a follow-up computerized database search for additional cases reported in the prior two years yielded two additional cases. The overall number of cases screened was 1,031. The diagnosis of tendinopathy affecting the second and third compartment extensor tendons was made on the basis of MRI findings and clinical follow-up, or synovectomy. RESULTS: All patients showed signs of tenosynovitis: in four patients both the tendons of the second and third extensor compartments were affected; the fifth patient showed signs of tenosynovitis of the EPL tendon, and tendinosis of the extensor carpi radialis tendons. Three patients showed tenosynovitis proximal and distal to the point of intersection; and in two of them, a discrete point of constriction was appreciated at the crossover site in relation to the extensor retinaculum. Two patients showed tenosynovitis limited to the segment distal to the point of decussation. Tendinosis tended to follow the presence of tenosynovitis. In one of the patients, subtendinous reactive marrow edema in Lister's tubercle was noted. CONCLUSION: Distal intersection tenosynovitis may be related to the biomechanical pulley effect exerted by Lister's tubercle on the EPL tendon as it leaves the third compartment and crosses over the extensor carpi radialis tendons, as well as the constraining effect of the extensor retinaculum. These anatomical features determine the presence of characteristic MR imaging findings.
参考中文摘要：
目的：磁共振成像的结果伸肌腱鞘炎在远端交叉或交叉之间的第二次（桡侧腕长（ ECRL ）和短（ ECRB ） ）和第三（拇长伸肌（英超） ）伸肌室肌腱，和解剖细节，可能会发挥作用，发病机制中的这一条件。设计与患者：影像学研究和临床记录， 5例（ 3女2男，年龄介于22和78岁，平均年龄， 49岁）介绍与疼痛背和径向方面的手腕进行了审查两个肌肉骨骼放射的共识。三起案件被确定serendipitously在日常临床阅读会议;一个后续计算机化的数据库，寻找更多的病例在两年之前取得另外两个案件。病例总数是1031甄别。诊断肌腱影响第二次和第三次隔了伸肌腱的基础上， MRI检查和临床随访，或滑膜切除术。结果：所有病人的迹象腱鞘炎：在4名患者都肌腱的第二次和第三次伸肌舱室都受到影响;第五病人迹象表明腱鞘炎的英超肌腱，和尖末端病的桡侧腕肌腱。 3例显示腱鞘炎近端和远端的交点，并在其中两个，一个离散点收缩是赞赏的交叉网站有关伸肌支持带。 2例显示腱鞘炎限于部分远端点decussation 。尖末端病往往后续存在腱鞘炎。在一个病人， subtendinous反应骨髓水肿的李斯特的结节指出。结论：远端交叉腱鞘炎可能与滑轮的生物力学效应所产生的李斯特的结节肌腱的英超联赛，因为它使第三舱和跨越桡侧腕伸肌肌腱，以及制约作用伸肌支持带。这些解剖特点确定存在特征磁共振成像结果。
出 处：
Skeletal radiology. 2007 Mar ,36 (3) :203-8
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6
参考中文标题：
MRI表现在双边髌骨。
PMID及链接：
17151849 http://www.syyxw.com/Archive/Detail/17151849
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摘 要：
PURPOSE: Bipartite patella is a known cause of anterior knee pain. Our purpose was to detail the magnetic resonance imaging (MRI) features of bipartite patella in a retrospective cohort of patients imaged at our institution. MATERIALS AND METHODS: MRI exams from 53 patients with findings of bipartite patella were evaluated to assess for the presence of bone marrow edema within the bipartite fragment and for the presence of abnormal signal across the synchondrosis or pseudarthrosis. Any other significant knee pathology seen at MRI was also recorded. We also reviewed 400 consecutive knee MRI studies to determine the MRI prevalence of bipartite patella. RESULTS: Of the 53 patients with bipartite patella 40 (75%) were male; 35 (66%) had edema within the bipartite fragment. Of the 18 with no edema an alternative explanation for knee pain was found in 13 (72%). Edema within the bipartite fragment was the sole finding in 26 of 53 (49%) patients. Bipartite patella was seen in 3 (0.7%) of 400 patients. CONCLUSION: In patients with bipartite patella at knee MRI, bone marrow edema within the bipartite fragment was the sole finding on knee MRI in almost half of the patients in our series.
参考中文摘要：
目的：二分髌骨是已知的原因膝前疼痛。我们的目的是详细的磁共振成像（ MRI ）特点双边髌骨在回顾性队列成像患者在我们的机构。材料与方法：磁共振成像检查从53例结果进行了评价双边髌骨，以评估是否存在骨髓水肿的双边片段和存在异常信号跨越synchondrosis或假。任何其他重大膝关节磁共振成像病理学见于也记录。我们还审查了400个连续的膝MRI研究，以确定双方的MRI流行髌骨。结果： 53例偶髌骨40 （ 75 ％ ）是男性; 35 （ 66 ％ ）有水肿的双边片段。 18 ，没有水肿另作解释的膝盖疼痛，发现在13个（ 72 ％ ） 。水肿的双边片段是唯一在26个调查的53个（ 49 ％ ）患者。二分髌骨，看到3 （ 0.7 ％ ）的400名病人。结论：在患者的两方在膝盖髌骨磁共振成像，骨髓水肿的双边片段是唯一发现膝关节MRI在几乎有一半的患者在我们的系列。
出 处：
Skeletal radiology. 2007 Mar ,36 (3) :209-14
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7
参考中文标题：
疗效的MRI分类股骨近端协调不足。
PMID及链接：
17051388 http://www.syyxw.com/Archive/Detail/17051388
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摘 要：
OBJECTIVE: To evaluate the efficacy of MRI in classifying PFFD and to compare MRI to radiographic classification of PFFD. DESIGN: Radiographic and MRI classification of the cases was performed utilizing the Amstutz classification system. PATIENTS: Retrospective evaluation of radiographs and MRI exams in nine hips of eight patients with proximal focal femoral deficiency was performed by two radiologists. RESULTS: The cases were classified by radiographs as Amstutz 1: n=3, Amstutz 3: n=3, Amstutz 4: n=1 and Amstutz 5: n=2. The classifications based on MRI were Amstutz 1: n=6, Amstutz 2: n=1, Amstutz 3: n=0, Amstutz 4: n=2 and Amstutz 5: n=0. Three hips demonstrated complete agreement. There were six discordant hips. In two of the discordant cases, follow-up radiographs of 6 months or greater intervals were available and helped to confirm MRI findings. Errors in radiographic evaluation consisted of overestimating the degree of deficiency. CONCLUSION: MRI is more accurate than radiographic evaluation for the classification of PFFD, particularly early on, prior to the ossification of cartilaginous components in the femurs. Since radiographic evaluation tends to overestimate the degree of deficiency, MRI is a more definitive modality for evaluation of PFFD.
参考中文摘要：
目的：评价MRI在分类PFFD和MRI检查比较，以X线分类PFFD 。设计： X线与MRI的案件分类进行利用阿姆斯特茨分类系统。患者：回顾性评价的X光片和MRI检查在9臀部8例股骨近端联络缺陷是由两个放射。结果：病例按片作为阿姆斯特茨1 ： 3例，阿姆斯特茨3 ： 3例，阿姆斯特茨4 ： 1例和阿姆斯特茨5 ： 2例。在分类的基础上的MRI是阿姆斯特茨1 ： 6例，阿姆斯特茨2 ： 1例，阿姆斯特茨3 ：无= 0 ，阿姆斯特茨4 ： 2例和阿姆斯特茨5 ：无= 0 。三臀部证明完全一致。有六个不协调的臀部。在两个不协调的情况下，后续片的6个月或更大的间隔，并提供了帮助，以确认MRI表现。影像学评价中的错误组成的高估程度的缺陷。结论： MRI是更准确的评价比X光的分类PFFD ，特别是早期，之前软骨骨化元件的股骨。由于影像学评价往往高估程度的缺陷， MRI是一个更明确的方式来评价PFFD 。
出 处：
Skeletal radiology. 2007 Mar ,36 (3) :215-20
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8
参考中文标题：
超声的superomedial部分春季韧带复合体的脚：研究标本和无症状志愿者。
PMID及链接：
17136559 http://www.syyxw.com/Archive/Detail/17136559
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摘 要：
OBJECTIVE: To evaluate the ability of high-resolution sonography for assessing the thickness and echogenicity of the superomedial part of the normal spring ligament in the foot in cadavers and asymptomatic volunteers. MATERIALS AND METHODS: The superomedial part of the normal spring ligament of four cadaveric feet was imaged with a high-resolution linear array transducer. Upon localization, the ligament was injected with 0.1% methylene blue with sonographic guidance. A posteromedial approach was used to dissect the feet immediately following injection to confirm accurate identification of the ligament. The bilateral ligaments in 40 asymptomatic adult volunteers were subsequently imaged. RESULTS: Surgical dissection confirmed the accurate injection of methylene blue into all four cadaveric ligaments. The superomedial part of the normal spring ligament was identified bilaterally in all of the 40 asymptomatic volunteers, with a mean thickness of 3 mm in longitudinal short axes. The ligament was echogenic relative to surrounding fat, and it was thinner in women. Differences in ligament measurements with respect to age, sex, side (left vs. right) and foot dominance were not significant. The volunteers' height, weight and body mass index had a weakly positive correlation with ligament thickness. CONCLUSION: High-resolution ultrasound can be used to identify and measure the thickness of the superomedial part of the normal spring ligament. The provided baseline measurements for the normal ligament could prove valuable when assessing the abnormal ligament.
参考中文摘要：
目的：评价的能力，高解析度超音波检查，以评估的厚度和回声的superomedial部分正常春季韧带的脚在尸体和无症状志愿者。材料与方法： superomedial部分正常春季韧带四个尸英尺是影像与高分辨率线阵传感器。经本地化，韧带注射0.1 ％亚甲蓝与超声指导。阿posteromedial方法被用来解剖的脚后立即注射，以确认准确确定韧带。双边韧带40无症状成人志愿者后来拍摄。结果：外科解剖证实准确注射亚甲蓝到所有四个尸体韧带。一部分的superomedial正常春季韧带被确定双边在所有40无症状志愿者，平均厚度为3毫米的纵向短轴。韧带是回声相对周围脂肪，而且更薄妇女。分歧韧带测量对年龄，性别，侧（左与右）和足部优势不显着。志愿者的身高，体重和身体质量指数的弱正相关韧带厚度。结论：高分辨率超声可用于识别和测量的厚度superomedial部分正常春季韧带。所提供的基线测量正常韧带可以证明时价值评估异常韧带。
出 处：
Skeletal radiology. 2007 Mar ,36 (3) :221-8
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9
参考中文标题：
计算旋转畸形的小儿肱骨髁上骨折。
PMID及链接：
17139506 http://www.syyxw.com/Archive/Detail/17139506
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摘 要：
OBJECTIVE: Supracondylar humerus fractures (SCHF) are common in the pediatric population. Cubitus varus deformity (CVD) is the most common long-term complication of SCHFs and may lead to elbow instability and deficits in throwing or extension. Distal fragment malrotation in the axial plane disposes to fragment tilt and CVD; however, no simple method of assessing fracture malrotation exists. This study tested a mathematical method of measuring axial plane malrotation in SCHFs based on plain radiographs. DESIGN: A pediatric SCHF model was made, and x-rays were taken at known intervals of rotation. Five independent, blinded observers measured these films. Calculated rotation for each data set was compared to the known rotation. The identical protocol was performed for an aluminum phantom. RESULTS: The reliability and agreement of the rotation values were good for both models. CONCLUSIONS: This method is a reliable, accurate, and cost-effective means of calculating SCHF distal fragment malrotation and warrants clinical application.
参考中文摘要：
目的：肱骨髁上骨折（ SCHF ）是常见的小儿人口。肘内翻畸形（ CVD ）技术是最常见的长期并发症SCHFs并可能导致不稳定和肘部赤字投掷或延长。远端片段旋转不良的轴面处理，以片段倾斜和化学气相沉积;但是，没有简单的方法，评估骨折旋转不良存在。这项研究测试了一种数学方法测量轴面旋转不良的SCHFs X线的基础上。设计：小儿SCHF模型，和X -射线被称为间隔在轮换。五名独立，失明观察员衡量这些电影。计算旋转每个数据集进行了比较，以已知的轮换。相同的协议进行的铝幻像。结果：可靠性和协议的轮换价值观有利于两种模式。结论：该方法是可靠，准确，并符合成本效益的方式计算SCHF远端片段旋转不良和认股权证的临床应用价值。
出 处：
Skeletal radiology. 2007 Mar ,36 (3) :229-35
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10
参考中文标题：
Osteoblastomatosis骨。阿良性肿瘤，多骨性病变，有别于骨样骨瘤和骨母细胞瘤， X线模拟血管肿瘤。
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16639626 http://www.syyxw.com/Archive/Detail/16639626
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摘 要：
Two adult patients are described with multifocal osteolytic lesions radiologically simulating a vascular tumor. One patient had multiple bones involved. Histologically, the individual lesions had the features of the nidus of osteoid osteoma/osteoblastoma. A review of the English language medical literature yielded only one other reported case with similar features. The process is designated as osteoblastomatosis to indicate its bone-forming character, prominent osteoblast proliferation, and multiplicity. The cases are distinguished from multifocal/multicentric osteoid osteoma and osteoblastoma, and from benign and malignant vascular tumors.
参考中文摘要：
两名成年病人的描述，多溶骨性病变的X线模拟血管肿瘤。 1名病人参与了多个骨头。组织学，个人病灶的特点，病灶骨样骨瘤/骨母细胞瘤。回顾英文医学文献只产生一个报告的其他情况类似的功能。这一过程被指定为osteoblastomatosis表明其骨形成特点，突出的成骨细胞的增殖，并多重。这些案件均有别于多/多骨样骨瘤和骨母细胞瘤，从良性和恶性血管瘤。
出 处：
Skeletal radiology. 2007 Mar ,36 (3) :237-47
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11
参考中文标题：
骨母细胞瘤穿越骶髂关节。
PMID及链接：
16552607 http://www.syyxw.com/Archive/Detail/16552607
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摘 要：
Osteoblastoma is a rare primary bone tumour which is well-described in the spine and sacrum. We report a case of histologically confirmed osteoblastoma in a 20-year-old male which crossed the sacroiliac joint. This has not previously been described to our knowledge. The imaging features of osteoblastoma and sacroiliac joint involvement by bone tumours are reviewed.
参考中文摘要：
骨母细胞瘤是一种罕见的原发性骨肿瘤是良好的中描述的脊柱和骶骨。我们报告一例骨母细胞瘤病理证实的20岁男性的跨越骶髂关节。这是以前没有描述我们的知识。的影像学特征及骶髂关节骨母细胞瘤骨肿瘤参与审查。
出 处：
Skeletal radiology. 2007 Mar ,36 (3) :249-52
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参考中文标题：
毒性骨母细胞瘤的肩胛骨。
PMID及链接：
16673097 http://www.syyxw.com/Archive/Detail/16673097
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摘 要：
Osteoblastoma rarely occurs in the scapula, and toxic osteoblastoma is a very rare subtype of this bone-forming tumour. This report details the clinical, radiological and pathological features of a toxic osteoblastoma of the scapula; it is the first reported case to be diagnosed correctly pre-operatively and treated appropriately by excision.
参考中文摘要：
骨母细胞瘤很少发生在肩胛骨，和有毒骨母细胞瘤是一种非常罕见的亚型这个骨形成肿瘤。这份报告详细介绍了临床，放射和病理特征的一种有毒的骨母细胞瘤的肩胛骨，这是第一次报告的案件要正确诊断术前以及适当地处理了切除。
出 处：
Skeletal radiology. 2007 Mar ,36 (3) :253-7
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参考中文标题：
骨膜成骨细胞瘤：病例报告与一种罕见的病理介绍及文献复习。 [修改] [ 29参]
PMID及链接：
16868789 http://www.syyxw.com/Archive/Detail/16868789
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摘 要：
Osteoblastoma is an uncommon benign bone tumor most commonly located in the vertebral column or metaphysis of a long bone. Periosteal location is rare. We report a periosteal-based osteoblastoma, arising from the proximal tibia, in a 20-year-old woman who presented with knee swelling and pain of 2-year duration. Imaging studies showed a metaphyseal surface-based lesion with patchy radiodensities. The cortico-medullary junction was intact. The lesion was totally excised. Histopathologic evaluation disclosed immature bone and osteoid deposition in a vascularized stroma, associated with numerous osteoblasts and osteoclasts rimming the bony trabeculae. Plate-like arrangements of cartilage in the margin of the neoplastic tissue were also identified. At 16 months postoperatively, the patient was well without recurrence. Although extremely unusual, the presence of cartilage does not necessarily exclude the diagnosis of osteoblastoma. [References: 29]
参考中文摘要：
骨母细胞瘤是一种少见的良性骨肿瘤最常见的位于脊柱或干骺端的长骨。骨膜的位置是罕见的。我们报告一个骨膜的骨母细胞瘤，因胫骨近端，在一个20岁的女子谁提出膝关节肿胀和疼痛2年时间。影像学显示干骺端地面病变斑块radiodensities 。的皮质，髓质交界处是完整的。病灶完全切除。病理组织学评价披露未成熟骨和骨质沉积在血管基质，同众多的成骨细胞和破骨细胞的骨小梁rimming 。板样安排的软骨的边缘肿瘤组织也确认了。在16个月后，病人完全无复发。虽然极为罕见，在场的软骨并不一定排除骨母细胞瘤的诊断。 [参考文献： 29 ]
出 处：
Skeletal radiology. 2007 Mar ,36 (3) :259-64
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