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  1

参考中文标题:

磁共振成像的小联赛的肩膀上。

PMID及链接:

16235078 http://www.syyxw.com/Archive/Detail/16235078

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摘  要:

The MRI appearance of 'Little Leaguer's shoulder' has not been previously reported in the radiology literature. Purported etiologies include proximal humeral epiphyseolysis, osteochondrosis of the proximal humeral epiphysis, stress fracture of the proximal humeral epiphyseal plate, and rotational stress fracture of the proximal humeral epiphyseal plate. We describe magnetic resonance imaging findings in four patients and review the literature.

参考中文摘要:

在MRI表现的小联赛的肩膀'没有以前报告中的放射学文献。据称病因包括肱骨近端epiphyseolysis ,骨软骨病的肱骨近端骨骺,应力性骨折的肱骨近端骺板和旋转的应力性骨折肱骨近端骺板。我们描述磁共振成像发现4例,并回顾相关文献。

出  处:

Skeletal radiology. 2006 Feb  ,35 (2) :103-6

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  2

参考中文标题:

MRI表现在小联赛的肩膀上。

PMID及链接:

16308719 http://www.syyxw.com/Archive/Detail/16308719

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摘  要:

Little leaguer's shoulder, a stress injury of the proximal humeral physis, should be considered in the differential diagnosis for an adolescent baseball player with shoulder pain, especially if the player is pitching regularly in a competitive environment. While roentgenographs may or may not be helpful, depending on the duration and severity of the injury, we report the MRI appearance of a case of little leaguer's shoulder. We found MRI helpful in diagnosing injury to the growth plate that was radiographically occult; furthermore, we were able to document the patient's progress with a follow-up MRI examination, which showed improvement with treatment.

参考中文摘要:

小选手的肩上,应力损伤的肱骨近端物理,应该考虑的鉴别诊断为青少年棒球运动员的肩部疼痛,特别是如果球员投球定期在一个竞争的环境。虽然roentgenographs可能会或可能不会有帮助,根据时间长短和严重的伤害,我们报告MRI表现一例小选手的肩上。我们发现MRI检查有助于诊断损伤生长板是X线隐匿;此外,我们能够文件病人的进展的后续MRI检查显示,改善待遇。

出  处:

Skeletal radiology. 2006 Feb  ,35 (2) :107-9

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  3

参考中文标题:

“跌头”综合征由于孤立肌炎颈部伸肌肌肉: MRI表现。

PMID及链接:

16220272 http://www.syyxw.com/Archive/Detail/16220272

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摘  要:

MRI findings of a patient with dropped-head syndrome due to focal myositis of the neck extensor muscles are presented. MRI showed oedematous changes and marked enhancement of the neck extensor muscles. After therapy MRI demonstrated disappearance of the abnormal findings.

参考中文摘要:

MRI检查的患者下降头综合征由于联络肌炎颈部伸肌肌肉介绍。 MRI显示oedematous变化和显着增强颈部伸肌肌肉。治疗后的MRI表现异常失踪结果。

出  处:

Skeletal radiology. 2006 Feb  ,35 (2) :110-2

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  4

参考中文标题:

皮肌炎和钙化myonecrosis的腿:超声作为援助的管理。

PMID及链接:

16205923 http://www.syyxw.com/Archive/Detail/16205923

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摘  要:

Calcific myonecrosis, often reported in the setting of prior trauma or compartment syndrome, has traditionally been treated with surgical debridement; however, these cases are often complicated by poor wound closure and poor healing. Serial percutaneous aspirations, instead, have been proposed as an alternative treatment option. This is the first report, to our knowledge, of the use of ultrasound guidance in the aspiration of calcific myonecrosis as an aid in management.

参考中文摘要:

钙化myonecrosis ,往往是在事先确定的创伤或隔综合征,历来手术清创治疗,但这些案件往往是复杂的穷人伤口闭合和愈合不良。串行皮的愿望,相反,已被提议作为一种替代治疗方法。这是第一份报告,就我们所知,利用超声引导的愿望钙化myonecrosis作为援助的管理。

出  处:

Skeletal radiology. 2006 Feb  ,35 (2) :113-6

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  5

参考中文标题:

Ganglioneuromas的骶骨- 2例与X线,病理对照。

PMID及链接:

16315071 http://www.syyxw.com/Archive/Detail/16315071

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摘  要:

Ganglioneuromas are rare, benign, well-differentiated, slow-growing tumors, composed of ganglion cells and Schwann cells. Ganglioneuromas are derived from the neural crest cells and can arise anywhere from the base of the skull to the pelvis. We present and discuss the clinicopathologic and radiographic features of two patients with ganglioneuroma arising from the sacrum, a rare anatomic location.

参考中文摘要:

Ganglioneuromas是罕见的,良性的,分化良好,生长缓慢的肿瘤,包括神经节细胞和雪旺氏细胞。 Ganglioneuromas来源于神经嵴细胞和可能出现的任何地方从颅底的骨盆。我们提出并讨论的临床病理和影像学表现2例节细胞神经瘤引起的骶骨,这是一种罕见的解剖位置。

出  处:

Skeletal radiology. 2006 Feb  ,35 (2) :117-21

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  6

参考中文标题:

髓内插入髌腱。

PMID及链接:

16220271 http://www.syyxw.com/Archive/Detail/16220271

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摘  要:

This case represents a rare presentation of an intramedullary insertion of the patellar tendon in an otherwise healthy 8-year-old girl. To our knowledge no such phenomenon has previously been reported in the English literature.

参考中文摘要:

这起案件是一个罕见的提出一个髓内插入髌腱在一个健康的8岁女童。就我们所知,没有这样的现象曾在英文文献。

出  处:

Skeletal radiology. 2006 Feb  ,35 (2) :122-5

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  7

参考中文标题:

超声出现肌腱眼泪。第2部分:下肢和myotendinous流下了眼泪。 [审查] [ 38参]

PMID及链接:

16382328 http://www.syyxw.com/Archive/Detail/16382328

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摘  要:

Traumatic tears of the musculotendinous complex at the lower limb are common in clinical practice but can be difficult to detect and to evaluate because of swelling and pain that can limit proper physical examination. They can affect sedentary subjects or active sports participants involved in amateur or professional activities. In the first group tendons are more commonly affected, while myotendinous tears are common in sports players. The aims of this review article are to review the aetiology and pathomechanism of the most common ruptures affecting the tendons and the main myotendinous junctions of the lower extremity and to describe their ultrasound findings as well as to correlate ultrasound appearance with that of the other imaging modalities. [References: 38]

参考中文摘要:

外伤性泪musculotendinous复杂在下肢是常见,但在临床实践中可能很难检测和评价,因为肿胀和疼痛,可以适当限制体检。它们可以影响久坐体育科目或积极参与者的业余或专业的活动。在第一组肌腱较为普遍受影响,而myotendinous流泪是常见的运动员。的目标,本次审查的文章是审查病因和发病机制中最常见的断裂的肌腱和影响的主要myotendinous路口下肢,并说明其超声结果以及相关超声外观与其他成像方式。 [参考文献: 38 ]

出  处:

Skeletal radiology. 2006 Feb  ,35 (2) :63-77

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  8

参考中文标题:

精度的X线分级和组织特异性诊断-研究对象是200名连续骨肿瘤手。

PMID及链接:

16247641 http://www.syyxw.com/Archive/Detail/16247641

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摘  要:

OBJECTIVE: To determine the usefulness of radiography and magnetic resonance imaging in differentiating benign from malignant bony tumors of the hand and in making a tissue-specific diagnosis. DESIGN: Two hundred consecutive bony tumors of the hand, the details of which originated from a national databank, were studied in a prospective way by radiography (100%) and by MRI (25%). All tumors were graded on a five-point scale, from certainly benign to certainly malignant, using location and morphology as diagnostic parameters. For all tumors a tissue-specific diagnosis was made, by the proposal of three possibilities in decreasing order of probability. Histological diagnosis was made by peer review, according to the WHO classification. RESULTS: By the combining of "certainly" and "probably" benign (grades I and II) and "certainly" and "probably" malignant (grades IV and V), a correct grading was obtained in 165 (82.5%) of the cases (154 of the 173 benign and 11 of the 27 malignant tumors). A correct tissue-specific diagnosis was included in the three proposed differentials in 87.5%. MRI confirmed a correct diagnosis made on radiography in 72% and improved the grading capability by correctly upgrading malignant tumors and downgrading benign tumors in, respectively, 8% and 12%. The capability to obtain a tissue-specific diagnosis improved with change of an incorrect diagnosis on radiography to a correct one on MRI in 12 cases (24%). CONCLUSION: Subjective (semiquantitative) grading on radiography by an expert group proved to be excellent when compared with the results of a quantitative analysis of individual grading parameters. Multiple logistic regression analysis of these parameters resulted in a grading formula containing only six variables. The additional value of MRI in grading was amply demonstrated. Already high accuracy of radiography, in making a tissue-specific diagnosis, improved substantially after the performance of MRI.

参考中文摘要:

目的:确定有用的摄影和磁共振成像在鉴别良恶性骨肿瘤的手,取得了组织特异性诊断。设计:两百年连续骨肿瘤的手,详细情况来自国家数据库,研究了一项前瞻性的方式摄影( 100 % )和磁共振成像( 25 % ) 。所有肿瘤的等级上,分为五个等级,从一定良性向恶性当然,使用的位置和形态诊断参数。所有肿瘤的组织的具体诊断是,该提案的三种可能性中,以概率。病理诊断是由同行审查,根据世界卫生组织的分类。结果:合并“肯定”和“可能”良性(等级I和II )和“肯定”和“可能”恶性(等级四和五) ,正确的分级中获得165 ( 82.5 % )的案件( 154 173良性肿瘤和11 27恶性肿瘤) 。正确的组织特异性诊断被列入拟议三个差别为87.5 % 。 MRI检查证实了正确的诊断上取得摄影在72 % ,并改善了分级能力正确升级和降级恶性肿瘤良性肿瘤分别在8 %和12 % 。有能力获得组织特异性诊断改善改变了不正确的X线诊断正确的一项是关于MRI在12例( 24 % ) 。结论:主观(半)的X线分级的一个专家小组被证明是优秀的比较,得出的结果的定量分析个别分级参数。多因素logistic回归分析这些参数导致分级公式只包含6个变量。附加价值的MRI分级充分证明。已经很高的准确性, X光,取得了组织特异性诊断,大大改善后的MRI表现。

出  处:

Skeletal radiology. 2006 Feb  ,35 (2) :78-87

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  9

参考中文标题:

亚急性posteromedial撞击踝运动员:磁共振成像评价和超声引导治疗。

PMID及链接:

16362423 http://www.syyxw.com/Archive/Detail/16362423

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摘  要:

OBJECTIVE: To describe the use of MR imaging and efficacy of ultrasound-guided steroid injection in the diagnosis and management of athletes with clinical posteromedial impingement of the ankle. DESIGN AND PATIENTS: A retrospective analysis of imaging findings on MR was undertaken in nine elite athletes with clinical posteromedial ankle impingement. MR studies from six professional athletes with posterolateral pain were also reviewed as an imaging control group. The two reviewing radiologists were blinded to the clinical details and the proportion of control and study subjects. The nine study athletes also underwent diagnostic ultrasound and ultrasound-guided injection of steroid and anaesthetic into the posteromedial capsular abnormality. Follow-up was by telephone interview. RESULTS: Posteromedial capsular thickening was seen only in athletes with posteromedial impingement (7/9). Posteromedial synovitis was present in all athletes with posteromedial impingement; however, posterior and posterolateral synovitis was also seen in these athletes. Mild posteromedial synovitis was present in two control athletes. Ultrasound identified abnormal posteromedial soft tissue thickening deep to tibialis posterior between the medial malleolus and talus in all nine athletes. After injection all athletes returned to their previous level of sport, with eight of the nine not experiencing any residual or recurrent symptoms. CONCLUSION: If MR imaging excludes significant coexistent abnormality, ultrasound can localise posteromedial soft tissue abnormality and guide injection therapy, allowing return to athletic activity without surgical intervention.

参考中文摘要:

目的:利用磁共振成像和疗效超声引导下注射类固醇的诊断和管理的运动员与临床posteromedial撞击的脚踝。设计与患者:回顾性分析的MR影像学表现进行了9个优秀运动员与临床posteromedial踝撞击。磁共振研究由6名专业运动员后疼痛也审查作为成像对照组。这两个审查放射被蒙蔽的临床资料和比例控制和研究对象。运动员的九个研究也经历了诊断超声及超声引导下注射类固醇和麻醉到posteromedial囊异常。随访的电话采访。结果: Posteromedial囊增厚被认为只有在运动员posteromedial撞击( 7月9日) 。 Posteromedial结节性滑膜炎在场的所有运动员posteromedial冲击;但是,后和后滑膜炎也被这些运动员。轻度posteromedial滑膜炎存在于两个控制运动员。超声确定异常posteromedial软组织增厚深之间的胫后内踝和距骨所有九个运动员。注射后所有运动员回复到其先前的水平,体育,与8个没有遇到任何残留或复发症状。结论:磁共振成像排除重大共存异常,超声可本地化posteromedial软组织异常和引导注射疗法,使返回运动活动,而外科手术干预。

出  处:

Skeletal radiology. 2006 Feb  ,35 (2) :88-94

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  10

参考中文标题:

腰椎间盘退变疾病的一个原因背痛在thalassaemic人口:病例对照研究使用MRI及X线。

PMID及链接:

16189714 http://www.syyxw.com/Archive/Detail/16189714

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摘  要:

PURPOSE: The aim of this study was to test our observation that back pain in thalassemic patients could be caused by premature and extensive lumbar degenerative disc disease, when compared to non-thalassemic patients with back pain. METHODS AND MATERIALS: Sixteen thalassemic patients with their sex- and age-matched controls were recruited into the study, 12 with thalassemia major, and 4 with thalassemia intermedia. Both the thalassemia patients and control subjects suffered from back pain, which was subjective rather than measured/pain scored. All subjects underwent magnetic resonance (MR) imaging of the lumbar spine, and 11 of the cases and 8 controls had lumbar spine radiographs. Each lumbar disc was scored for radiographic appearances and MR features of disc degeneration and disc protrusion. Proportion values for these parameters and median scores were derived at each disc level, and were analyzed and compared. RESULTS: There was a statistically-significant difference between proportion values of cases and controls for the MR features (P value=0.01, n=16) and the radiographic features (P value=0.01, n=11 cases, n=8 controls) of disc degeneration. The median disc level scores for the thalassemic group were uniformly high across all lumbar discs, and at all levels except at L 4/5. The control group conversely demonstrated a predilection for disc degeneration at L4/5 level. CONCLUSION: The distribution of lumbar disc degeneration in thalassemic patients with back pain is more extensive, severe and multi-level in nature compared to matched controls, and disc degeneration should be considered as a significant cause of back pain in this population group.

参考中文摘要:

目的:本研究的目的是测试我们的观察,背痛在地中海贫血患者可能造成早产和广泛的腰椎退行性椎间盘疾病相比,非地中海贫血患者的背部疼痛。材料与方法: 16个地中海贫血患者的性别和年龄匹配的对照者招入的研究, 12日地中海贫血和地中海贫血4中间。无论是地中海贫血患者和对照组因背部疼痛,这是主观的,而不是衡量/疼痛得分。所有受试者进行磁共振(先生)成像腰椎,和11例和8管制腰椎X光片。腰椎间盘突出症是每个队的表现和MR影像学特征,椎间盘退变和椎间盘突出。比例值,这些参数和位数分数,推导出在每盘的水平,并进行了分析和比较。结果:有一个统计,显着性差异比例值的案件和控制的MR功能( P值= 0.01 , n = 16 )和X线特点( P值= 0.01 ,每组11例, 8例对照)椎间盘退变。光盘中位数水平分数为地中海贫血组一致腰高的所有光盘,并在各级除在L 4 / 5 。对照组相反表现出偏爱的椎间盘退变在第4层/ 5的水平。结论:该分布的腰椎间盘退变在地中海贫血患者背痛是更广泛,严重的,多层次的性质比较对照,与椎间盘退变应被看作是一个重要原因背痛在这一人口群体。

出  处:

Skeletal radiology. 2006 Feb  ,35 (2) :95-102

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