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  1

参考中文标题:

动态肌肉功能磁共振成像手术后。

作者单位:

Department of Bioengineering, Stanford University, 318 Campus Dr., Stanford, CA, 94305, USA. dasakawa@stanfordalumni.org

PMID及链接:

16810541 http://www.syyxw.com/Archive/Detail/16810541

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出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :885-6

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  2

参考中文标题:

分子病理学研究软骨肿瘤:第2部分,恶性病变。 [审查] [ 63参]

作者单位:

Department of Pathology, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35233, USA. wbell@path.uab.edu

PMID及链接:

17047898 http://www.syyxw.com/Archive/Detail/17047898

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摘  要:

This is the second part of a two-part review presenting an overview of the molecular findings associated with both benign and malignant chondroid neoplasms. The first part presented a brief review of modern methods in molecular pathology, along with a review of the cytogenetic and molecular genetic findings in benign chondroid neoplasms. This second part reviews the cytogenetic and molecular genetic findings in malignant chondroid neoplasms. Clinical aspects of the various lesions are briefly discussed, and each tumor is illustrated with representative radiographic and pathologic images. [References: 63]

参考中文摘要:

这是第二部分分为两部分进行审查,概述分子的调查结果与良性和恶性软骨肿瘤。第一部分介绍了简要回顾了现代方法在分子病理学,同时审查了细胞遗传学和分子遗传学研究结果良性软骨肿瘤。第二部分回顾了细胞遗传学和分子遗传学研究结果在恶性软骨肿瘤。临床方面的各种病变的简单讨论,并说明每个肿瘤放射与代表和病理图像。 [参考文献: 63 ]

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :887-94

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  3

参考中文标题:

相关性X线表现骨关节炎和关节镜发现关节软骨变性的髌股关节。

作者单位:

Department of Radiology, University of Wisconsin Hospital Clinical Science Center-E3/311, 600 Highland Avenue, Madison, WI, 53792-3252, USA. r.kijowski@hosp.wisc.edu

PMID及链接:

16680465 http://www.syyxw.com/Archive/Detail/16680465

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摘  要:

OBJECTIVES: To correlate radiographic findings of osteoarthritis on axial knee radiographs with arthroscopic findings of articular cartilage degeneration within the patellofemoral joint in patients with chronic knee pain. SUBJECTS AND METHODS: The study group consisted of 104 patients with osteoarthritis of the patellofemoral joint and 30 patients of similar age with no osteoarthritis of the patellofemoral joint. All patients in the study group had an axial radiograph of the knee performed prior to arthroscopic knee surgery. At the time of arthroscopy, each articular surface of the patellofemoral joint was graded using the Noyes classification system. Two radiologists retrospectively reviewed the knee radiographs to determine the presence of marginal osteophytes, joint-space narrowing, subchondral sclerosis, and subchondral cysts. The sensitivity and specificity of the various radiographic features of osteoarthritis for the detection of articular cartilage degeneration within the patellofemoral joint were determined. RESULTS: The sensitivity of marginal osteophytes, joint-space narrowing, subchondral sclerosis, and subchondral cysts for the detection of articular cartilage degeneration within the patellofemoral joint was 73%, 37%, 4%, and 0% respectively. The specificity of marginal osteophytes, joint-space narrowing, subchondral sclerosis, and subchondral cysts for the detection of articular cartilage degeneration within the patellofemoral joint was 67%, 90%, 100%, and 100% respectively. CONCLUSION: Marginal osteophytes were the most sensitive radiographic feature for the detection of articular cartilage degeneration within the patellofemoral joint. Joint-space narrowing, subchondral sclerosis, and subchondral cysts were insensitive radiographic features of osteoarthritis, and rarely occurred in the absence of associated osteophyte formation.

参考中文摘要:

目的:关联影像学表现轴向膝关节骨性关节炎的X光片的结果与关节镜软骨变性的髌股关节治疗慢性膝盖疼痛。主题和方法:研究组包括104例骨性关节炎的髌股关节和30例年龄相仿,没有骨性关节炎的髌股关节。所有患者在研究组轴向片膝关节关节镜之前完成膝盖手术。时关节,每个关节面的髌股关节分级使用诺伊斯分类系统。两个放射回顾膝关节X光片,以确定存在边际osteophytes ,联合空间狭窄,软骨下硬化,并软骨下囊肿。的敏感性和特异性的各种影像学表现为骨性关节炎的检测关节软骨病变的髌股关节进行了测定。结果:灵敏度边际osteophytes ,联合空间狭窄,软骨下硬化,并软骨囊肿检测关节软骨病变的髌股关节为73 % , 37 % , 4 % ,和0 % 。特异性边际osteophytes ,联合空间狭窄,软骨下硬化,并软骨囊肿检测关节软骨病变的髌股关节为67 % , 90 % , 100 %和100 % 。结论:边缘osteophytes是最敏感的影像学特征的检测关节软骨病变的髌股关节。关节间隙狭窄,软骨下硬化,并软骨囊肿无动于衷骨关节炎影像学表现,很少发生在缺乏相关骨赘形成。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :895-902

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  4

参考中文标题:

磁化传递分析软骨修复组织:一项初步研究。

作者单位:

Department of Radiology, University Federico II, Via Pansini 5, 80131 Naples, Italy.

PMID及链接:

16738915 http://www.syyxw.com/Archive/Detail/16738915

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摘  要:

PURPOSE: To evaluate the magnetization transfer ratio (MTR) after two different cartilage repair procedures, and to compare these data with the MTR of normal cartilage. DESIGN AND PATIENTS: Twenty-seven patients with a proven cartilage defect were recruited: 13 were treated with autologous chondrocyte implantation (ACI) and 14 were treated with the microfracture technique (MFR). All patients underwent MRI examinations with MT-sequences before the surgical treatment, after 12 months (26 patients) and after 24 months (11 patients). Eleven patients received a complete follow-up study at all three time points (five of the ACI group and six of the MFR group). All images were transferred to a workstation to calculate MTR images. For every MT image set, different ROIs were delineated by two radiologists. Means were calculated per ROI type in the different time frames and in both groups of cartilage repair. The data were analyzed with unpaired t- and ANOVA tests, and by calculating Pearson's correlation coefficient. RESULTS: No significant differences were found in the MTR of fatty bone marrow, muscle and normal cartilage in the different time frames. There was a significant but small difference between the MTR of normal cartilage and the cartilage repair area after 12 months for both procedures. After 24 months, the MTR of ACI repaired cartilage (0.31+/-0.07) was not significantly different from normal cartilage MTR (0.34+/-0.05). The MTR of MFR repaired cartilage (0.28+/-0.02), still showed a significant difference from normal cartilage. CONCLUSION: The differences between damaged and repaired cartilage MTR are too small to enable MT-imaging to be a useful tool for postoperative follow-up of cartilage repair procedures. There is, however, an evolution towards normal MTR-values in the cartilage repair tissue (especially after ACI repair).

参考中文摘要:

目的:探讨磁化传递率(地铁)在两个不同的软骨修复程序,并比较这些数据与地铁的正常软骨。设计与患者: 27例证实软骨缺损被招募: 13例自体软骨细胞移植( ACI )和14例的手术治疗技术( MFR的) 。所有患者接受MRI检查与吨序列手术治疗前,后12个月( 26例)和24个月后( 11例) 。 11例接受完整的随访研究所有三个时间点(五ACI组和六个MFR的集团) 。所有图片被转移到工作站计算地铁图像。每吨图片集,不同的投资回报被划定两个放射。手段的投资回报率计算每类中的不同时间框架和在这两个群体的软骨修复。这些数据进行了分析与未配对的T检验和方差分析,并通过计算Pearson相关系数。结果:无显着差异,在地铁骨髓的脂肪,肌肉和正常软骨在不同的时间框架。有显着性差异,但小的地铁正常的软骨和软骨修复领域的12个月后这两个程序。经过24个月,地下铁路的机场修复软骨( 0.31 + / -0.07 )没有显着差异正常软骨地铁( 0.34 + / -0.05 ) 。地铁的MFR的修复软骨( 0.28 + / -0.02 ) ,仍然显示出显着差异正常软骨。结论:差异和修复受损的软骨地铁太小,使吨成像是一个有用的工具,术后随访软骨修复程序。但是,有一个逐步走向正常的地铁价值的软骨修复组织(特别是在机场修复) 。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :903-8

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  5

参考中文标题:

肱骨头和肩袖囊肿眼泪:一个议员arthrographic研究。 [错误出现在骨骼放射治疗。 2006年12月35 ( 12 ) : 915注: Zelaso ,杰伊[更正为Zelazo ,周杰伦] ] 。

作者单位:

Department of Radiology, Southmead Hospital, Westbury-on-Trym, Bristol, UK. martwilliams@f2s.com

PMID及链接:

16741738 http://www.syyxw.com/Archive/Detail/16741738

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摘  要:

OBJECTIVE: Humeral tuberosity cysts are a common finding, with previous reports suggesting they are related to rotator cuff tear or aging. The aim of this study was to investigate the characteristics of cysts in the tuberosities of the humeral head and their relationship with rotator cuff tear and age. DESIGN AND PATIENTS: Shoulder MR arthrograms were reviewed in 120 consecutive patients-83 males (mean age 38.0, range 19-59 years) and 37 females (mean age 41.2, range 15-59 years). Patients were referred for investigation of a variety of conditions, and instability was suspected in only a minority of cases. MR was performed before and after direct arthrography with 0.01% solution of gadolinium. Cysts were defined as well-demarcated circular/ovoid foci in two planes that demonstrated high signal on pre-arthrographic T2W sequences. Location, size and numbers of cysts and post-arthrographic enhancement were documented, along with the location of rotator cuff tears, if present. RESULTS: Cysts in the tuberosities of the humerus were identified in 84 patients (70%), and were seen seven times more frequently in the posterior aspect of the greater tuberosity than anteriorly. Most cysts (94%) demonstrated communication with the joint post-arthrogram. Rotator cuff tears were present in 36 patients, and 79% of all tears occurred in supraspinatus tendon. There was no significant difference in the occurrence of cysts between patients older or younger than age 40 or between genders, but rotator cuff tears were seen significantly more often in the older age group (p<0.01). Tuberosity cysts and rotator cuff tears did not appear to be related (p=0.55). However, whilst this lack of association was quite obvious posteriorly (p=0.84), the trend in the anterior aspect of the greater tuberosity is not as clear (p=0.14). CONCLUSIONS: Humeral cysts are most often located in the posterior aspect of the greater tuberosity, communicate with the joint space and, in this location, are not related to aging or rotator cuff tear.

参考中文摘要:

目的:肱骨结节囊肿是一种常见的发现,与以往的报告显示,他们都与肩袖撕裂或老化。本研究的目的是调查的特点,囊肿在粗隆的人工肱骨头及其与肩袖撕裂和年龄。设计与患者:肩问arthrograms审查了120例, 83男性(平均年龄38.0 ,范围19-59岁)和37个女性(平均年龄41.2 ,范围15-59岁) 。病人转给调查了各种条件,怀疑和不稳定的只有极少数的情况下。磁共振进行前,后直接造影与0.01 %的解决方案钆。囊肿被界定为界限分明圆/卵形灶在两架飞机的信号,表明前arthrographic T2加权序列。位置,大小和数量囊肿和后arthrographic提高记录在案,随着位置的肩袖撕裂,如果本。结果:囊肿在粗隆肱骨中发现84例( 70 % ) ,和被认为的7倍更经常在后方面的更大的结节比anteriorly 。大部分囊肿( 94 % )表现出的沟通与联合后关节造影。肩袖撕裂中有36例, 79 %的眼泪发生在冈上肌腱。无显着差异的发生囊肿患者年龄大于或小于40岁之间的男女,但肩袖的眼泪,看到更多的往往是老年人组( P “ 0.01 ) 。结节囊肿和肩袖的眼泪似乎不相关( P = 0.55 ) 。然而,尽管这种缺乏协会是非常明显的向后( p值= 0.84 ) ,这一趋势在正位的更大的结节并不清楚( p值= 0.14 ) 。结论:肱骨囊肿往往是位于后方面的更大的结节,沟通,共同空间,并在这个位置,不相关的老化或肩袖撕裂。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :909-14

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  6

参考中文标题:

佩列格里尼, Stieda疾病:异构障碍不等于骨化/钙化胫骨韧带解剖及影像学调查。

作者单位:

Department of Radiology, Veterans Administration Medical Center, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA.

PMID及链接:

16988801 http://www.syyxw.com/Archive/Detail/16988801

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摘  要:

OBJECTIVE: Ossification/calcification around the medial femoral condyle has been known as Pellegrini-Stieda (PS) disease for almost 100 years. Little attention has been given to magnetic resonance (MR) imaging characteristics. Our purpose is to demonstrate the anatomy in the medial femoral compartment and imaging findings of PS disease, determining the sites and patterns of ossification. DESIGN AND PATIENTS: In a cadaveric study seven specimens were dissected to show the anatomic relations of the tibial collateral ligament (TCL) and the tendon of the ischiocondylar part of the adductor magnus muscle, in the medial femoral epicondyle. In order to determine the nature of ossification/calcification in PS disease, MR imaging and radiographic findings in nine patients were analyzed by two observers with attention to the specific site, shape, and orientation of the ossification and its relationship to the tibial collateral ligament (TCL) and adductor magnus tendon. Available clinical history was recorded. A classification system addressing different sites and patterns of ossification was developed. RESULTS: The anatomic study showed that the TCL and the adductor magnus tendon insert at different sites in the medial femoral condyle and there is no continuation; however, some fibers of the posterior bundle of the TCL overlap the anterior aspect of the adductor magnus tendon. The imaging study showed that shape, orientation, and location of the abnormal calcification and ossification were similar on radiographic and MR imaging analysis. Ossification had an inferior orientation in six cases, a superior orientation in two cases, and both in one case. Four patterns of ossification were noted: (I) a beak-like appearance with an inferior orientation and femoral attachment was present in five cases; (II) a drop-like appearance with an inferior orientation, parallel to the femur, was evident in one case; (III) an elongated appearance with a superior orientation, parallel to the femur, was seen in two cases; and (IV) a beak-like appearance with an inferior and superior orientation, attached to the femur, was seen in one case. The ossification was present in the TCL in six cases, in the adductor magnus tendon in two cases, and in both in one case. The coronal plane was best in detecting and categorizing the ossification. CONCLUSION: Our data indicate that ossification in PS disease is not confined to the TCL but may also involve the adductor magnus tendon. In some cases, it can be related to the anatomic proximity (overlap) of the fibers of these two structures. PS disease should not be regarded as synonymous with ossification of the TCL. The ossification may be classified into four types. No clinical differences among these types appear to exist.

参考中文摘要:

目的:骨化/钙化在股骨内侧髁一直被称为佩莱格里尼- Stieda (聚苯乙烯)疾病的近100年。很少有人注意磁共振(先生)影像学特征。我们的目的是展示解剖在股骨内侧室和影像学表现的PS疾病,确定地点和方式的骨化。设计与患者:在研究7尸标本,解剖显示解剖关系胫骨韧带( TCL集团)和肌腱的ischiocondylar部分收马格纳斯肌肉,在股骨内侧髁。为了确定性质骨化/钙化在PS疾病,磁共振成像和X光发现9例,分析了两名观察员注意的具体部位,形态,和方向骨化及其与胫骨韧带( TCL集团)和内收肌肌腱马格努斯。提供病史记录。分类系统针对不同的地点和方式的骨化开发。结果:解剖学研究表明, TCL集团和内收肌肌腱马格努斯插入不同部位在股骨内侧髁,也没有继续;然而,一些纤维束后的TCL集团重叠前方面的内收肌肌腱马格努斯。影像学研究表明,形状,方位和位置的异常钙化和骨化症类似的X线与磁共振成像分析。骨化了下方向, 6起案件,上级方针在两起案件,都在一个案例。四个模式骨化指出: (一)鸟嘴样外观与劣势的方向和股骨附着在场的有五国; (二)下降样外观与劣势方向,平行于股骨,在一个很明显案; (三)拉长了外观与卓越的方向,平行于股骨,被认为在两起案件; (四)鸟嘴样的外观和优越的方向下,附于股骨,被视为在一个案例。在场的骨化中的TCL集团在6个案件,在收玛格纳斯肌腱在两起案件,并在1例。在冠状面是最好的检测和分类的骨化。结论:我们的数据表明,在PS骨化症并不局限于TCL集团,但也可能涉及收马格纳斯肌腱。在某些情况下,它可以与邻近的解剖(重叠)的纤维这两个机构。聚苯乙烯疾病不应该被视为同义语僵化的TCL集团。的骨化可分为四种类型。没有临床之间的分歧这些类型似乎存在。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :916-22

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  7

参考中文标题:

处于低迷的绳子登录软骨发育不全-不同于坏死病。

作者单位:

Department of Paediatric Orthopaedics, College of Medicine, Guro Hospital, Korea University, # 80 Guro-Gu, Guro-dong, Seoul, South Korea. virajshingade@rediffmail.com

PMID及链接:

16775711 http://www.syyxw.com/Archive/Detail/16775711

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摘  要:

OBJECTIVE: The sagging rope sign is a radio-opaque line, seen on radiographs of the hips, with Perthes' disease. The main purpose of this study was to determine the incidence, cause and importance of this sign in achondroplasia, and to reveal how it differs from in Perthes' disease. DESIGN: Serial radiograms, along with 2-dimensional and 3-dimensional CT images were studied in 42 achondroplastic patients. PATIENTS: Forty-two achondroplastic patients, reported at our institute (for routine outpatient consultation, spine surgeries, deformity corrections, limb-lengthening procedures) were included in this study. There were 26 males and 16 females. RESULTS: The sign was observed bilaterally, in all patients. Evaluation of CT images revealed spherical heads, with presence of circumferential overhang in all hips. This circumferential overhang, seen on 3-D CT scan, corresponded to the sagging rope sign on radiographs. CONCLUSIONS: Presence of the sagging rope sign in bilateral hips is a characteristic feature of achondroplasia. It usually appears before epiphyseal closure. Its cause, incidence, and nature differ from Perthes' disease, and its presence does not carry a bad prognosis in achondroplasia.

参考中文摘要:

目的:垂绳签署是一个无线电不透明线, X光片上看到的臀部,与坏死病。在本研究主要目的是确定的发病率,原因和重要性,这一标志在软骨发育不全,并揭示它不同于在坏死病。设计:串口radiograms ,随着二维和三维CT图像进行了研究42 achondroplastic患者。患者: 42 achondroplastic例,报告在我们的研究所(常规门诊咨询,脊柱手术,畸形纠正,四肢长,程序)被列入本研究。有26个男性和16名女性。结果:签署双边观察,所有患者。评价CT图像显示球形头,与在场的圆周悬在所有臀部。这周过剩,看到三维CT扫描,相当于处于低迷的绳子上签署片。结论:存在的低迷绳登录双侧髋部是一个特征软骨发育不全。它通常出现在骨骺闭合。其原因,发病率和性质不同于坏死病,它的存在并不携带预后不良的软骨发育不全。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :923-8

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  8

参考中文标题:

转动概况下肢软骨发育不全:电脑断层检查25例。

作者单位:

Department of Orthopaedic Surgery, Rare Diseases Institute, Korea University Guro Hospital, Seoul, South Korea.

PMID及链接:

16944139 http://www.syyxw.com/Archive/Detail/16944139

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PURPOSE: To evaluate lower-extremity rotational abnormalities in subjects with achondroplasia using computed tomography (CT) scans. MATERIALS AND METHODS: CT scans were performed in 25 subjects with achondroplasia (13 skeletally immature, mean age 8.7 years; 12 skeletally mature, mean age 17.6 years). In a total of 50 bilateral limbs, CT images were used to measure the angles of acetabular anteversion, femoral anteversion, and tibial external torsion. Measurement was performed by three examiners and then repeated by one examiner. Inter- and intraobserver agreements were analyzed, and results were compared with previously reported normal values. RESULTS: Mean values for skeletally immature and skeletally mature subjects were 13.6+/-7.5 degrees and 21.5+/-6.4 degrees respectively for acetabular anteversion, 27.1+/-20.8 degrees and 30.5+/-20.1 degrees for femoral torsion, and 21.6+/-10.6 degrees and 22.5+/-10.8 degrees for tibial torsion. Intra- and interobserver agreements were good to excellent. Acetabular anteversion and femoral anteversion in skeletally mature subjects were greater than normal values in previous studies. Both skeletally immature and mature subjects with achondroplasia had decreased tibial torsion compared to normal skeletally immature and mature subjects. CONCLUSION: Lower-extremity rotational abnormalities in subjects with achondroplasia include decreased tibial external torsion in both skeletally immature and mature subjects, as well as increased femoral and acetabular anteversion in skeletally mature subjects.

参考中文摘要:

目的:评价下肢旋转异常科目软骨发育不全利用计算机断层扫描( CT )扫描。材料与方法: CT扫描进行了25例软骨发育不全( 13 skeletally不成熟,平均年龄8.7年; 12 skeletally成熟,平均年龄十七点六年) 。在总共有50个双边四肢, CT图像了用来衡量角度髋臼前倾角,股骨前倾,和胫骨的外部扭转。测量是由三个考官,然后重复的一个检验。间和intraobserver协议进行了分析,结果进行了比较,并与先前报告的正常价值。结果:平均价值skeletally不成熟和skeletally成熟受试者13.6 + / -7.5摄氏度和21.5 + / -6.4度分别为髋臼前倾角, 27.1 + / -20.8度和30.5 + / -20.1度,股骨扭转,和21.6 + / -10.6度, 22.5 + / -10.8度,胫骨扭转。区域内和interobserver协定优良。髋臼前倾角和股骨前倾角在skeletally成熟科目均大于正常值,在以往的研究。这两个skeletally不成熟的,成熟的科目减少了胫骨软骨发育不全扭转比较正常skeletally不成熟的,成熟的学科。结论:下肢旋转异常科目包括降低胫骨软骨发育不全外部扭转在skeletally不成熟的和成熟的科目,以及增加股骨和髋臼前倾角在skeletally成熟的学科。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :929-34

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  9

参考中文标题:

三维体绘制的胫腓关节空间和定量分析的变化量,由于胫腓联合diastases 。

作者单位:

Orthopaedic Surgery Department, Medical University of Ohio, 3065 Arlington Avenue, Toledo, OH, 43614, USA. figentaser@yahoo.com

PMID及链接:

16683157 http://www.syyxw.com/Archive/Detail/16683157

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摘  要:

OBJECTIVE: The diagnosis of ankle syndesmosis injuries is made by various imaging techniques. The present study was undertaken to examine whether the three-dimensional reconstruction of axial CT images and calculation of the volume of tibiofibular joint space enhances the sensitivity of diastases diagnoses or not. DESIGN: Six adult cadaveric ankle specimens were used for spiral CT-scan assessment of tibiofibular syndesmosis. After the specimens were dissected, external fixation was performed and diastases of 1, 2, and 3 mm was simulated by a precalibrated device. Helical CT scans were obtained with 1.0-mm slice thickness. The data was transferred to the computer software AcquariusNET. Then the contours of the tibiofibular syndesmosis joint space were outlined on each axial CT slice and the collection of these slices were stacked using the computer software AutoCAD 2005, according to the spatial arrangement and geometrical coordinates between each slice, to produce a three-dimensional reconstruction of the joint space. The area of each slice and the volume of the entire tibiofibular joint space were calculated. The tibiofibular joint space at the 10th-mm slice level was also measured on axial CT scan images at normal, 1, 2 and 3-mm joint space diastases. RESULTS: The three-dimensional volume-rendering of the tibiofibular syndesmosis joint space from the spiral CT data demonstrated the shape of the joint space and has been found to be a sensitive method for calculating joint space volume. We found that, from normal to 1 mm, a 1-mm diastasis increases approximately 43% of the joint space volume, while from 1 to 3 mm, there is about a 20% increase for each 1-mm increase. CONCLUSIONS: Volume calculation using this method can be performed in cases of syndesmotic instability after ankle injuries and for preoperative and postoperative evaluation of the integrity of the tibiofibular syndesmosis.

参考中文摘要:

目的:诊断脚踝syndesmosis受伤是由不同的成像技术。本研究报告进行了审查是否三维重建CT图像的轴向和计算量的胫腓关节空间提高了灵敏度diastases诊断或没有。设计:六个成人尸体标本,踝用于螺旋CT扫描评价胫腓联合。经过解剖标本,进行外固定和diastases的1 , 2 ,和3毫米的模拟precalibrated装置。螺旋CT扫描获得了1.0毫米层厚。这些数据被转移到计算机软件AcquariusNET 。然后轮廓胫腓联合关节间隙概述了每个轴向CT层厚和收集这些片堆叠使用计算机软件AutoCAD的2005年,根据空间布置和几何坐标之间的片,制作三维重建联合空间。该地区的每个切片和数量的整个胫腓关节空间进行了计算。的胫腓关节空间在第10毫米片水平还测量轴向CT扫描图像正常, 1 , 2和3毫米的联合空间diastases 。结果:三维体积渲染的胫腓联合关节间隙的螺旋CT数据显示形状的联合空间,并已被认为是一个敏感的计算方法,联合空间量。我们发现,从正常到1毫米, 1毫米的分离增加约43 %的联合空间量,而从1到3毫米,有大约增长了20 %每1毫米增加。结论:体积计算使用此方法可在案件syndesmotic不稳定和踝关节损伤后的术前,术后评价的完整性胫腓联合。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :935-41

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  10

参考中文标题:

罕见的事业脊髓压迫:影像学表现痛风颈椎。

作者单位:

Department of Radiology, Freeman Hospital, Freeman Road, High Heaton, Newcastle-upon-Tyne, UK. geoff.hide@nuth.nhs.uk

PMID及链接:

16547746 http://www.syyxw.com/Archive/Detail/16547746

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摘  要:

Gout is a metabolic disorder typically affecting the peripheral joints, more commonly in males. Spinal involvement is uncommon and is usually associated with hyperuricemia. We present the imaging findings of a case of spinal gout in a female patient with no previous history of hyperuricaemia, involving multiple spinal segments.

参考中文摘要:

痛风是一种代谢紊乱通常影响周边缝,更常见于男性。脊柱的参与是少见的,并且通常与高尿酸血症。我们目前的影像学表现一例脊髓痛风女性患者中,没有以往的历史,高尿酸血症,涉及多个脊髓部分。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :942-5

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  11

参考中文标题:

冷战缺损骨扫描在椎体后经皮椎体成形术。

作者单位:

The Russell H. Morgan Department of Radiology and Radiological Sciences, Division of Nuclear Medicine, Johns Hopkins Medical Institutions, 601 N. Caroline Street JHOC 3223, Baltimore, MD 21287, USA. wlavely1@jhmi.edu

PMID及链接:

16416147 http://www.syyxw.com/Archive/Detail/16416147

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Percutaneous vertebroplasty using bone cements is increasingly being used to stabilize osteoporotic spinal compression fractures. Although the scintigraphic appearance of compression fractures has been well-described, the post-vertebroplasty bone scan appearance has not. This case report describes a characteristic cold defect of a vertebral body after percutaneous vertebroplasty.

参考中文摘要:

行经皮椎体成形术骨水泥是越来越多地被用于稳定骨质疏松性脊柱压缩性骨折。虽然外观核素压缩性骨折已充分说明,后椎体骨骼扫描外观没有。这起案件的报告描述了特征的冷缺损椎体后经皮椎体成形术。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :946-8

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  12

参考中文标题:

腰假瘤下列影像引导干预程序spondylodiskitic脓肿。

作者单位:

Radiology, Hopital ARCHET II, Nice, France. dausse.f@chu-nice.fr

PMID及链接:

16528549 http://www.syyxw.com/Archive/Detail/16528549

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摘  要:

Pseudoaneurysms of the lumbar arteries are infrequent, and are most often found incidentally after trauma to the lumbar spine. More rarely, they are an iatrogenic complication from diagnostic or therapeutic procedures, particularly of the kidney. Their rupture can cause rapid clinical deterioration by retroperitoneal hemorrhage, and therefore their diagnosis and treatment must be rapid. We report two cases of lumbar artery false aneurysms arising as a complication during the treatment of infectious disciitis. The diagnoses were established via CT and immediately followed by expeditious treatment by selective arterial embolization.

参考中文摘要:

假性动脉瘤的腰动脉是少见,而且往往是偶然发现的创伤后腰椎。更罕见,他们是医源性并发症的诊断或治疗程序,特别是肾脏。他们的破裂可能导致迅速恶化的临床腹膜后出血,因此其诊断和治疗必须迅速。我们报告两例腰动脉假动脉瘤而引起的并发症,在治疗期间的传染病disciitis 。诊断成立了通过CT和紧接着迅速处理选择性动脉栓塞术。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :949-52

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  13

参考中文标题:

根因microfibrillar胶原止血模仿椎间盘突出症复发。

作者单位:

Department of Orthopedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, 650-0017 Kobe, Japan. doita@med.kobe-u.ac.jp

PMID及链接:

16541256 http://www.syyxw.com/Archive/Detail/16541256

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摘  要:

Microfibrillar collagen hemostat (Avitene) is an absorbable topical hemostatic agent prepared from purified bovine corium collagen. A 65-year-old woman presented with left buttock and lower extremity radicular pain. The patient underwent a disc excision in which Avitene was used to control venous bleeding from the epidural space. Leg pain decreased postoperatively, but she developed radicular pain when she started walking 3 days after the operation. Magnetic resonance imaging (MRI) performed post-operatively showed there was a mass lesion located between the dural sac and L5 nerve root. The lesion exhibited high signal intensity on T1-weighted images and higher signal intensity at the rim of the mass on T2-weighted images. A second operation performed 10 days later revealed that the nerve root was adherent to an extradural granulomatous mass associated with Avitene. Macroscopically, the resected mass was found to be composed mainly of microfibrillar collagen hemostat materials. Hemostat agents may produce a clinically symptomatic, radiologically apparent mass lesion. When considering a mass lesion arising after spine surgery, the differential diagnosis should include foreign body granuloma along with recurrent disc herniation and peridural scar formation.

参考中文摘要:

Microfibrillar胶原止血剂( Avitene )是一种可吸收局部止血剂制备纯化的牛真皮胶原。 65岁的女性,左臀部及下肢根性疼痛。病人进行了椎间盘切除,其中Avitene是用来控制静脉出血,硬膜外腔。术后腰腿痛下降,但她根性疼痛走路时,她开始后3天内的作业。磁共振成像( MRI )进行手术后发现有一个肿块位于硬膜囊和L5神经根。病变呈现高信号T1加权图像和更高的信号强度在篮筐上的大众T2加权图像。第二次手术后10天内完成显示,神经根粘连的硬膜外肉芽肿质量与Avitene 。宏观,切除质量被认为是主要由microfibrillar胶原止血材料。止血剂可能产生的临床症状, X光明显的肿块。当考虑一个肿块后产生的脊柱外科,鉴别诊断应包括异物肉芽肿连同经常椎间盘突出症和硬膜外瘢痕形成。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :953-5

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  14

参考中文标题:

不寻常的事业四边形空间撞击综合征的骨棘。

作者单位:

University of Iowa Hospitals and Clinics, Radiology, 200 Hawkins Drive, Iowa City, IA 52242, USA. Mohammed-amin@uiowa.edu

PMID及链接:

16552605 http://www.syyxw.com/Archive/Detail/16552605

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摘  要:

The quadrilateral space impingement syndrome is a clinical syndrome resulting from compression of the axillary nerve and the posterior circumflex humeral artery, with subsequent focal atrophy of the teres minor, with or without involvement of portions of the deltoid muscle. This entity has many etiologies. We are reporting a case of this syndrome caused by a bone spike from a malunited old scapular fracture following a motor vehicle accident. The bone spike impinged on the axillary nerve as it passes through the quadrilateral space, causing focal atrophy of the teres minor muscle. The abnormality was well demonstrated by MD-CT.

参考中文摘要:

四边形空间撞击综合征是一种临床综合征压缩造成的腋神经和旋肱后动脉,随后联络萎缩圆未成年人,或不参与的部分三角肌。这个实体有很多病因。我们报告的情况所造成的这一综合征骨棘从肩胛骨骨折malunited岁以下的汽车事故。骨棘冲击的腋神经,因为它穿过四边形空间,造成局灶性萎缩圆轻微肌肉。该异常以及所表现出的MD - CT检查。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :956-8

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  15

参考中文标题:

子弹sired骨囊肿。

作者单位:

Department of Radiology, University of South Alabama Medical Center, Mobile, AL 36617, USA. gbrogdon@usouthal.edu

PMID及链接:

16847647 http://www.syyxw.com/Archive/Detail/16847647

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Random gunfire deposited a bullet in the proximal tibial metaphysis of a 9-year-old girl. The wound was not incapacitating and was treated conservatively. Within 17 months, soreness developed in the proximal leg, and radiography revealed a large unicameral cyst within which the bullet freely tumbled. Eventually, fear of impending fracture prompted further radiography, computed tomography, surgical intervention and pathological examination of the cyst wall. We believe this is only the second description in the English-language literature of this rare sequence of events.

参考中文摘要:

随机枪声子弹存放在胫骨近端干骺端一个9岁的女孩。伤口没有失和保守治疗。在17个月,疼痛发达国家近端腿,和X光显示,大单囊肿内子弹自由下跌。最终,恐惧即将骨折提示进一步摄影,电脑断层,手术及病理检查囊肿壁。我们认为这只是第二次说明在英语文学的这一难得的一系列事件。

出  处:

Skeletal radiology. 2006 Dec  ,35 (12) :959-63

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