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1
参考中文标题：
生物医学影像存档网络。
作者单位：
Stanford Photonics Research Center, Stanford University, Ginzton Lab AP 207, 450 Via Palou, Stanford, CA 94305, USA. tmbaer@stanford.edu
PMID及链接：
17410352 http://www.syyxw.com/Archive/Detail/17410352
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出 处：
Skeletal radiology. 2007 Sep ,36 (9) :799-801
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2
参考中文标题：
体外震波治疗肩部钙化性肌腱炎：有系统的审查。 [审查] [ 58参]
作者单位：
Orthopaedic Department of Evangelismos Hospital, Athens, Greece. gmouzop@yahoo.gr
PMID及链接：
17415561 http://www.syyxw.com/Archive/Detail/17415561
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摘 要：
The treatment of patients with calcific tendonitis is typically conservative, including physical therapy, iontophoresis, deep friction, local or systemic application of noninflammatory drugs, needle irrigation-aspiration of calcium deposit, and subacromial bursal steroid injection. If the pain becomes chronic or intermittent after several months of conservative treatment, arthroscopic and open procedures are available to curette the calcium deposit, and additional subacromial decompression can be performed if necessary. As an alternative, minimally invasive extracorporeal shock wave therapy (ESWT) has been postulated to be an effective treatment option for treating calcific tendinitis of the shoulder, before surgery. Herein we discuss the indications, mechanism of therapeutic effect, efficacy of treatment, and complications after ESWT application. [References: 58]
参考中文摘要：
治疗钙化性肌腱炎通常是保守的，包括物理疗法，离子导入，深摩擦，局部或全身应用noninflammatory药物，针灌溉愿望钙存款，法氏囊和肩峰下类固醇注射。如果变成慢性疼痛或间歇经过几个月的保守治疗，关节镜和开放的程序，提供给耳挖钙存款，增加肩峰下减压术可以进行，如果必要的。作为一种替代办法，微创体外冲击波疗法（ ESWT ）已经假定是一种有效的治疗方法治疗钙化性肌腱炎的肩膀，在手术前。我们在此讨论的适应证，治疗作用机理，疗效，治疗和术后并发症ESWT应用。 [参考文献： 58 ]
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :803-11
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3
参考中文标题：
愈合模式骨质骨瘤的计算机断层扫描和磁共振成像后热。
作者单位：
Department of Diagnostic Radiology, University Hospital of Ghent, De Pintelaan 185, Ghent 9000, Belgium. geert.vanderschueren@pandora.be
PMID及链接：
17492439 http://www.syyxw.com/Archive/Detail/17492439
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摘 要：
OBJECTIVE: To compare the healing pattern of osteoid osteomas on computed tomography (CT) and magnetic resonance imaging (MRI) after successful and unsuccessful thermocoagulation. MATERIALS AND METHODS: Eighty-six patients were examined by CT and 18 patients by dynamic gadolinium-enhanced MRI before and after thermocoagulation for osteoid osteoma. Thermocoagulation was successful in 73% (63/86) and unsuccessful in 27% (23/86) of patients followed by CT. Thermocoagulation was successful in 72% (13/18) of patients followed by MRI. After treatment, the healing of the nidus on CT was evaluated using different healing patterns (complete ossification, minimal nidus rest, decreased size, unchanged size or thermonecrosis). On MRI the presence of reactive changes (joint effusion, "oedema-like" changes of bone marrow and soft tissue oedema) and the delay time (between arterial and nidus enhancement) were assessed and compared before and after thermocoagulation. RESULTS: Complete ossification or a minimal nidus rest was observed on CT in 58% (16/28) of treatment successes (with > 12 months follow-up), but not in treatment failures. "Oedema-like" changes of bone marrow and/or soft tissue oedema were seen on MR in all patients before thermocoagulation and in all treatment failures. However, residual "oedema-like" changes of bone marrow were also found in 69% (9/13) of treatment successes. An increased delay time was observed in 62% (8/13) of treatment successes and in 1/5 of treatment failures. CONCLUSION: Complete, or almost complete, ossification of the treated nidus on CT correlated with successful treatment. Absence of this ossification pattern, however, did not correlate with treatment failure. CT could not be used to identify the activity of the nidus following treatment. The value of MR parameters to assess residual activity of the nidus was limited in this study.
参考中文摘要：
目的：比较骨愈合模式骨瘤的计算机断层扫描（ CT ）和磁共振成像（ MRI ）后，成功和不成功的热。材料与方法： 80名病人进行了CT和18例的动态钆增强MRI前后热骨样骨瘤。热是成功的73 ％ （ 86分之63 ）和不成功的27 ％ （八十六分之二十三）其次是患者的CT 。热是成功的72 ％ （ 13/18 ）的患者的MRI之后。治疗后愈合病灶的CT评估使用不同的治疗模式（完全骨化，最小病灶休息，减少尺寸，改变大小或thermonecrosis ） 。 MRI上存在反应的变化（关节积水， “水肿样”改变的骨髓及软组织水肿）和延迟时间（与动脉和病灶增强）进行了评估，并比较前后热。结果：完全骨化或最低限度的休息，观察病灶的CT在58 ％ （ 16/28 ）的治疗成功（与“ 12个月的后续行动） ，但治疗失败。 “水肿病样”变化的骨髓和/或软组织出现水肿的MR在所有患者术前热和所有治疗失败。然而，剩余的“水肿样”改变的骨髓中也发现69 ％ （ 9月13日）的治疗成功。增加延迟时间观察到62 ％ （ 8月13日）的治疗成功和在1 / 5的治疗失败。结论：完整的，或接近完成，骨化症治疗病灶的CT与成功的治疗。如果没有这种僵化的模式，但是，并没有相关的治疗失败。 CT能不能用来确定活动的病灶以下待遇。议员的价值评估参数残余活动的病灶是有限的这项研究。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :813-21
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4
参考中文标题：
骨骼肌复发和转移的外粘液样软骨肉瘤。
作者单位：
Department of Radiology, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka 020-8505, Japan. ehara@iwate-med.ac.jp
PMID及链接：
17437101 http://www.syyxw.com/Archive/Detail/17437101
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摘 要：
OBJECTIVE: The objective was to elucidate clinical and imaging features of skeletal involvement, recurrences, and metastases of extraskeletal myxoid chondrosarcoma. MATERIALS AND METHODS: Included in this series are 4 patients, aged 44 to 65 years, 3 of whom were men and 1 a woman. RESULTS: The primary lesions were in the thigh (n = 3) and the upper arm (n = 1). Three patients with multiple metastases died of the disease, 2 were considered to have local recurrence in the adjacent bone. Skeletal metastases occurred after lung metastases in 2 cases, and before lung metastases in 1 case. Typical imaging findings are well-defined lesions with no sclerotic margin or matrix mineralization. A slow, but persistent growth is noted on the imaging features. CONCLUSION: Although skeletal metastases of chondrosarcoma of bone and soft tissue are rare, myxoid chondrosarcomas, currently classified tumors of uncertain differentiation, rarely metastasize and/or recur in the bones. The imaging features are typically of a localized lesion with cortical disruption or expansion.
参考中文摘要：
目标：目标是要阐明的临床及影像学特征骨骼肌参与，复发和转移的外粘液样软骨肉瘤。材料与方法：包括在这一系列的4例， 44岁到65岁，其中3人是男子和1名妇女。结果：原发性病灶的大腿（ 3例）和上臂（ 1例） 。三例多发性转移死于该疾病， 2人认为有局部复发邻近骨。骨转移后发生肺转移2例，肺转移前1例。典型的影像学表现是明确的，没有硬化病变保证金或基质矿化。慢，但持续的增长是指出的成像功能。结论：虽然软骨肉瘤骨转移的骨与软组织是罕见的，粘液样软骨肉瘤，目前被归类不确定肿瘤分化，很少转移和/或复发的骨头。的影像学特征，通常一个局部病灶皮质中断或扩建。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :823-7
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5
参考中文标题：
皮质，髓质的连续性奇怪旁osteochondromatous扩散模拟骨软骨瘤的影像。
作者单位：
Department of Radiology, NYU Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003-3899, USA. Leon.Rybak@med.nyu.edu
PMID及链接：
17437102 http://www.syyxw.com/Archive/Detail/17437102
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摘 要：
Bizarre parosteal osteochondromatous proliferation (BPOP), or Nora's lesion, is an unusual surface-based lesion of bone found most commonly in the hands and feet. In the original description of the lesion and in all publications that followed, one of the key imaging characteristics used to define this entity was the lack of cortico-medullary continuity with the underlying bone. The authors present 4 unique cases of pathologically proven BPOP in which cortico-medullary continuity with the underlying bone was demonstrated on imaging. It is believed that florid reactive periostitis, BPOP and turret osteochondroma may reflect points along the same continuum with trauma the likely inciting event. The authors suggest that, given this continuum, it may be possible to have BPOP lesions demonstrating overlapping imaging features with osteochondroma. If this is the case, strict adherence to the standard imaging criterion of lack of continuity between the lesion and the underlying bone may lead to misdiagnosis of these unusual cases of BPOP as osteochondromas.
参考中文摘要：
奇怪旁osteochondromatous扩散（ BPOP ） ，或者Nora的病变，是一种不寻常的表面为基础病变的骨发现最常见的手和脚。在原来的说明病变在所有出版物中，其中一个主要影像学特征来定义这个实体是缺乏皮质，髓质连续性的根本骨。作者们提出4独特例病理证实BPOP在皮质，髓质连续性的根本骨上显示影像。人们认为，炽性反应性骨膜炎， BPOP和炮塔骨软骨瘤可能反映点沿同一连续创伤可能煽动活动。作者认为，鉴于这种连续，有可能有重叠BPOP病变影像学特征表现出与骨软骨瘤。如果是这种情况，严格遵守标准成像标准缺乏连续性之间的病变和基本骨可能导致误诊这些不寻常的案件BPOP为骨软骨瘤。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :829-34
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6
参考中文标题：
重新审查协会的全部acromiale与冈上和infraspinatus眼泪。
作者单位：
Musculoskeletal Radiology, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, YAW-6046, Boston, MA 02114, USA. haouellette@partners.org
PMID及链接：
17415560 http://www.syyxw.com/Archive/Detail/17415560
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摘 要：
PURPOSE: To re-evaluate the relationship between os acromiale and rotator cuff tears. METHODS: We retrospectively analyzed 84 magnetic resonance imaging studies of the shoulder. Forty-two subjects with os acromiale (n = 42; 32 men and ten women, age 25-81 years, mean 47.6 years) were compared with age- and gender-matched subjects with no evidence of os acromiale (controls). Arthroscopy data were available in 19 os acromiale and 12 control subjects. Statistical analyses were performed to determine differences between groups regarding rotator cuff tears affecting the supraspinatus and infraspinatus tendons detected by magnetic resonance imaging and arthroscopy. Analysis of os acromiale type, ossicle synchondrosis edema, acromioclavicular joint degenerative changes and step-off deformity at the synchondrosis were tabulated. RESULTS: No statistically significant difference between the os acromiale and control groups was noted, either on magnetic resonance imaging or arthroscopy, with regard to tears of the supraspinatus (P = 1.000 and 0.981, respectively) and infraspinatus (P = 1.000 and 0.667, respectively) tendons. There was a statistically significant increased number of supraspinatus (P = 0.007) and infraspinatus (P = 0.03) tears in a comparison of subjects with os acromiale and step-off deformity (10/42) vs os acromiale without step-off deformity (32/42). CONCLUSION: The presence of os acromiale may not significantly predispose to supraspinatus and infraspinatus tendon tears. However, subjects with step-off deformity of an os acromiale are at greater risk of rotator cuff tears than are similar subjects without such deformity.
参考中文摘要：
目的：重新评估之间的关系全部acromiale和肩袖眼泪。方法：回顾分析84磁共振成像研究的肩膀上。 42个科目全部acromiale （ 42例; 32名男子和10名妇女，年龄25-81岁，平均四十七点六年）进行了比较与年龄和性别匹配的主体，没有证据证明全部acromiale （控制） 。关节镜有数据可查的19个部和12个控制acromiale科目。进行统计分析，以确定不同群体之间的肩袖的眼泪就影响和infraspinatus冈上肌腱检测磁共振成像和关节镜检查。分析全部acromiale类型，听小骨synchondrosis水肿，肩锁关节退行性变化和步骤小康畸形在synchondrosis了积分榜。结果：无显着差异全部acromiale与对照组指出，无论是磁共振成像或关节镜检查，关于眼泪的冈上（ P值1.000和0.981 ，分别）和infraspinatus （ P值1.000和0.667 ，分别）肌腱。有统计学意义越来越多的冈上（ P值0.007 ）和infraspinatus （ P值0.03 ）眼泪在比较科目全部acromiale和步骤小康畸形（四十二分之一十）与全部acromiale没有一步小康畸形（ 32 / 42 ） 。结论：存在的全部acromiale可能没有明显倾向和infraspinatus以冈上肌腱眼泪。然而，受试者一步小康畸形的全部acromiale的风险更大肩袖的眼泪比类似问题没有这种畸形。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :835-9
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7
参考中文标题：
肌肉萎缩的后果肩袖眼泪：我们应该比较肌肉的肩袖与三角肌？ 。
作者单位：
Department of Radiology, Hospital for Joint Diseases, NYU Medical Center, 301 E17th Street, New York, NY 11228, USA. Reem.ashry@gmail.com
PMID及链接：
17508210 http://www.syyxw.com/Archive/Detail/17508210
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摘 要：
PURPOSE: The quantitative assessment of muscle atrophy has a degree of importance in prognosticating rotator cuff treatment. However, it has been conjectured that muscle fat increases with aging. Therefore, we thought that the quantitative assessment of the supraspinatous would be better if made in comparison with a standard of reference such as the deltoid. Consequently, we performed a two-part study, first evaluating supraspinatous changes compared with the deltoid in "normals" with aging, and second, determining if in patients with cuff tears the supraspinatous fat exceeds that of the deltoid. MATERIALS AND METHODS: In part 1, we studied 50 patients stratified by decade. In the first sitting, two blinded independent observers quantitatively graded the deltoid (with the supraspinatous obscured) and in the second sitting the same two observers quantitatively graded the supraspinatous (with the deltoid obscured). In part 2 of the study, we evaluated patients with moderate rotator cuff tears (>2 cm) and performed the same blinded, two-sitting, quantitative assessment (with the comparison muscle obscured). RESULTS: We found that muscle atrophy increases with age in patients without tears (0.011/0.028 U/year), although to a greater degree in the deltoid (p = 0.032). Also, in similarly aged patients, quantitative scores of the deltoid closely matched those of the supraspinatous (p = 0.071). Notably, however, in patients with large tears, the supraspinatous showed significant changes disproportionate to those of the deltoid, regardless of patient age (p = 0.044). CONCLUSION: In the presence of a normal rotator cuff, fatty infiltration increases with age. Age-related changes occur more frequently in the deltoid, verifying this muscle's potential as a standard of reference. With cuff tears, supraspinatous atrophy was disproportionate to that of the deltoid. Therefore, systematic assessment of supraspinatous muscle atrophy may be more reliable using the deltoid as a control for comparison than assessing it in isolation.
参考中文摘要：
目的：定量评估肌肉萎缩有一定程度的重要性prognosticating袖治疗。然而，它一直在猜测，肌肉脂肪的增加而老化。因此，我们认为，定量评估的supraspinatous会更好，如果在比较的参考标准，如三角肌。因此，我们进行了两部分组成的研究，首次评价supraspinatous变化与三角肌在“正常”老化，第二，确定是否在袖撕裂患者的supraspinatous脂肪超过了三角肌。材料与方法：第1部分，我们研究了50例分层的十年。在第一次会议，两名失明独立观察员定量分级三角肌（与supraspinatous遮蔽）和第二次会议同两名观察员分级定量的supraspinatous （三角肌模糊的） 。第二部分的研究中，我们评估患者中度肩袖的眼泪（ “ 2厘米） ，并执行同样的失明，两个坐着，定量评估（与肌肉比较模糊） 。结果：我们发现，肌肉萎缩随患者年龄上没有人落泪（ 0.011/0.028 ü /年） ，但在更大程度上在三角肌（ p值= 0.032 ） 。此外，在同样的老年患者，定量分数三角肌密切相符的supraspinatous （ p值= 0.071 ） 。值得注意的是，然而，在大量患者的眼泪，有显着的变化supraspinatous不相称的是三角肌，不论患者年龄（ p值= 0.044 ） 。结论：在存在一个正常的肩袖，脂肪浸润随着年龄而增长。与年龄有关的变化更频繁地发生在三角肌，核实这肌肉的潜力作为标准的参考。与袖撕裂， supraspinatous萎缩是不相称的，在三角肌。因此，系统的评估supraspinatous肌肉萎缩可能会更可靠的使用三角肌作为控制进行比较评估它比孤立。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :841-5
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8
参考中文标题：
X线评价跟骨骨折：衡量或不来衡量。
作者单位：
Department of General Surgery-Traumatology, Erasmus MC, University Medical Centre Rotterdam, Room H-974, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands. t.schepers@erasmusmc.nl
PMID及链接：
17554537 http://www.syyxw.com/Archive/Detail/17554537
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摘 要：
OBJECTIVE: The aim of this study was to correlate the functional outcome after treatment for displaced intra-articular calcaneal fracture with plain radiography. DESIGN: The design was a prognostic study of a retrospective cohort with concurrent follow-up. PATIENTS: A total of 33 patients with a unilateral calcaneal fracture and a minimum follow-up of 13 months participated. Patients filled in three disease-specific questionnaires, graded their satisfaction and the indication for an arthrodesis was noted. Standardised radiographs were made of the previously injured side and the normal (control) side. Different angles and distances were measured on these radiographs and compared with values described in the literature. The differences in values in angles and distances between the injured and uninjured (control) foot were correlated with the outcome of the questionnaires, and the indication for an arthrodesis. RESULTS: None of the angles correlated with the disease-specific outcome scores. Of the angles only the tibiotalar angle correlated with the VAS (r = 0.35, p = 0.045) and only the absolute foot height correlated with the indication for an arthrodesis (odds = 0.70, CI = 0.50-0.99). CONCLUSION: In this study the radiographic evaluation correlated poorly with the final outcome. Measurements on plain radiographs seem not to be useful in determining outcome after intra-articular calcaneal fractures.
参考中文摘要：
目的：本研究是相关联的功能性治疗后的成果流离失所跟骨关节内骨折的普通X线摄影。设计：设计是一种预后研究的回顾性队列与并行的后续行动。患者：一共有33例单方面跟骨骨折和最低的后续行动的13个月参加了会议。患者填写三个特定疾病调查表，分满意，并指示为关节指出。标准化片作了以前受伤一方和正常（对照）一侧。不同的角度和距离测量这些X光片，并与价值观念中所描述的文献。不同的价值观之间的距离和角度的人受伤，受伤（管制）脚相关的结果，问卷调查，并表明了关节。结果：无角相关疾病的具体成果分数。的角度只有tibiotalar角相关的增值服务（注册商标= 0.35 ， p值= 0.045 ） ，只有绝对英尺高度相关，表明了术（赔率= 0.70 ， CI为0.50-0.99 ） 。结论：在本研究相关的影像学评价很差的最后结果。测量X线似乎并不有助于确定结果后，跟骨关节内骨折。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :847-52
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9
参考中文标题：
计算机辅助关节间隙分析掌骨，指骨和近端指间关节手指：规范性年龄相关性和性别的具体数据。
作者单位：
Institute of Diagnostic and Interventional Radiology, Friedrich-Schiller-University Jena, Erlanger Allee 101, 07747 Jena, Germany. alexander.pfeil@med.uni-jena.de
PMID及链接：
17508211 http://www.syyxw.com/Archive/Detail/17508211
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摘 要：
PURPOSE: The purpose of the study was to provide reference data for computer-aided joint space analysis based on a semi-automated and computer-aided diagnostic system for the measurement of metacarpal-phalangeal and proximal-interphalangeal finger joint widths; additionally, the determination of sex differences and the investigation of changes in joint width with age were evaluated. PATIENTS AND METHODS: Eighty hundred and sixty-nine patients (351 female and 518 male) received radiographs of the hand for trauma and were screened for a host of conditions known to affect the joint spaces. All participants underwent measurements of joint space distances at the metacarpal-phalangeal articulation (JSD-MCP) from the thumb to the small finger and at the proximal-interphalangeal articulation (JSD-PIP) from the index finger to the small finger using computer-aided diagnosis technology with semi-automated edge detection. RESULTS: The study revealed an annual narrowing of the JSD of 0.6% for the JSD-MCP and for the JSD-PIP. Furthermore, the data demonstrated a notable age-related decrease in JSD, including an accentuated age-related joint space narrowing in women for both articulations. Additionally, males showed a significantly wider JSD-MCP (+11.1%) and JSD-PIP (+15.4%) compared with the female cohort in all age groups. CONCLUSION: Our data presented gender-specific and age-related normative reference values for computer-aided joint space analysis of the JSD-MCP and JSD-PIP that could be used to identify disease-related joint space narrowing, particularly in patients with osteoarthritis and rheumatoid arthritis commonly involving the peripheral small hand joints.
参考中文摘要：
目的：研究的目的是提供参考数据计算机辅助联合空间分析的基础上半自动化和电脑辅助诊断系统的测量掌骨，指骨和近端指间关节手指宽度;此外，决心性别差异和调查联合宽度的变化与年龄进行了评价。病人和方法： 80 100和69例（ 351女性和518男性）收到片手外伤，并筛选了一系列条件，众所周知，影响联合空格。所有与会者进行了测量的联合空间距离在掌骨，指骨关节（ JSD - MCP处理）由拇指的小手指和近端指间关节（ JSD -画中画）由食指小手指使用电脑辅助诊断技术与半自动化边缘检测。结果：研究显示，每年缩小JSD 0.6 ％的JSD - MCP处理和JSD响。此外，数据显示出显着的年龄相关性减少JSD ，包括加剧与年龄有关的联合空间缩小妇女都接合。此外，男性表现出显着更广泛的JSD - MCP处理（ 11.1 ％ ）和JSD -画中画（ 15.4 ％ ）与女性队列在所有年龄组。结论：我们的数据按性别划分的和与年龄有关的规范性参考价值计算机辅助关节间隙分析JSD - MCP和JSD响，可用于确定疾病相关的关节空间缩小，特别是在骨关节炎患者和类风湿关节炎常见的涉及周边小手关节。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :853-64
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10
参考中文标题：
一名11岁的老膝疼痛：介绍。
作者单位：
Department of Orthopaedic Oncology, Unit 408, The University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, TX 77030, USA. nfgilber@mdanderson.org
PMID及链接：
17598109 http://www.syyxw.com/Archive/Detail/17598109
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出 处：
Skeletal radiology. 2007 Sep ,36 (9) :865, 867-8
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11
参考中文标题：
高档表面骨肉瘤的手。
作者单位：
Department of Pathology, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. abek@net.nagasaki-u.ac.jp
PMID及链接：
17410355 http://www.syyxw.com/Archive/Detail/17410355
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摘 要：
A 32-year-old woman presented with a 1-year history of mild pain in the right ring finger. Radiographs and CT revealed a calcified lesion with cortical erosion on the surface of the proximal aspect of the right ring finger proximal phalanx. On magnetic resonance imaging (MRI), the lesion showed low signal intensity on T1- and T2-weighted images and slight enhancement with gadolinium. Clinically, it was diagnosed as a benign bone-forming lesion such as florid reactive periostitis, and excision was accordingly performed. However, histological examination revealed proliferation of atypical osteoblastic cells among irregularly arranged osteoid seams. Taking the imaging findings into account, a pathological diagnosis of high-grade surface osteosarcoma was established. In general, bone- and cartilage-forming lesions of the hands and feet are benign. Osteosarcoma of short tubular bones in the hands and feet is extremely rare; moreover, high-grade surface osteosarcoma is one of the rarest subtypes of osteosarcoma. Nonetheless, high-grade surface osteosarcoma should be included in the differential diagnosis, particularly if the radiological findings or clinical course are not entirely typical of a more common benign process, to avoid incorrect clinicoradiological and pathological diagnosis.
参考中文摘要：
一名32岁女子提交了一份1年的历史中，轻度疼痛，右手无名指。 X光片和CT显示钙化病变皮质侵蚀表面的近端方面的右手无名指近节指骨。对磁共振成像（ MRI ） ，病灶显示低信号强度在T1和T2加权图像和轻度强化与钆。临床上，它被诊断为良性骨形成病变，如炽性反应性骨膜炎，并相应地进行切除。然而，组织学检查发现非典扩散成骨细胞排列不规则骨之间接缝。以影像学发现到，一个病理诊断高档表面骨肉瘤成立。一般来说，骨和软骨形成病变的手和脚是良性的。骨肉瘤的短管状骨的手和脚是极其罕见的;此外，高档表面骨肉瘤是一种罕见的亚型骨肉瘤。尽管如此，高档表面骨肉瘤应列入鉴别诊断，特别是如果放射性结果或临床过程并不完全典型的一个更常见的良性肿瘤进程，以避免不正确clinicoradiological和病理诊断。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :869-73
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12
参考中文标题：
假性动脉瘤的臀上动脉以下多发。
作者单位：
University of British Columbia and Department of Radiology, Vancouver General Hospital, 899 West 12th Avenue, Vancouver, BC V5Z 1M9, Canada. dennilee@interchange.ubc.ca
PMID及链接：
17410354 http://www.syyxw.com/Archive/Detail/17410354
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摘 要：
Gluteal artery aneurysms are rare and often secondary to pelvic fractures, blunt or penetrating trauma. We describe a case of a superior gluteal artery pseudoaneurysm that presented as back pain with numbness and weakness of the lower extremities. Diagnosis was confirmed by color Doppler sonography and angiography. A proximal and distal control was obtained over the aneurysm neck via coil embolization with excellent hemostasis within the pseudoaneurysm and maintenance of perfusion to the left pelvis.
参考中文摘要：
臀动脉瘤是罕见的，常常继发性骨盆骨折，闭合性或穿透性创伤。我们描述一例臀上动脉假性动脉瘤是作为背部疼痛与麻木，虚弱下肢。诊断证实了彩色多普勒超声及血管造影术。阿近端和远端的控制，获得了通过线圈颈部动脉瘤栓塞止血优秀瘤内和维护灌注左侧骨盆。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :875-8
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13
参考中文标题：
子宫内膜异位症的臀上神经。
作者单位：
Department of Orthopaedics, Royal Infirmary, Edinburgh, EH16 4SA, UK.
PMID及链接：
17503037 http://www.syyxw.com/Archive/Detail/17503037
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摘 要：
Endometriosis that involves nerves is rare and usually occurs in the pelvis. We describe a case of extra-pelvic endometriosis that involved the superior gluteal nerve. The patient presented with ill-defined buttock and thigh pain and a Trendelenberg gait. MRI demonstrated atrophic changes in the gluteus minimus, gluteus medius and tensor fascia lata muscles indicating involvement of the superior gluteal nerve. MRI showed a mass in the line of the superior gluteal nerve. The mass was hyperintense on STIR and T1-weighted images and did not enhance after intravenous contrast although surrounding edema did enhance. Histological examination of material obtained at open biopsy showed endometriosis. The patient was commenced on hormonal treatment to suppress ovarian activity.
参考中文摘要：
子宫内膜异位症，涉及神经是罕见的，通常发生在骨盆。我们描述的情况外盆腔子宫内膜异位症参与的臀上神经。病人与界定不清臀部和大腿受伤，疼痛和Trendelenberg步态。磁共振成像显示出萎缩性变化，臀小，臀medius和阔筋膜张肌的肌肉显示参与臀上神经。磁共振成像显示，大规模的线臀上神经。质量是高的不安和T1加权图像，并没有提高静脉周围水肿对比虽然没有提高。组织学检查的材料上获得开放活检显示子宫内膜异位症。病人是于激素治疗抑制卵巢活动。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :879-83
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14
参考中文标题：
不寻常的案件Erdheim -切斯特病的特点郎格罕细胞组织细胞增生症。
作者单位：
Department of Pathology, University of Washington Medical Center, 1959 NE Pacific, P.O. Box 356100, Seattle, WA 98195-6100, USA. pfurman@u.washington.edu
PMID及链接：
17492445 http://www.syyxw.com/Archive/Detail/17492445
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摘 要：
Erdheim-Chester disease (ECD) and Langerhans cell histiocytosis (LCH) are both exceedingly rare histiocytic proliferations that can involve the skeletal system. We report on a case of ECD with some features suggestive of LCH. Radiographs demonstrated a large lytic lesion in the left femur, with multiple lesions of sclerosis involving both distal femurs and tibias. Both the lytic lesion and a sclerotic lesion were biopsied and demonstrated distinctive histologic features characteristic of ECD in the tibia and features of LCH in the femur. The clinical/radiologic and pathologic features that distinguish ECD and LCH as distinct entities are reviewed, and the underlying biological connection between them is discussed.
参考中文摘要：
Erdheim -切斯特病（幼儿）和郎格罕细胞组织细胞增生症（症）都是极其罕见的组织增生，可涉及骨骼系统。我们报告一例幼儿发展的一些特点暗示症。 X光片显示出一个大型裂解病变在左股骨，与多发性硬化症涉及的股骨和胫骨远端。同时裂解硬化病变和病变的活检，显示出独特的病理特征，幼儿发展特点的胫骨和特点症的股骨。临床/影像及病理特点，区分幼儿发展和症作为独特实体的审查，并基本生物之间的联系他们进行了讨论。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :885-9
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15
参考中文标题：
家族性早发性结节与骨囊肿和糜烂。
作者单位：
Department of Internal Medicine V, Division of Rheumatology, University of Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany. norbert.blank@med.uni-heidelberg.de
PMID及链接：
17492440 http://www.syyxw.com/Archive/Detail/17492440
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摘 要：
Early onset sarcoidosis is a granulomatous disease which is characterized by synovitis, polyarthritis, skin and eye involvement. We report the skeletal features of one patient with a family history and clinical symptoms suggestive of early onset sarcoidosis (EOS) which was confirmed by skin biopsy. Radiographs reveal postarthritic deformities of the MCP joints, contractures, a coarsened trabecular pattern at the PIP joints and small bone cysts resembling osteitis cystoides multiplex. Similar lesions were described in radiographs of the older sister and an uncle of our patient. This is the first report demonstrating bone cysts and erosions which could be a diagnostic feature in this rare disease and may help to differentiate other rheumatoid disorders.
参考中文摘要：
早发性结节病是一种肉芽肿病的特点是滑膜炎，多发性关节炎，皮肤和眼睛的参与。我们报告的骨骼特征， 1例家族病史和临床症状暗示早发结节（方程）证实了这一点皮肤切片。 X光片显示postarthritic畸形的MCP的关节，挛缩，一个粗化小梁模式在画中画关节和小骨囊肿类似骨炎囊肿病多重。类似的病灶中介绍片的姐姐和一个叔叔，我们的耐心。这是第一份报告表明骨囊肿和糜烂，可诊断功能在这一罕见的疾病，并可能有助于区分其他类风湿疾病。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :891-3
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16
参考中文标题：
Imatimid诱导骨髓坏死的MRI检查发现和模仿骨转移。
作者单位：
Institut Gustave Roussy, Villejuif, France. vanel@igr.fr
PMID及链接：
17589841 http://www.syyxw.com/Archive/Detail/17589841
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摘 要：
Imatinib has revolutionized the treatment and prognosis of patients with gastrointestinal stromal tumors (GIST). In contrast to liver and/or abdominal involvement, bone metastases are an uncommon event in GIST. We report here two patients with metastatic GIST who developed pelvic bone marrow focal lesions visible on MRI examinations, while Imatinib dramatically improved other tumor sites. A biopsy in one patient diagnosed bone marrow necrosis. The other patient had a favorable follow-up over several years, without bone metastases. Focal bone marrow abnormalities, detected on MRI examinations and mimicking bone metastases in patients who were otherwise responding, should be considered as probable bone marrow necrosis.
参考中文摘要：
伊马替尼，彻底改变了治疗和预后的胃肠道间质瘤（瘤） 。相反，肝和/或腹部参与，骨转移瘤是一种罕见的事件，胃肠间质瘤。在这里我们报告2例转移瘤谁开发盆腔骨髓可见局灶性病变MRI检查，同时大大提高了伊马替尼其他肿瘤的网站。活检确诊1例骨髓坏死。另一名病人进行了良好的后续几年来，没有骨转移。局灶性骨髓异常， MRI检查检测和模仿骨转移的患者，否则谁是回应，应被视为可能骨髓坏死。
出 处：
Skeletal radiology. 2007 Sep ,36 (9) :895-8
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17
参考中文标题：
腱鞘巨细胞瘤和色素绒毛结节性滑膜炎。[评论]。
作者单位：
PMID及链接：
17579851 http://www.syyxw.com/Archive/Detail/17579851
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出 处：
Skeletal radiology. 2007 Sep ,36 (9) :899-900; author reply 901
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18
参考中文标题：
公告双重出版。[评论]。
作者单位：
Diagnostic Radiology/A21, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA. sundarm@ccf.org
PMID及链接：
17661026 http://www.syyxw.com/Archive/Detail/17661026
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出 处：
Skeletal radiology. 2007 Sep ,36 (9) :905
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