Daunt Nicholas
Greenslopes Private Hospital, Brisbane, Queensland 4109, Australia.
Curr Probl Diagn Radiol. 2002 Jul-Aug;31(4):158-76.
The complex anatomy of the radiocarpal joint and proximal carpus renders high-quality magnetic resonance imaging difficult and interpretation more problematic than in other areas of the skeleton. Added to this, the common occurrence of abnormal communications through the triangular fibrocartilage complex, scapholunate, and lunotriquetral ligaments often results in difficulty in assessing the importance of findings. This article reviews the anatomy, gives suggestions for protocols for scanning the wrist, and reviews the pathologic conditions that may be seen in these structures. In particular, it emphasizes the 3-dimensional nature of these structures and how best to evaluate them in axial, coronal, and sagittal planes.
桡腕关节和近端腕骨的复杂解剖结构使得高质量磁共振成像变得困难,且与骨骼其他部位相比,图像解读更具问题。除此之外,通过三角纤维软骨复合体、舟月和月三角韧带出现异常交通的情况很常见,这常常导致难以评估检查结果的重要性。本文回顾了解剖结构,给出了腕部扫描方案的建议,并回顾了这些结构中可能出现的病理状况。特别强调了这些结构的三维特性以及在轴位、冠状位和矢状位平面上评估它们的最佳方法。