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前臂交叉综合征的磁共振成像特征

MRI features of intersection syndrome of the forearm.

作者信息

Costa C Rosalia, Morrison William B, Carrino John A

机构信息

Department of Radiology, Thomas Jefferson University Hospital, Ste. 3390, 111 S 11th St., Philadelphia, PA 19107, USA.

出版信息

AJR Am J Roentgenol. 2003 Nov;181(5):1245-9. doi: 10.2214/ajr.181.5.1811245.

Abstract

OBJECTIVE

The purpose of this original report is to describe the MRI findings in patients with intersection syndrome of the forearm.

CONCLUSION

Intersection syndrome is an overuse disorder of the dorsal distal forearm, presenting with particular symptoms and signs that may be clinically misdiagnosed. MRI can perform an important role in establishing the diagnosis. Peritendinous edema (peritendinitis) around the first and second extensor compartment tendons, extending proximally from the crossover point, is the most characteristic finding that should suggest a diagnosis of intersection syndrome. Chronic cases may be subtle and not show substantial MRI findings likely reflecting the development of a stenosing tenosynovitis.

摘要

目的

本原始报告旨在描述前臂交叉综合征患者的磁共振成像(MRI)表现。

结论

交叉综合征是前臂远端背侧的一种过度使用性疾病,具有特定的症状和体征,可能在临床上被误诊。MRI在确立诊断中可发挥重要作用。第一和第二伸肌间隙肌腱周围的腱周水肿(腱鞘炎),从交叉点向近端延伸,是最具特征性的表现,提示交叉综合征的诊断。慢性病例可能表现不明显,MRI表现可能不显著,这可能反映了狭窄性腱鞘炎的发展。

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