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[肱二头肌肌腱疾病:超声、磁共振成像及磁共振关节造影]

[Biceps tendon disorders: ultrasound, MR imaging and MR arthrography].

作者信息

Zanetti M, Pfirrmann C W A

机构信息

Radiologie, Uniklinik Balgrist Zürich.

出版信息

Radiologe. 2004 Jun;44(6):591-6. doi: 10.1007/s00117-004-1028-6.

DOI:10.1007/s00117-004-1028-6
PMID:15034655
Abstract

Ultrasound and MR imaging are competitive imaging modalities for the diagnosis of pathologic conditions of the biceps tendon. MR imaging has substantial advantages over ultrasound because biceps tendon lesions are most commonly located in the proximal part where lesions are hidden under the acromion for ultrasound assessment. The value of MR arthrography is substantiated by the capability to assess associated diagnoses which are otherwise difficult to assess. Associated diagnoses include full- and partial thickness tears of supraspinatus and subscapularis tendons, pulley lesions, and adhesive capsulitis (frozen shoulder). Moreover, MR arthrography is the method of choice for the assessment of superior labral anterior posterior (SLAP) lesions.

摘要

超声和磁共振成像(MR)是诊断肱二头肌肌腱病变的两种相互竞争的成像方式。MR成像相对于超声具有显著优势,因为肱二头肌肌腱病变最常位于近端,而在超声评估中,该部位的病变被肩峰遮挡。MR关节造影能够评估其他方式难以评估的相关诊断,这证实了其价值。相关诊断包括冈上肌和肩胛下肌肌腱的全层和部分厚度撕裂、滑车病变以及粘连性关节囊炎(冻结肩)。此外,MR关节造影是评估上盂唇前向后方(SLAP)病变的首选方法。

相似文献

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[Biceps tendon disorders: ultrasound, MR imaging and MR arthrography].[肱二头肌肌腱疾病:超声、磁共振成像及磁共振关节造影]
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2
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引用本文的文献

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Dynamic ultrasound assessment in the diagnosis of intra-articular entrapment of the biceps tendon (hourglass biceps): A preliminary investigation.动态超声评估在肱二头肌腱关节内卡压(沙漏型肱二头肌)诊断中的应用:一项初步研究。
Int J Shoulder Surg. 2009 Oct;3(4):80-4. doi: 10.4103/0973-6042.63212.
2
[Significance of sonography in traumatology and orthopedics: part 1: ultrasonography of the musculoskeletal system].[超声检查在创伤学与骨科学中的意义:第1部分:肌肉骨骼系统的超声检查]
Unfallchirurg. 2008 Sep;111(9):659-69. doi: 10.1007/s00113-008-1441-9.

本文引用的文献

1
Tears of the supraspinatus tendon associated with "hidden" lesions of the rotator interval.冈上肌腱撕裂与肩袖间隙“隐匿性”损伤相关
J Shoulder Elbow Surg. 1994 Nov;3(6):353-60. doi: 10.1016/S1058-2746(09)80020-7. Epub 2009 Feb 13.
2
Superior labral anteroposterior tear: classification and diagnosis on MRI and MR arthrography.上盂唇前后向撕裂:MRI及磁共振关节造影的分类与诊断
AJR Am J Roentgenol. 2003 Dec;181(6):1449-62. doi: 10.2214/ajr.181.6.1811449.
3
Association of biceps tendon tears with rotator cuff abnormalities: degree of correlation with tears of the anterior and superior portions of the rotator cuff.
肱二头肌肌腱撕裂与肩袖异常的关联:与肩袖前上部撕裂的相关程度
AJR Am J Roentgenol. 2003 Mar;180(3):633-9. doi: 10.2214/ajr.180.3.1800633.
4
Thickness of the supraspinatus and biceps tendons in diabetic patients.糖尿病患者冈上肌和肱二头肌肌腱的厚度
Diabetes Care. 2002 Feb;25(2):408. doi: 10.2337/diacare.25.2.408.
5
Patient's assessment of discomfort during MR arthrography of the shoulder.患者对肩部磁共振关节造影术中不适的评估。
Radiology. 2001 Dec;221(3):775-8. doi: 10.1148/radiol.2213010277.
6
MR arthrography of the glenohumeral joint: two concentrations of gadoteridol versus Ringer solution as the intraarticular contrast material.盂肱关节的磁共振关节造影:两种浓度的钆特醇与林格液作为关节内造影剂的对比
Radiology. 2001 Jul;220(1):219-24. doi: 10.1148/radiology.220.1.r01jn03219.
7
Complications of Arthrography.关节造影的并发症。
Semin Musculoskelet Radiol. 1998;2(4):345-348. doi: 10.1055/s-2008-1080115.
8
Superior labral anterior posterior (SLAP) lesions of the glenoid labrum: reliability and accuracy of MR arthrography for diagnosis.肩关节盂上盂唇前后部(SLAP)损伤:磁共振关节造影诊断的可靠性和准确性
Radiology. 2001 Jan;218(1):127-32. doi: 10.1148/radiology.218.1.r01ja44127.
9
Imaging of degenerative and posttraumatic disease in the shoulder joint with ultrasound.肩关节退行性和创伤后疾病的超声成像
Eur J Radiol. 2000 Aug;35(2):119-25. doi: 10.1016/s0720-048x(00)00227-8.
10
Superior labrum anterior-posterior lesions: diagnosis with MR arthrography of the shoulder.肩胛盂唇前后部损伤:肩部磁共振关节造影诊断
Radiology. 2000 Jan;214(1):267-71. doi: 10.1148/radiology.214.1.r00ja22267.