四肢骨骼结核性关节炎：磁共振成像表现

Tuberculous arthritis of the appendicular skeleton: MR imaging appearances.

作者信息

Parmar Hemant, Shah Jeshil, Patkar Deepak, Singrakhia Manoj, Patankar Tufail, Hutchinson Charles

机构信息

Department of Radiology, King Edward VII Memorial Hospital, Mumbai, India.

出版信息

Eur J Radiol. 2004 Dec;52(3):300-9. doi: 10.1016/j.ejrad.2003.11.003.

DOI:10.1016/j.ejrad.2003.11.003

PMID:15544910

Abstract

Tuberculosis [TB] of the appendicular skeleton is an uncommon infection caused by the tuberculous bacilli and constitutes only 1-3% of all tuberculosis infections. MR imaging features of tuberculous arthritis include bone marrow oedema, cortical erosions, synovitis, joint effusion, tenosynovitis, soft tissue collections, and myositis. These imaging features are at times non-specific, but in the correct clinical context help in diagnosis of tuberculosis. We present the various pathological manifestations of TB arthritis involving the different joints of appendicular skeleton and discuss their MR imaging appearances.

摘要

四肢骨骼结核是由结核杆菌引起的一种罕见感染，仅占所有结核感染的1%-3%。结核性关节炎的磁共振成像（MR）特征包括骨髓水肿、皮质侵蚀、滑膜炎、关节积液、腱鞘炎、软组织肿块和肌炎。这些影像学特征有时缺乏特异性，但在正确的临床背景下有助于结核病的诊断。我们展示了累及四肢骨骼不同关节的结核性关节炎的各种病理表现，并讨论其MR成像表现。