Fernandes J L, Viana S L, Mendonça J L F, Freitas F M O, Bezerra A S A, Lima G-A S, Matos V L, Cunha N F, Martins R R, Freitas R M O
Magnetic Resonance Department, Clínica Radiológica Vila Rica, Brasília, Brazil.
Acta Radiol. 2008 Feb;49(1):75-9. doi: 10.1080/02841850701660497.
Although imaging and clinical criteria are already established for the diagnosis of mucoid degeneration of the anterior cruciate ligament (ACL), many radiologists remain unaware of their existence. Once regarded as a rare occurrence, it has been recently suggested that its incidence is in fact very much higher than previously thought, and that it is probably underdiagnosed or misdiagnosed as partial ruptures of the ACL or as cystic ganglia. In this review, the authors revisit the literature concerning this subject and present their personal experience with it, stressing the paramount importance of magnetic resonance imaging and correlation with clinical data for a correct diagnosis.
尽管前交叉韧带(ACL)黏液样变性的诊断已经有影像学和临床标准,但许多放射科医生仍然不知道这些标准的存在。黏液样变性曾被认为是一种罕见情况,最近有人提出其发病率实际上比以前认为的要高得多,而且它可能被漏诊或误诊为ACL部分断裂或腱鞘囊肿。在这篇综述中,作者重新审视了有关该主题的文献,并介绍了他们个人的经验,强调磁共振成像以及与临床数据相关联对于正确诊断的至关重要性。