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2006年国际骨科学会创始人讲座:足踝部MRI中正常与早期病理表现的边缘地带

Founder's lecture of the ISS 2006: borderlands of normal and early pathological findings in MRI of the foot and ankle.

作者信息

Zanetti Marco

机构信息

University Hospital Balgrist, Forchstr. 340, 8008, Zurich, Switzerland.

出版信息

Skeletal Radiol. 2008 Oct;37(10):875-84. doi: 10.1007/s00256-008-0515-7. Epub 2008 Jun 5.

DOI:10.1007/s00256-008-0515-7
PMID:18528692
Abstract

The purpose of this article is to highlight the anatomical variants, technical pitfalls, and the prevalence of abnormal conditions in the asymptomatic population in magnetic resonance imaging of the foot and ankle. Special attention is drawn to the complex anatomy of the deltoid ligament (the superficial tibionavicular ligament, tibiospring ligament, the tibiocalcaneal ligament, and the deep anterior and posterior tibiotalar ligaments) and the posterior tibial tendon insertion including the magic angle artifact and the high prevalence of asymptomatic findings such as "hypertrophied" peroneal tubercle (abnormal only when larger than 5 mm), peroneus quartus (prevalence 17%), and cysts (vascular remnants) just inferior to the angle of Gissane.

摘要

本文的目的是强调足踝部磁共振成像中无症状人群的解剖变异、技术陷阱以及异常情况的发生率。特别关注三角韧带(浅层胫舟韧带、胫弹簧韧带、胫跟韧带以及深层胫距前、后韧带)的复杂解剖结构和胫后肌腱附着点,包括魔角伪影以及一些无症状表现的高发生率,如“肥大”的腓骨结节(仅当大于5毫米时为异常)、第四腓骨肌(发生率17%)以及位于吉氏角下方的囊肿(血管残余)。

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本文引用的文献

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Bone marrow changes on STIR MR images of asymptomatic feet and ankles.无症状足踝部短反转恢复序列磁共振成像的骨髓变化
Eur Radiol. 2007 Dec;17(12):3066-72. doi: 10.1007/s00330-007-0691-1. Epub 2007 Jul 7.
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Incidence and morphologic characteristics of benign calcaneal cystic lesions on MRI.MRI上良性跟骨囊性病变的发病率及形态学特征
Foot Ankle Int. 2007 Jun;28(6):707-14. doi: 10.3113/FAI.2007.0707.
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A specific bone marrow edema around the foot and ankle following trauma and immobilization therapy: pattern description and potential clinical relevance.
腓骨肌腱镜检查治疗腓骨肌腱疾病后的功能结果。
Knee Surg Sports Traumatol Arthrosc. 2016 Apr;24(4):1148-54. doi: 10.1007/s00167-016-4012-6. Epub 2016 Feb 4.
4
Tenosynovitis of the peroneal tendons associated with a hypertrophic peroneal tubercle: radiography and MRI findings.与腓骨结节肥大相关的腓骨肌腱腱鞘炎:X线摄影及磁共振成像表现
BMJ Case Rep. 2014 Apr 19;2014:bcr2013200204. doi: 10.1136/bcr-2013-200204.
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Peroneus longus tear and its relation to the peroneal tubercle: A review of the literature.腓骨长肌撕裂及其与腓骨结节的关系:文献综述
Muscles Ligaments Tendons J. 2012 Apr 1;1(4):153-60. Print 2011 Oct.
6
Magnetic resonance imaging of ankle tendon pathology: benefits of additional axial short-tau inversion recovery imaging to reduce magic angle effects.踝关节肌腱病变的磁共振成像:附加轴向短 tau 反转恢复成像减少魔角效应的益处。
Skeletal Radiol. 2013 Apr;42(4):499-510. doi: 10.1007/s00256-012-1550-y. Epub 2012 Dec 11.
创伤及固定治疗后足踝周围特定的骨髓水肿:模式描述及潜在临床意义
Foot Ankle Int. 2007 Apr;28(4):463-71. doi: 10.3113/FAI.2007.0463.
4
Anatomic variants associated with peroneal tendon disorders: MR imaging findings in volunteers with asymptomatic ankles.与腓骨肌腱疾病相关的解剖变异:无症状踝关节志愿者的磁共振成像表现
Radiology. 2007 Feb;242(2):509-17. doi: 10.1148/radiol.2422051993.
5
Medial collateral ligament complex of the ankle: MR appearance in asymptomatic subjects.踝关节内侧副韧带复合体:无症状受试者的磁共振成像表现
Radiology. 2007 Mar;242(3):817-24. doi: 10.1148/radiol.2423060055. Epub 2007 Jan 5.
6
Chronic tibiofibular syndesmosis injury of ankle: evaluation with contrast-enhanced fat-suppressed 3D fast spoiled gradient-recalled acquisition in the steady state MR imaging.踝关节慢性胫腓下联合损伤:采用对比增强脂肪抑制三维稳态进动快速扰相梯度回波序列磁共振成像进行评估
Radiology. 2007 Jan;242(1):225-35. doi: 10.1148/radiol.2421051369.
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