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髋关节骨关节炎的磁共振成像及其手术意义

MRI of hip osteoarthritis and implications for surgery.

作者信息

Mamisch Tallal C, Zilkens Christoph, Siebenrock Klaus A, Bittersohl Bernd, Kim Young-Jo, Werlen Stefan

机构信息

Department of Orthopedic Surgery, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland.

出版信息

Radiol Clin North Am. 2009 Jul;47(4):713-22. doi: 10.1016/j.rcl.2009.04.008.

DOI:10.1016/j.rcl.2009.04.008
PMID:19631078
Abstract

Osteoarthritis of the hip joint is caused by a combination of intrinsic factors and extrinsic factors. Different surgical techniques are being performed to delay or halt osteoarthritis. Success of salvage procedures of the hip depends on the existing cartilage and joint damage before surgery; the likelihood of therapy failure rises with advanced osteoarthritis. For imaging of intra-articular hip pathology, MR imaging represents the best technique because of its ability to directly visualize cartilage, superior soft tissue contrast, and the prospect of multidimensional imaging. This article gives an overview on the standard MR imaging techniques used for diagnosis of hip osteoarthritis and their implications for surgery.

摘要

髋关节骨关节炎由内在因素和外在因素共同引起。目前正在采用不同的外科技术来延缓或阻止骨关节炎的发展。髋关节挽救手术的成功取决于术前现有的软骨和关节损伤情况;随着骨关节炎病情的进展,治疗失败的可能性会增加。对于髋关节关节内病变的成像,磁共振成像(MR成像)是最佳技术,因为它能够直接显示软骨、具有出色的软组织对比度以及进行多维度成像的前景。本文概述了用于诊断髋关节骨关节炎的标准MR成像技术及其对手术的意义。

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引用本文的文献

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Abnormal Joint Loading During Gait in Persons With Hip Osteoarthritis Is Associated With Symptoms and Cartilage Lesions.髋关节骨关节炎患者在步态中关节负荷异常与症状和软骨损伤有关。
J Orthop Sports Phys Ther. 2019 Dec;49(12):917-924. doi: 10.2519/jospt.2019.8945. Epub 2019 Oct 14.
2
Regional Articular Cartilage Abnormalities of the Hip.髋关节的局部关节软骨异常
AJR Am J Roentgenol. 2015 Sep;205(3):502-12. doi: 10.2214/AJR.15.14463.
3
Serum transforming growth factor-beta 1 is not a robust biomarker of incident and progressive radiographic osteoarthritis at the hip and knee: the Johnston County Osteoarthritis Project.
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Osteoarthritis Cartilage. 2010 Jun;18(6):825-9. doi: 10.1016/j.joca.2010.02.013. Epub 2010 Feb 17.