Feydy Antoine, Pluot Etienne, Guerini Henri, Drapé Jean-Luc
Department of Radiology B, Cochin Hospital, Paris Descartes University, 27 rue du Faubourg Saint Jacques, 75014 Paris, France.
Radiol Clin North Am. 2009 Jul;47(4):723-59. doi: 10.1016/j.rcl.2009.06.004.
Although osteoarthritis (OA) of the wrist and fingers is routinely diagnosed using plain film, a thorough assessment of cartilage injuries using CT-arthrography, MR imaging, or MR-arthrography remains necessary before any surgical procedure. MR imaging is ideally suited for delineating the presence, extent, and complications of degenerative spinal disease, including OA of the spine involving the disk space, vertebral endplates, facet joints, or supportive and surrounding soft tissues. Other imaging modalities such as CT, dynamic radiography, myelography, and discography may provide complimentary information in selected cases. This article focuses on imaging of OA of the wrist and hand and the lumbar spine, with an emphasis on current MR imaging grading systems available for the assessment of discovertebral lesions.
尽管手腕和手指的骨关节炎（OA）通常通过X线平片进行诊断，但在任何外科手术之前，使用CT关节造影、磁共振成像（MR）或磁共振关节造影对软骨损伤进行全面评估仍然是必要的。MR成像非常适合描绘退行性脊柱疾病的存在、范围和并发症，包括涉及椎间盘间隙、椎体终板、小关节或支持及周围软组织的脊柱OA。其他成像方式，如CT、动态放射摄影、脊髓造影和椎间盘造影，在某些特定情况下可能提供补充信息。本文重点关注手腕和手部以及腰椎OA的成像，尤其着重于目前可用于评估椎间盘病变的MR成像分级系统。
