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膝关节脱位的放射学评估:从诊断到修复。

Radiologic review of knee dislocation: from diagnosis to repair.

机构信息

Department of Radiology, University of Calgary, Rm 812, North Tower, Foothills Medical Centre, 1403 29th St NW, Calgary, AB, Canada.

出版信息

AJR Am J Roentgenol. 2013 Sep;201(3):483-95. doi: 10.2214/AJR.12.10221.

Abstract

OBJECTIVE

This imaging-based article systematically reviews traumatic knee dislocations. After completion, the reader should be familiar with the definition, epidemiology, cause, and classification schemes associated with these injuries, as well as the importance of timely diagnostic imaging and an accurate, detailed description of findings, particularly as it relates to MRI interpretation. Finally, information our orthopedic surgical colleagues consider critical for the preoperative planning and reconstruction of the multiple ligament knee injury will be discussed.

CONCLUSION

Although uncommon, traumatic knee dislocations are an important potentially limb-threatening injury, which if not emergently recognized and appropriately managed, can result in significant patient morbidity, joint dysfunction, chronic pain, and long-term disability. A radiologist familiar with the imaging appearance and potential neurovascular complications associated with these injuries can play an integral role in the multidisciplinary team that manages this increasingly recognized clinical entity.

摘要

目的

本文通过影像学手段系统地回顾膝关节外伤性脱位。阅读后,读者应熟悉此类损伤的定义、流行病学、病因和分类方案,以及及时进行诊断性影像学检查和准确、详细描述检查结果的重要性,特别是与 MRI 解读相关的内容。最后,将讨论我们骨科外科同事认为对多韧带膝关节损伤的术前规划和重建至关重要的信息。

结论

尽管不常见,但外伤性膝关节脱位是一种重要的潜在危及肢体的损伤,如果不能及时识别和适当处理,可能会导致患者出现严重的发病、关节功能障碍、慢性疼痛和长期残疾。熟悉这些损伤相关影像学表现和潜在的神经血管并发症的放射科医生可以在管理这种日益受到关注的临床实体的多学科团队中发挥重要作用。

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