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[肩部磁共振成像:撞击与不稳定相关异常——2013年更新]

[Magnetic resonance imaging of the shoulder: impingement and instability related abnormalities--update 2013].

作者信息

Zanetti M, Mamisch-Saupe N

机构信息

Zentrum für Muskuloskelettale Radiologie, Klinik Hirslanden Zürich, Witellikerstr. 40, CH-8032, Zürich, Schweiz,

出版信息

Radiologe. 2013 Oct;53(10):917-34. doi: 10.1007/s00117-013-2565-7.

DOI:10.1007/s00117-013-2565-7
PMID:24068294
Abstract

Magnetic resonance imaging (MRI) plays an important role in the diagnosis and differentiation of numerous shoulder abnormalities and chronic shoulder pain. Important indications for MRI are assessment of the rotator cuff and the labrocapsular complex. The assessment of the rotator cuff muscles is crucial. The value of MR arthrography is discussed. The potential benefit of MR arthrography is the accurate evaluation of subtle rotator cuff abnormalities, shoulder instability-related lesions and the assessment of pathological conditions of the long biceps tendon. The following article describes the most common pathological findings of the shoulder joint and gives a description of the relevant findings for the orthopedic shoulder surgeon. The current article represents an update of an article previously published in 2006 with the same title (Zanetti and Saupe, Radiologe 46:79-89, 2006).

摘要

磁共振成像(MRI)在众多肩部异常和慢性肩部疼痛的诊断及鉴别诊断中发挥着重要作用。MRI的重要指征是对肩袖和盂唇关节囊复合体进行评估。对肩袖肌肉的评估至关重要。本文讨论了磁共振关节造影的价值。磁共振关节造影的潜在益处在于能够准确评估肩袖细微异常、与肩部不稳定相关的病变以及肱二头肌长头肌腱的病理状况。以下文章描述了肩关节最常见的病理表现,并为骨科肩部外科医生介绍了相关发现。本文是对2006年发表的一篇同标题文章(Zanetti和Saupe,《放射学》46:79 - 89,2006)的更新。

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Radiologe. 2013 Oct;53(10):917-34. doi: 10.1007/s00117-013-2565-7.
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[Clinical or radiological diagnosis of impingement].[撞击的临床或影像学诊断]
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Arthroscopy. 2013 Feb;29(2):274-9. doi: 10.1016/j.arthro.2012.10.005.
2
Tears of the supraspinatus tendon associated with "hidden" lesions of the rotator interval.冈上肌腱撕裂与肩袖间隙“隐匿性”损伤相关
J Shoulder Elbow Surg. 1994 Nov;3(6):353-60. doi: 10.1016/S1058-2746(09)80020-7. Epub 2009 Feb 13.
3
Lesions of the biceps pulley: diagnostic accuracy of MR arthrography of the shoulder and evaluation of previously described and new diagnostic signs.
肱二头肌滑车病变:肩关节磁共振关节造影的诊断准确性及对先前描述和新的诊断征象的评估。
Radiology. 2012 Aug;264(2):504-13. doi: 10.1148/radiol.12112007. Epub 2012 Jun 12.
4
A meta-analysis of the diagnostic test accuracy of MRA and MRI for the detection of glenoid labral injury.MRA 和 MRI 检测肩盂唇损伤的诊断试验准确性的荟萃分析。
Arch Orthop Trauma Surg. 2012 Jul;132(7):905-19. doi: 10.1007/s00402-012-1493-8. Epub 2012 Mar 7.
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Preoperative imaging of anterior shoulder instability: diagnostic effectiveness of MDCT arthrography and comparison with MR arthrography and arthroscopy.术前肩关节前向不稳定的影像学评估:MDCT 关节造影的诊断效能及其与 MR 关节造影和关节镜的比较。
AJR Am J Roentgenol. 2012 Mar;198(3):661-7. doi: 10.2214/AJR.11.7251.
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AJR Am J Roentgenol. 2011 May;196(5):1139-44. doi: 10.2214/AJR.08.1734.
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Eur Radiol. 2011 Jul;21(7):1477-84. doi: 10.1007/s00330-011-2066-x. Epub 2011 Jan 26.
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Eur Radiol. 2010 Mar;20(3):666-73. doi: 10.1007/s00330-009-1593-1. Epub 2009 Sep 2.
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