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肘关节的解剖学与生物力学

Anatomy and biomechanics of the elbow joint.

作者信息

Martin Silvia, Sanchez Eugenia

机构信息

Department of Radiology, Son Llatzer Hospital, Palma de Mallorca, Spain.

出版信息

Semin Musculoskelet Radiol. 2013 Nov;17(5):429-36. doi: 10.1055/s-0033-1361587. Epub 2013 Dec 10.

Abstract

Magnetic resonance (MR) imaging provides clinically useful information in assessing the elbow joint. Superior depiction of muscles, ligaments and tendons as well as the ability to directly visualize nerves, bone marrow and hyaline cartilage, are advantages of MR imaging relative to conventional imaging techniques. As the elbow is located superficially, clinical examination is easier for the orthopedic surgeon and only a few cases need a diagnosis for the radiologist, for this reason the elbow joint is little known for the radiologist. To better understand the injuries that occur in the elbow during the sport activities, we need a better understanding of the biomechanics of the joint. And for understanding the biomechanics, it is necessary to know the exact anatomy of the elbow joint and to be able to identify each anatomic structure in the different imaging planes and pulse sequences. This is especially important in MR as the imaging tool that shows a highest soft tissue resolution among other imaging techniques.

摘要

磁共振(MR)成像在评估肘关节方面提供了具有临床实用价值的信息。相对于传统成像技术,MR成像的优势在于能更好地显示肌肉、韧带和肌腱,以及直接可视化神经、骨髓和透明软骨的能力。由于肘关节位置表浅,骨科医生进行临床检查较为容易,只有少数病例需要放射科医生进行诊断,因此放射科医生对肘关节的了解较少。为了更好地理解体育活动中肘关节发生的损伤,我们需要更深入地了解该关节的生物力学。而要理解生物力学,就必须清楚肘关节的确切解剖结构,并能够在不同的成像平面和脉冲序列中识别每个解剖结构。这在MR成像中尤为重要,因为它是在其他成像技术中软组织分辨率最高的成像工具。

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