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肘部运动性韧带损伤的影像学检查

Imaging of sports ligamentous injuries of the elbow.

作者信息

Beltran Luis S, Bencardino Jenny T, Beltran Javier

机构信息

Department of Radiology, NYU Hospital for Joint Diseases, New York, New York.

出版信息

Semin Musculoskelet Radiol. 2013 Nov;17(5):455-65. doi: 10.1055/s-0033-1360666. Epub 2013 Dec 10.

Abstract

Ligamentous injuries of the elbow are common in sports. The diagnosis is usually based on a combination of the assessment of the mechanism of injury during the sporting activity and physical examination. Imaging with radiographs and MR imaging has an important diagnostic role, particularly when the clinical presentation is unclear and to evaluate for other important potential associated injuries such as myotendinous injuries, fractures, dislocations, and osteochondral lesions. Treatment includes conservative and surgical measures depending on the severity of the instability and associated injuries. We provide a detailed review of sports-related injuries of the medial and lateral collateral ligament complexes of the elbow with an emphasis on imaging manifestations of disease and a discussion of the anatomy, biomechanics, and treatment options.

摘要

肘部韧带损伤在体育运动中很常见。诊断通常基于对体育活动中损伤机制的评估和体格检查。X线片和磁共振成像(MR)检查具有重要的诊断作用,特别是当临床表现不明确时,以及用于评估其他重要的潜在相关损伤,如肌腱损伤、骨折、脱位和骨软骨损伤。治疗方法包括保守治疗和手术治疗,具体取决于不稳定的严重程度和相关损伤情况。我们对肘部内侧和外侧副韧带复合体的运动相关损伤进行了详细综述,重点介绍了疾病的影像学表现,并讨论了解剖结构、生物力学和治疗选择。

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