肩袖损伤：如何撰写一份与手术相关的磁共振成像报告？
Rotator cuff disorders: How to write a surgically relevant magnetic resonance imaging report?
作者信息
Tawfik Ahmed M, El-Morsy Ahmad, Badran Mohamed Aboelnour
机构信息
Ahmed M Tawfik, Ahmad El-Morsy, Diagnostic and Interventional Radiology Department, Faculty of Medicine, Mansoura University, Mansoura 35112, Egypt.
出版信息
World J Radiol. 2014 Jun 28;6(6):274-83. doi: 10.4329/wjr.v6.i6.274.
Abstract
Evaluation of rotator cuff is a common indication for magnetic resonance imaging (MRI) scanning of the shoulder. Conventional MRI is the most commonly used technique, while magnetic resonance (MR) arthrography is reserved for certain cases. Rotator cuff disorders are thought to be caused by a combination of internal and external mechanisms. A well-structured MRI report should comment on the relevant anatomic structures including the acromial type and orientation, the presence of os acromiale, acromio-clavicular degenerative spurs and fluid in the subacromial subdeltoid bursa. In addition, specific injuries of the rotator cuff tendons and the condition of the long head of biceps should be accurately reported. The size and extent of tendon tears, tendon retraction and fatty degeneration or atrophy of the muscles are all essential components of a surgically relevant MRI report.
摘要
评估肩袖是肩部磁共振成像（MRI）扫描的常见指征。传统MRI是最常用的技术，而磁共振（MR）关节造影则用于某些特定病例。肩袖疾病被认为是由内部和外部机制共同引起的。一份结构良好的MRI报告应提及相关的解剖结构，包括肩峰类型和方向、肩峰骨的存在、肩锁关节退行性骨刺以及肩峰下三角肌下滑囊内的积液。此外，还应准确报告肩袖肌腱的具体损伤情况以及肱二头肌长头的状况。肌腱撕裂的大小和范围、肌腱回缩以及肌肉的脂肪变性或萎缩都是与手术相关的MRI报告的重要组成部分。
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