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在磁共振成像(MRI)上模拟移位桶柄状撕裂的游离内侧半月板碎片。

Free medial meniscal fragment which mimics the dislocated bucket-handle tear on MRI.

作者信息

Türkmen Faik, Korucu Ismail Hakkı, Sever Cem, Demirayak Mehmet, Goncü Gani, Toker Serdar

机构信息

Department of Orthopedics, NEU Meram School of Medicine, Akyokus, Meram, Konya, Turkey.

Department of Orthopedics, Mevlana University School of Medicine, Konya, Turkey.

出版信息

Case Rep Orthop. 2014;2014:647491. doi: 10.1155/2014/647491. Epub 2014 Jun 9.

DOI:10.1155/2014/647491
PMID:25002980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4070496/
Abstract

The bucket-handle meniscal tear is a specific type of meniscal injuries which has specific signs on MRI. An attached fragment displaced away from the meniscus with any type of tear causes bucket-handle tear of the meniscus. Magnetic resonance imaging (MRI) is the most commonly used diagnostic tool for meniscal injuries. We present a case of free medial meniscal fragment which mimics the dislocated bucket-handle tear on MRI. The presence of "fragment within the intercondylar notch sign" and "the absence of the bow tie sign" may be an indication of a free meniscal fragment. This should be considered during diagnosis.

摘要

桶柄状半月板撕裂是半月板损伤的一种特殊类型,在磁共振成像(MRI)上有特定表现。任何类型的撕裂导致半月板附着碎片从半月板移位时,就会引起半月板桶柄状撕裂。磁共振成像(MRI)是半月板损伤最常用的诊断工具。我们报告一例游离内侧半月板碎片病例,其在MRI上表现类似脱位的桶柄状撕裂。“髁间切迹内碎片征”的存在和“蝴蝶结征”的缺失可能提示存在游离半月板碎片。在诊断过程中应考虑到这一点。

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本文引用的文献

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The double flipped meniscus sign: unusual MRI findings in bucket-handle tear of the lateral meniscus.双翻转半月板征:外侧半月板桶柄样撕裂的罕见磁共振成像表现
Knee. 2014 Jan;21(1):129-32. doi: 10.1016/j.knee.2013.09.003. Epub 2013 Sep 20.
2
Clinics in diagnostic imaging (139). Displaced medial meniscus bucket-handle tear.临床影像学诊断(139)。内侧半月板桶柄状撕裂移位。
Singapore Med J. 2012 Apr;53(4):283-7; quiz 288.
3
MR imaging of the meniscus: review, current trends, and clinical implications.半月板的磁共振成像:综述、当前趋势及临床意义
Radiol Clin North Am. 2007 Nov;45(6):1033-53, vii. doi: 10.1016/j.rcl.2007.08.009.
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Posterior double PCL sign: a case report of unusual MRI finding of bucket-handle tear of medial meniscus.后交叉韧带双征:内侧半月板桶柄状撕裂罕见MRI表现的病例报告
Knee Surg Sports Traumatol Arthrosc. 2007 Nov;15(11):1343-5. doi: 10.1007/s00167-007-0327-7. Epub 2007 Apr 17.
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Reversed double PCL sign: unusual location of a meniscal fragment of the knee observed by MR imaging.反向双后交叉韧带征:膝关节半月板碎片在磁共振成像中观察到的异常位置。
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