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肘部环状韧带的 MRI:回顾伴有肘后外侧不稳定的患者的解剖学考虑因素和病理发现。

MRI of the annular ligament of the elbow: review of anatomic considerations and pathologic findings in patients with posterolateral elbow instability.

机构信息

1 Department of Radiology, Maimonides Medical Center, Brooklyn, NY.

出版信息

AJR Am J Roentgenol. 2014 Dec;203(6):1272-9. doi: 10.2214/AJR.13.12263.

Abstract

OBJECTIVE

The annular ligament is one of the major stabilizers of the proximal radioulnar joint. However, it is one of the least studied structures in the lateral elbow because of imaging challenges and low pathologic incidence. This article will examine the anatomy of the annular ligament, its biomechanics, and its functional importance. Eight surgically proven cases of annular ligament abnormality in patients with posterolateral and nursemaid elbow, along with the associated findings, are presented.

CONCLUSION

Adequate understanding of the anatomy and familiarity with the associated injuries that can be seen in annular ligament displacement or rupture will improve detection of annular ligament abnormality.

摘要

目的

环状韧带是稳定近桡尺关节的主要结构之一。然而,由于影像检查的挑战和较低的病理发生率,它也是外侧肘部研究最少的结构之一。本文将探讨环状韧带的解剖结构、生物力学及其功能重要性。本文介绍了 8 例经手术证实的伴有 posterolateral 和 nursemaid 肘的环状韧带异常病例,以及相关的发现。

结论

充分了解解剖结构并熟悉环状韧带移位或撕裂时可能出现的相关损伤,将有助于提高环状韧带异常的检出率。

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