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膝关节X线投影的应用。

Use of radiographic projections of knee.

作者信息

Cockshott W P, Racoveanu N T, Burrows D A, Ferrier M

出版信息

Skeletal Radiol. 1985;13(2):131-3. doi: 10.1007/BF00352083.

DOI:10.1007/BF00352083
PMID:2579443
Abstract

A study to determine the routine radiography practice for the investigation of acute trauma cases and those with suspected arthritis of the knee was carried out by questionnaires sent to radiologists in 41 countries. The role of radiology in the investigation of chondromalacia patellae was also ascertained. Some of the reasons for the diversities of practice are discussed. The necessity for further views of the knee to supplement the two standard projections was assessed for various diagnostic entities. It became clear that if occult fractures were not to be missed, patients with knee effusions following acute trauma required additional views if a lesion was not shown by the anteroposterior (AP) and lateral views. In contrast, two views of the knee sufficed for examination of most entities affecting the knee.

摘要

通过向41个国家的放射科医生发送调查问卷,开展了一项研究,以确定针对急性创伤病例和疑似膝关节关节炎患者的常规放射检查方法。同时还确定了放射学在髌骨软化症检查中的作用。文中讨论了一些检查方法存在差异的原因。针对各种诊断实体,评估了采用膝关节额外投照以补充两种标准投照的必要性。结果表明,如果不想漏诊隐匿性骨折,对于急性创伤后出现膝关节积液的患者,若前后位(AP)和侧位片未显示病变,则需要额外投照。相比之下,对于大多数累及膝关节的疾病,膝关节的两种投照就足够了。

相似文献

1
Use of radiographic projections of knee.膝关节X线投影的应用。
Skeletal Radiol. 1985;13(2):131-3. doi: 10.1007/BF00352083.
2
[Roentgen diagnosis in cartilagenous damage of the knee joint (author's transl)].
Radiologe. 1978 Dec;18(12):451-8.
3
[X-ray investigation of chondromalacia patellae].髌骨软化症的X线检查
Zhonghua Fang She Xue Za Zhi. 1988 Dec;22(6):337-40.
4
[Radiography of the knee].[膝关节X线摄影]
Ned Tijdschr Geneeskd. 1975 Nov 29;119(48):1893-9.
5
Acute knee trauma: how many plain film views are necessary for the initial examination?急性膝关节创伤:初次检查需要拍摄多少张X线平片?
Skeletal Radiol. 1997 May;26(5):298-302. doi: 10.1007/s002560050239.
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Sonography of the knee, a pictorial review.膝关节超声检查:图文综述
Semin Ultrasound CT MR. 2000 Jun;21(3):231-74. doi: 10.1016/s0887-2171(00)90045-3.
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The tangential x-ray investigation of the patellofemoral joint: x-ray technique, diagnostic criteria and their interpretation.髌股关节的切线位X线检查:X线技术、诊断标准及其解读
Clin Orthop Relat Res. 1979 Oct(144):16-26.
8
Chondromalacia patellae: a radiographic study of the femoropatellar joint.髌骨软骨软化症:髌股关节的影像学研究
Acta Orthop Scand. 1982 Feb;53(1):131-4. doi: 10.3109/17453678208992190.
9
Extrameniscal lesions demonstrated by double-contrast arthrography of the knee.膝关节双重造影显示的半月板外病变。
Radiology. 1972 Feb;102(2):311-9. doi: 10.1148/102.2.311.
10
Patellofemoral incongruence in chondromalacia and instability of the patella.
Acta Orthop Scand. 1986 Jun;57(3):232-4. doi: 10.3109/17453678608994384.

引用本文的文献

1
Are Oblique Views Necessary? A Review of the Clinical Value of Oblique Knee Radiographs in the Acute Setting.是否需要斜位视图?急性情况下斜位膝关节 X 线片的临床价值评价。
West J Emerg Med. 2022 Oct 24;23(6):939-946. doi: 10.5811/westjem.2022.8.56453.

本文引用的文献

1
The oblique view: an unnecessary component of the initial adult lumbar spine examination.斜位片:成人腰椎初始检查中不必要的组成部分。
Radiology. 1980 Jan;134(1):45-7. doi: 10.1148/radiology.134.1.7350633.
2
Diagnosis of chondromalacia patellae using CT arthrography.使用CT关节造影诊断髌骨软化症。
Eur J Radiol. 1982 Aug;2(3):181-6.
3
Occult fractures of the knee: tomographic evaluation.膝关节隐匿性骨折:断层扫描评估
Radiology. 1983 Aug;148(2):383-7. doi: 10.1148/radiology.148.2.6867329.
4
Anteroposterior and lateral radiographs: an adequate lumbar spine examination.
AJR Am J Roentgenol. 1981 Apr;136(4):715-7. doi: 10.2214/ajr.136.4.715.
5
Limiting the use of routine radiography for acute ankle injuries.限制急性踝关节损伤常规放射检查的使用。
Can Med Assoc J. 1983 Jul 15;129(2):129-31.
6
Optimum radiographic examination for consideration of compensation awards: III. Knee, hand and foot.用于考虑赔偿裁定的最佳放射学检查:III. 膝、手和足。
AJR Am J Roentgenol. 1980 Nov;135(5):1075-8. doi: 10.2214/ajr.135.5.1075.
7
The utility and futility of radiographic skull examination for trauma.颅骨创伤影像学检查的实用性与局限性
N Engl J Med. 1971 Feb 4;284(5):236-9. doi: 10.1056/NEJM197102042840504.
8
Traumatic dislocation of the patella. A radiographic investigation.髌骨外伤性脱位。一项影像学研究。
Acta Radiol Suppl. 1974;336:1-160.