Hauptfleisch Jennifer, English Collette, Murphy Darra
From the Department of Radiology, St Paul's Hospital, Vancouver, British Columbia, Canada.
Top Magn Reson Imaging. 2015 Apr;24(2):93-107. doi: 10.1097/RMR.0000000000000047.
The elbow is a complex joint. Magnetic resonance imaging (MRI) is often the imaging modality of choice in the workup of elbow pain, especially in sports injuries and younger patients who often have either a history of a chronic repetitive strain such as the throwing athlete or a distinct traumatic injury. Traumatic injuries and alternative musculoskeletal pathologies can affect the ligaments, musculotendinous, cartilaginous, and osseous structures of the elbow as well as the 3 main nerves to the upper limb, and these structures are best assessed with MRI.Knowledge of the complex anatomy of the elbow joint as well as patterns of injury and disease is important for the radiologist to make an accurate diagnosis in the setting of elbow pain. This chapter will outline elbow anatomy, basic imaging parameters, compartmental pathology, and finally applications of some novel MRI techniques.
肘关节是一个复杂的关节。磁共振成像(MRI)通常是评估肘关节疼痛时的首选成像方式,尤其是在运动损伤以及年轻患者中,这些患者常有慢性重复性劳损病史,如投掷运动员,或有明确的创伤性损伤。创伤性损伤和其他肌肉骨骼疾病可影响肘关节的韧带、肌腱、软骨和骨质结构以及上肢的3条主要神经,而这些结构通过MRI评估最为理想。了解肘关节的复杂解剖结构以及损伤和疾病模式,对于放射科医生在肘关节疼痛的情况下做出准确诊断非常重要。本章将概述肘关节解剖、基本成像参数、各部位病变,最后介绍一些新型MRI技术的应用。