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膝关节前部:正常变异、常见病变及MRI诊断陷阱

The anterior knee: normal variants, common pathologies, and diagnostic pitfalls on MRI.

作者信息

Liu Yong Wei, Skalski Matthew R, Patel Dakshesh B, White Eric A, Tomasian Anderanik, Matcuk George R

机构信息

Department of Radiology, Harbor-UCLA Medical Center, Torrance, CA, 90509, USA.

Department of Radiology, Palmer College of Chiropractic - West Campus, San Jose, CA, 95134, USA.

出版信息

Skeletal Radiol. 2018 Aug;47(8):1069-1086. doi: 10.1007/s00256-018-2928-2. Epub 2018 Mar 25.

DOI:10.1007/s00256-018-2928-2
PMID:29574492
Abstract

The anterior aspect of the knee is host to an array of normal variants and potential pathology. These normal anatomic variants are often encountered and may mimic pathologies, leading to unnecessary work-up and treatments. On the other hand, there are several subtle abnormalities that may be easily overlooked or mistaken for variants or other injuries or diseases. Recognition of these diagnostic challenges is essential for radiologists to make an accurate diagnosis. This article reviews normal anatomical variants of ligaments, tendons, bones, and other important structures of the anterior knee, focusing on magnetic resonance imaging features. Commonly encountered injuries and abnormalities of the anterior knee and their diagnostic pitfalls are also discussed, highlighting findings on magnetic resonance imaging.

摘要

膝关节前部存在一系列正常变异和潜在病变。这些正常解剖变异经常遇到,可能会模仿病变,导致不必要的检查和治疗。另一方面,有一些细微的异常可能很容易被忽视或误认为是变异或其他损伤或疾病。认识到这些诊断挑战对于放射科医生做出准确诊断至关重要。本文回顾了膝关节前部韧带、肌腱、骨骼和其他重要结构的正常解剖变异,重点关注磁共振成像特征。还讨论了膝关节前部常见的损伤和异常及其诊断陷阱,突出了磁共振成像的表现。

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The anterior knee: normal variants, common pathologies, and diagnostic pitfalls on MRI.膝关节前部:正常变异、常见病变及MRI诊断陷阱
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Skeletal Radiol. 2017 May;46(5):605-622. doi: 10.1007/s00256-017-2604-y. Epub 2017 Feb 25.
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An extraskeletal para-articular osteochondroma of Hoffa's fat pad.霍法脂肪垫的关节外关节旁骨软骨瘤。
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Hoffa's fat pad abnormalities, knee pain and magnetic resonance imaging in daily practice.日常实践中的霍法脂肪垫异常、膝关节疼痛与磁共振成像
膝关节撞击和摩擦综合征的磁共振成像。
Skeletal Radiol. 2020 Jun;49(6):823-836. doi: 10.1007/s00256-020-03379-y. Epub 2020 Jan 28.
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Management of suprapatellar synovial plica, a common cause of anterior knee pain: a clinical review.髌上滑膜皱襞的管理,膝前疼痛的常见原因:一项临床综述。
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Synovial hemangioma in the knee: MRI findings.膝关节滑膜血管瘤:MRI表现
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Pitfalls and pearls in MRI of the knee.膝关节 MRI 的陷阱与要点。
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Muscles Ligaments Tendons J. 2014 May 8;4(1):66-73. eCollection 2014 Jan.
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Axial scan orientation and the tibial tubercle-trochlear groove distance: error analysis and correction.轴向扫描方向与胫骨结节-滑车沟距离:误差分析与校正。
AJR Am J Roentgenol. 2014 Jun;202(6):1291-6. doi: 10.2214/AJR.13.11488.
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