股骨髋臼撞击症的影像学——当前概念

Imaging of femoroacetabular impingement-current concepts.

作者信息

Albers Christoph E, Wambeek Nicholas, Hanke Markus S, Schmaranzer Florian, Prosser Gareth H, Yates Piers J

机构信息

Department of Orthopaedic Surgery, Fiona Stanley Hospital and Fremantle Hospital, Perth, Australia.

Department of Orthopaedic Surgery, Inselspital, Bern University Hospital, University of Bern, Switzerland.

出版信息

J Hip Preserv Surg. 2016 Nov 10;3(4):245-261. doi: 10.1093/jhps/hnw035. eCollection 2016 Oct.

Abstract

Following the recognition of femoroacetabular impingement (FAI) as a clinical entity, diagnostic tools have continuously evolved. While the diagnosis of FAI is primarily made based on the patients' history and clinical examination, imaging of FAI is indispensable. Routine diagnostic work-up consists of a set of plain radiographs, magnetic resonance imaging (MRI) and MR-arthrography. Recent advances in MRI technology include biochemically sensitive sequences bearing the potential to detect degenerative changes of the hip joint at an early stage prior to their appearance on conventional imaging modalities. Computed tomography may serve as an adjunct. Advantages of CT include superior bone to soft tissue contrast, making CT applicable for image-guiding software tools that allow evaluation of the underlying dynamic mechanisms causing FAI. This article provides a summary of current concepts of imaging in FAI and a review of the literature on recent advances, and their application to clinical practice.

摘要

在股骨髋臼撞击症(FAI)被确认为一种临床实体后,诊断工具不断发展。虽然FAI的诊断主要基于患者的病史和临床检查,但FAI的影像学检查必不可少。常规诊断检查包括一组普通X线片、磁共振成像(MRI)和磁共振关节造影。MRI技术的最新进展包括具有生物化学敏感性的序列,这些序列有可能在髋关节退行性改变出现在传统成像模式之前的早期阶段检测到它们。计算机断层扫描可作为辅助手段。CT的优点包括骨与软组织对比度高,这使得CT适用于图像引导软件工具,从而能够评估导致FAI的潜在动态机制。本文总结了FAI影像学的当前概念,并综述了有关最新进展及其在临床实践中的应用的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8889/5883171/04a20ef92af3/hnw035f1p.jpg

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