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股骨头软骨下不全骨折的计算机断层扫描结果

Computed tomography findings of subchondral insufficiency fractures of the femoral head.

作者信息

Iwasaki Kenyu, Yamamoto Takuaki, Motomura Goro, Karasuyama Kazuyuki, Sonoda Kazuhiko, Kubo Yusuke, Nakashima Yasuharu

机构信息

Department of Orthopaedic Surgery, Japan Community Healthcare Organization, Kyushu Hospital, 1-8-1 Kishinoura, Yahatanishi-ku, Kitakyushu, Fukuoka 806-8501, Japan.

Department of Orthopaedic Surgery, Faculty of Medicine, Fukuoka University, 7-45-1 Nanakuma, 12 Jonan-ku, Fukuoka, Japan.

出版信息

J Orthop. 2018 Feb 2;15(1):173-176. doi: 10.1016/j.jor.2018.01.044. eCollection 2018 Mar.

DOI:10.1016/j.jor.2018.01.044
PMID:29657462
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5895906/
Abstract

OBJECTIVES

The objective of this study was to describe the appearance of Subchondral insufficiency fracture (SIF) by computed tomography (CT).

METHODS

Images of 52 consecutive patients diagnosed with SIF were retrospectively reviewed. CT was available for five patients (7 cases).

RESULTS

Corresponding to a low-intensity band on MR images, a radiolucent or sclerotic band was observed on CT images.

CONCLUSION

The present study is the first to report CT findings of SIF. A radiolucent or sclerotic band was observed on CT images. The results of the present study provide useful information for diagnosis of SIF.

摘要

目的

本研究的目的是通过计算机断层扫描（CT）描述软骨下不全骨折（SIF）的表现。

方法

回顾性分析52例连续诊断为SIF患者的影像资料。其中5例患者（7个病例）有CT图像。

结果

与磁共振成像（MR）图像上的低信号带相对应，CT图像上观察到一条透亮或硬化带。

结论

本研究首次报道了SIF的CT表现。CT图像上观察到一条透亮或硬化带。本研究结果为SIF的诊断提供了有用信息。

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本文引用的文献

1
Fat-suppressed T2-weighted MRI appearance of subchondral insufficiency fracture of the femoral head.股骨头软骨下不全骨折的脂肪抑制T2加权磁共振成像表现。
Skeletal Radiol. 2016 Nov;45(11):1515-21. doi: 10.1007/s00256-016-2462-z. Epub 2016 Aug 24.
2
Clinical outcomes in relation to locations of bone marrow edema lesions in patients with a subchondral insufficiency fracture of the hip: a review of fifteen cases.髋关节软骨下不全骨折患者骨髓水肿病变部位的临床结局：15例病例回顾
Br J Radiol. 2016 Oct;89(1066):20150750. doi: 10.1259/bjr.20150750. Epub 2016 Aug 18.
3
Common site of subchondral insufficiency fractures of the femoral head based on three-dimensional magnetic resonance imaging.基于三维磁共振成像的股骨头软骨下不全骨折常见部位
Skeletal Radiol. 2016 Jan;45(1):105-13. doi: 10.1007/s00256-015-2258-6. Epub 2015 Sep 26.
4
Radiologic measurements associated with the prognosis and need for surgery in patients with subchondral insufficiency fractures of the femoral head.与股骨头软骨下不全骨折患者预后和手术需求相关的放射学测量。
AJR Am J Roentgenol. 2013 Jul;201(1):W97-103. doi: 10.2214/AJR.12.9615.
5
Prognostic factors associated with a subchondral insufficiency fracture of the femoral head.与股骨头软骨下不全骨折相关的预后因素。
Br J Radiol. 2012 Mar;85(1011):214-8. doi: 10.1259/bjr/44936440. Epub 2010 Dec 15.
6
Contrast-enhanced MR imaging of subchondral insufficiency fracture of the femoral head: a preliminary comparison with that of osteonecrosis of the femoral head.股骨头软骨下不全骨折的对比增强磁共振成像：与股骨头坏死的初步比较
Arch Orthop Trauma Surg. 2009 May;129(5):583-9. doi: 10.1007/s00402-008-0642-6. Epub 2008 Apr 30.
7
Bone marrow edema of the femoral head and transient osteoporosis of the hip.股骨头骨髓水肿与髋关节暂时性骨质疏松
Eur J Radiol. 2008 Jul;67(1):68-77. doi: 10.1016/j.ejrad.2008.01.061. Epub 2008 May 12.
8
A subchondral fracture in transient osteoporosis of the hip.髋部短暂性骨质疏松症中的软骨下骨折。
Skeletal Radiol. 2007 Jul;36(7):677-80. doi: 10.1007/s00256-006-0248-4. Epub 2007 Jan 16.
9
Subchondral insufficiency fracture of the femoral head: histopathologic correlation with MRI.股骨头软骨下不全骨折：与MRI的组织病理学相关性
Skeletal Radiol. 2001 May;30(5):247-54. doi: 10.1007/s002560100348.
10
Insufficiency subchondral fracture of the femoral head.股骨头软骨下骨折不愈合
Am J Surg Pathol. 2000 Mar;24(3):464-8. doi: 10.1097/00000478-200003000-00017.