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一名10岁男孩弹响肩胛的磁共振成像(MRI)

Magnetic Resonance Imaging (MRI) of Snapping Scapula in a 10-Year-Old Boy.

作者信息

Gunes Altan, Fırat Tuzun, Uzumcugil Akın, Aydingoz Ustun

机构信息

Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey.

Department of Physiotherapy and Rehabilitation, Hacettepe University School of Health Sciences, Ankara, Turkey.

出版信息

Pol J Radiol. 2017 Nov 17;82:685-687. doi: 10.12659/PJR.903456. eCollection 2017.

Abstract

BACKGROUND

Snapping scapula syndrome, also known as scapulothoracic crepitus or bursitis, is a manifestation of a mechanical abnormality of the scapulothoracic joint. In addition to characteristic findings on physical examination, magnetic resonance imaging (MRI) exquisitely reveals soft tissue changes such as muscle edema and scapulothoracic bursitis.

CASE REPORT

We present a case of a 10-year-old boy who had snapping scapula syndrome of the right scapula that was associated with edema of the serratus anterior muscle at the scapulothoracic interface and with scapulothoracic, specifically supraserratus, bursitis on MRI.

CONCLUSIONS

MRI in snapping scapula syndrome, which is a clinical diagnosis, exquisitely reveals soft tissue changes such as muscle edema and scapulothoracic bursitis. Such soft tissue findings of snapping scapula syndrome need to be kept in mind while evaluating routine shoulder and/or scapular region MRI, especially in the absence of relevant clinical information at the time of the imaging study.

摘要

背景

弹响肩胛综合征,也称为肩胛胸壁关节弹响或滑囊炎,是肩胛胸壁关节机械性异常的一种表现。除了体格检查的特征性发现外,磁共振成像(MRI)能精确显示软组织变化,如肌肉水肿和肩胛胸壁滑囊炎。

病例报告

我们报告一例10岁男孩,其右肩胛出现弹响肩胛综合征,MRI显示肩胛胸壁界面的前锯肌水肿以及肩胛胸壁滑囊炎,特别是锯肌上滑囊炎。

结论

弹响肩胛综合征为临床诊断,MRI能精确显示软组织变化,如肌肉水肿和肩胛胸壁滑囊炎。在评估常规肩部和/或肩胛区域MRI时,尤其是在成像研究时缺乏相关临床信息的情况下,需要牢记弹响肩胛综合征的此类软组织表现

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0299/5894022/44c497dc0255/PJR-82-903456-g001.jpg

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