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后交叉韧带的影像学评价。

Imaging Review of the Posterior Cruciate Ligament.

机构信息

Thompson Laboratory for Regenerative Orthopaedics, Department of Orthopaedic Surgery, University of Missouri, American College of Veterinary Radiology, Columbia, Missouri.

Department of Radiology, Musculoskeletal Imaging, University of Missouri, Columbia, Missouri.

出版信息

J Knee Surg. 2021 Apr;34(5):493-498. doi: 10.1055/s-0040-1722629. Epub 2021 Feb 22.

Abstract

Posterior cruciate ligament (PCL) injuries can often be missed on physical examination, especially in multiligament knee injuries. Therefore, a comprehensive approach to imaging the PCL should be implemented whenever history and examination findings indicate relative risk. Radiography, including a posterior-stress view, and magnetic resonance imaging, when available, provide consistently accurate diagnosis of PCL pathology and common knee comorbidities. Computed tomography and ultrasonography can be useful modalities with potential advantages with respect to availability and access, specific comorbidities, and/or cost-effectiveness.

摘要

后交叉韧带(PCL)损伤在体格检查中经常容易漏诊,尤其是在多韧带膝关节损伤中。因此,当病史和检查结果提示存在相对风险时,应采用综合方法对 PCL 进行影像学检查。X 线摄影,包括后向应力位片,以及磁共振成像(如果有条件),可以准确诊断 PCL 病变和常见膝关节并存疾病。计算机断层扫描和超声检查在可用性、可及性、特定并存疾病和/或成本效益方面具有潜在优势,是有用的检查方法。

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