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小儿创伤后膝关节的影像学检查

Imaging of the Posttraumatic Knee in Pediatric Patients.

作者信息

Bailescu Iulia, Popescu Mihai, Albulescu Dana-Maria, Mindrila Ion, Sabetay Corneliu, Mitroi Mihaela Roxana

机构信息

Department of Radiology and Medical Imaging, University of Medicine and Pharmacy of Craiova, Romania.

Department of Anatomy, University of Medicine and Pharmacy of Craiova, Romania.

出版信息

Curr Health Sci J. 2020 Oct-Dec;46(4):390-395. doi: 10.12865/CHSJ.46.04.10. Epub 2020 Dec 31.

DOI:10.12865/CHSJ.46.04.10
PMID:33717514
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7948019/
Abstract

Owing to its continuous transformation, the musculoskeletal system of pediatric patients presents some unique features with respect to both anatomy and physiology. The lesional pattern of the knee in pediatric patients is both similar to and in many aspects different from the lesional pattern in adults with knee injuries. In the case of pediatric patients, meniscal, tendinous and ligamentous lesions occur most frequently as a consequence of traumatic episodes. The purpose of the present study is to emphasize the importance of MRI examinations in pediatric patients exhibiting symptoms of knee joint injury. The imaging assessment of the extent of the lesions, which can be either simple or complex alterations, can directly influence the clinical management of these cases by appreciating the growth potential of the specific segment of immature skeleton involved.

摘要

由于其不断变化,儿科患者的肌肉骨骼系统在解剖学和生理学方面呈现出一些独特特征。儿科患者膝关节的损伤模式与成人膝关节损伤的模式既有相似之处,又在许多方面有所不同。对于儿科患者,半月板、肌腱和韧带损伤最常因外伤事件而发生。本研究的目的是强调MRI检查在表现出膝关节损伤症状的儿科患者中的重要性。对损伤程度的影像学评估,损伤程度可以是简单的或复杂的改变,通过了解受累未成熟骨骼特定节段的生长潜力,可以直接影响这些病例的临床管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36be/7948019/da453eb8dbda/CHSJ-46-04-390-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36be/7948019/ea3aa606716d/CHSJ-46-04-390-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36be/7948019/c8314b7a6cc8/CHSJ-46-04-390-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36be/7948019/61359f3e8ae1/CHSJ-46-04-390-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36be/7948019/da453eb8dbda/CHSJ-46-04-390-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36be/7948019/ea3aa606716d/CHSJ-46-04-390-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36be/7948019/c8314b7a6cc8/CHSJ-46-04-390-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36be/7948019/61359f3e8ae1/CHSJ-46-04-390-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36be/7948019/da453eb8dbda/CHSJ-46-04-390-fig4.jpg

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本文引用的文献

1
Bone Bruise and Anterior Cruciate Ligament Tears: Presence, Distribution Pattern, and Associated Lesions in the Pediatric Population.骨挫伤与前交叉韧带撕裂:儿科人群中的存在、分布模式及相关损伤。
Am J Sports Med. 2019 Nov;47(13):3181-3186. doi: 10.1177/0363546519872975. Epub 2019 Sep 12.
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Imaging of the Pediatric Knee.小儿膝关节影像学
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MRI of the pediatric knee.小儿膝关节 MRI 检查
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Imaging pediatric sports injuries: lower extremity.小儿运动损伤的影像学检查:下肢
Radiol Clin North Am. 2010 Nov;48(6):1213-35. doi: 10.1016/j.rcl.2010.07.004.
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MRI of anterior cruciate ligament injuries and associated findings in the pediatric knee: changes with skeletal maturation.小儿膝关节前交叉韧带损伤及相关表现的MRI:随骨骼成熟的变化
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Magnetic resonance diagnosis of meniscal tears in patients with acute anterior cruciate ligament tears.急性前交叉韧带损伤患者半月板撕裂的磁共振诊断
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