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肌肉骨骼感染的影像学进展

Imaging update on musculoskeletal infections.

作者信息

Chin Teck Yew, Peh Wilfred Cg

机构信息

Department of Diagnostic Radiology, Khoo Teck Puat Hospital, 90 Yishun Central, 768828, Republic of Singapore.

出版信息

J Clin Orthop Trauma. 2021 Sep 16;22:101600. doi: 10.1016/j.jcot.2021.101600. eCollection 2021 Nov.

Abstract

The clinical diagnosis of musculoskeletal infections can be challenging due to non-specific signs and symptoms on presentation. These infections include infectious myositis, necrotising fasciitis, septic arthritis, septic bursitis, suppurative tenosynovitis, osteomyelitis, spondylodiscitis and periprosthetic infections. Diagnostic imaging is routinely employed as part of the investigative pathway to characterise the underlying infectious disease pattern, allowing expedited and customised patient management plans to optimise outcomes. This article provides an update on the various imaging modalities comprising of radiography, computed tomography, ultrasonography, magnetic resonance imaging and radionuclide procedures, and incorporates representative images of key findings in the different forms of musculoskeletal infections.

摘要

由于肌肉骨骼感染在发病时表现出非特异性的体征和症状,其临床诊断可能具有挑战性。这些感染包括感染性肌炎、坏死性筋膜炎、化脓性关节炎、化脓性滑囊炎、脓性腱鞘炎、骨髓炎、脊椎间盘炎和人工关节周围感染。诊断性影像学检查通常作为检查途径的一部分,用于确定潜在的感染性疾病模式,从而制定快速且定制化的患者管理计划以优化治疗结果。本文介绍了包括X线摄影、计算机断层扫描、超声、磁共振成像和放射性核素检查在内的各种成像方式的最新情况,并纳入了不同形式肌肉骨骼感染的关键发现的代表性图像。

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