Department of Musculoskeletal and Ageing Science, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool L7 8TX, UK; Equine Clinic, Freie Universität Berlin, 10965 Berlin, Germany.
Equine Clinic, Freie Universität Berlin, 10965 Berlin, Germany.
Vet J. 2021 Dec;278:105763. doi: 10.1016/j.tvjl.2021.105763. Epub 2021 Oct 19.
Flexor tendon injuries are a common cause of lameness and early retirement in equine athletes. While ultrasonography is most frequently utilised, advanced diagnostic imaging modalities are becoming more widely available for detection and monitoring of flexor tendon lesions. Part two of this literature review details current experience with low- and high-field magnetic resonance imaging (MRI) and computed tomography (CT) for the diagnosis of equine flexor tendinopathy with a focus on the deep digital flexor tendon. Implications of the 'magic angle' artefact as well as injection techniques and the use of contrast media are discussed. Future developments in tendon imaging aim to gain enhanced structural information about the tendon architecture with the prospect to prevent injury. Techniques as described for the assessment of the human Achilles tendon including ultra-high field MRI and positron emission tomography are highlighted.
屈肌腱损伤是马术运动员跛行和早期退役的常见原因。尽管超声检查最为常用,但用于检测和监测屈肌腱病变的高级诊断成像方式越来越普及。本文献综述的第二部分详细介绍了低磁场和高磁场磁共振成像(MRI)和计算机断层扫描(CT)在诊断马属动物屈肌腱病方面的现有经验,重点是深部指屈肌腱。讨论了“魔术角”伪影的影响,以及注射技术和对比剂的使用。未来的肌腱成像技术旨在获得有关肌腱结构的增强结构信息,以期预防损伤。描述了用于评估人类跟腱的技术,包括超高场 MRI 和正电子发射断层扫描。