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[髋关节直接磁共振关节造影:髋臼盂唇病变的诊断与陷阱]

[Direct MR Arthrography of the Hip: Diagnosis and Pitfalls of Acetabular Labral Lesions].

作者信息

Lim Eun Sol, Kim Yong Kyun, Park Hye Mi, Lee Seung Jin

出版信息

Taehan Yongsang Uihakhoe Chi. 2021 Sep;82(5):1140-1162. doi: 10.3348/jksr.2020.0146. Epub 2021 Jun 16.

Abstract

Tearing of the acetabular labrum is a common cause of chronic hip pain. MR arthrography (MRA) of the hip is the imaging procedure of choice for the evaluation of acetabular labrum. Familiarity with the various imaging findings of MRA of the hip allows recognition of normal variants and differentiation from true pathologic conditions. This article comprehensively reviews the technical aspects and interpretation of MRA of the hip. The appearances of normal and abnormal labra in MRA are discussed. Potential pitfalls in labral tear interpretation, such as sulci around the hip, normal variants of the labrum and plicae, and osseocartilaginous and soft tissue lesions identified on MRA of the hip are also described.

摘要

髋臼盂唇撕裂是慢性髋部疼痛的常见原因。髋关节磁共振关节造影(MRA)是评估髋臼盂唇的首选成像检查方法。熟悉髋关节MRA的各种成像表现有助于识别正常变异并与真正的病理情况相鉴别。本文全面综述了髋关节MRA的技术要点及解读。讨论了MRA中正常和异常盂唇的表现。还描述了盂唇撕裂解读中的潜在陷阱,如髋关节周围的沟、盂唇和皱襞的正常变异,以及髋关节MRA中发现的骨软骨和软组织病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3319/9432357/ce71fb5d2c19/jksr-82-1140-g001.jpg

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