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磁共振成像上的肩部病变谱:图文综述

The Spectrum of Shoulder Pathologies on Magnetic Resonance Imaging: A Pictorial Review.

作者信息

Sood Anshul, Kashikar Shivali V, Mishra Gaurav V, Parihar Pratapsingh, Khandelwal Shreya, Suryadevara Manasa, Manuja Nishtha, Saboo Keyur, Batra Nitish, Ahuja Abhinav

机构信息

Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Sep 6;15(9):e44801. doi: 10.7759/cureus.44801. eCollection 2023 Sep.

Abstract

Patients present to the orthopedic outpatient department with complaints of shoulder pain on movement or restriction of movement in the shoulder joint and are referred for magnetic resonance imaging (MRI) of the shoulder joint. Almost all the patients have similar complaints but may have a wide range of pathology affecting the joint and causing pain. Rotator cuff tears or tendinopathy are the most common causes of shoulder pain. Ultrasound (USG) and MRI are the most commonly used imaging modalities for assessing rotator cuff pathologies. There is a wide range of pathologies affecting the shoulder joint, other than rotator cuff tendinopathies or tears, for which USG is less sensitive and specific in detecting accurate pathology. MRI is the choice of imaging for shoulder joint pathologies. We present a pictorial review discussing and depicting MRI features of a wide list of pathologies of the shoulder joint complex that should be kept in mind when the patient presents with shoulder pain.

摘要

患者因运动时肩部疼痛或肩关节活动受限而前往骨科门诊就诊,并被转诊进行肩关节磁共振成像(MRI)检查。几乎所有患者都有类似的症状,但可能存在多种影响关节并导致疼痛的病理情况。肩袖撕裂或肌腱病是肩部疼痛最常见的原因。超声(USG)和MRI是评估肩袖病变最常用的成像方式。除了肩袖肌腱病或撕裂外,还有多种影响肩关节的病理情况,对于这些情况,USG在检测准确病理方面的敏感性和特异性较低。MRI是肩关节病变的首选成像方法。我们展示了一篇图片综述,讨论并描绘了肩关节复合体多种病变的MRI特征,当患者出现肩部疼痛时应牢记这些特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/10558894/b64b6f91ed4a/cureus-0015-00000044801-i01.jpg

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