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前交叉韧带损伤的磁共振成像

Magnetic Resonance Imaging of Anterior Cruciate Ligament Injury.

作者信息

Al Mohammad Badera, Gharaibeh Monther A

机构信息

Department of Allied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, 22110, Jordan.

Department of Special Surgery, Faculty of Medicine, The Hashemite University, Zarqa, 13133, Jordan.

出版信息

Orthop Res Rev. 2024 Oct 5;16:233-242. doi: 10.2147/ORR.S450336. eCollection 2024.

DOI:10.2147/ORR.S450336
PMID:39385973
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11463185/
Abstract

The Anterior Cruciate Ligament (ACL) is considered the most commonly injured ligament of the knee. Magnetic Resonance Imaging (MRI) has become an indispensable imaging tool and modality of choice for assessing and managing knee conditions. This article outlines an effective MRI imaging technique that improves the diagnostic accuracy of ACL injuries of the knee, covering the appropriate pulse sequences and optimal imaging planes. Furthermore, the article provides a comprehensive review of the appearance of complete and partial ACL tears on MRI in the acute and chronic phases. In addition, it identifies and illustrates the primary MRI signs (signs related to the absence or abnormal visualization of the ACL fibers) and secondary MRI signs (signs related to the mechanism of injury or associated knee injuries) of ACL injury.

摘要

前交叉韧带(ACL)被认为是膝关节最常受伤的韧带。磁共振成像(MRI)已成为评估和处理膝关节疾病不可或缺的成像工具和首选方式。本文概述了一种有效的MRI成像技术,该技术可提高膝关节ACL损伤的诊断准确性,涵盖了合适的脉冲序列和最佳成像平面。此外,本文还全面综述了急性和慢性期MRI上完全和部分ACL撕裂的表现。此外,它识别并说明了ACL损伤的主要MRI征象(与ACL纤维缺失或异常显影相关的征象)和次要MRI征象(与损伤机制或相关膝关节损伤相关的征象)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9f/11463185/aa14ab1ce292/ORR-16-233-g0007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9f/11463185/53ab5e82d2ee/ORR-16-233-g0005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9f/11463185/aa14ab1ce292/ORR-16-233-g0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9f/11463185/3c70a5d5f131/ORR-16-233-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9f/11463185/a2a8aa10ad15/ORR-16-233-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9f/11463185/9915d81aeed1/ORR-16-233-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9f/11463185/d6a2470ae2b1/ORR-16-233-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9f/11463185/53ab5e82d2ee/ORR-16-233-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9f/11463185/5c71e61105e0/ORR-16-233-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9f/11463185/aa14ab1ce292/ORR-16-233-g0007.jpg

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本文引用的文献

1
The angle of the lower portion of the posterior cruciate ligament assists in the diagnosis of partial anterior cruciate ligament tears.后交叉韧带下部的角度有助于诊断部分前交叉韧带撕裂。
Knee Surg Sports Traumatol Arthrosc. 2024 Nov;32(11):3015-3022. doi: 10.1002/ksa.12346. Epub 2024 Jul 11.
2
Clinical Examination in the Diagnosis of Anterior Cruciate Ligament Injury: A Blinded, Cross-sectional Evaluation.临床检查在诊断前交叉韧带损伤中的应用:一项盲法、横断面评估。
J Am Acad Orthop Surg Glob Res Rev. 2023 Feb 8;7(2). doi: 10.5435/JAAOSGlobal-D-22-00123. eCollection 2023 Feb 1.
3
Anterior cruciate ligament rupture and associated Segond fracture: Incidence and effect on associated ligamentous and meniscal injuries.
前交叉韧带断裂及相关的Segond骨折:发生率及其对相关韧带和半月板损伤的影响。
Asia Pac J Sports Med Arthrosc Rehabil Technol. 2022 Oct 15;30:36-40. doi: 10.1016/j.asmart.2022.09.002. eCollection 2022 Oct.
4
Low-field MRI: Clinical promise and challenges.低场 MRI:临床的前景与挑战。
J Magn Reson Imaging. 2023 Jan;57(1):25-44. doi: 10.1002/jmri.28408. Epub 2022 Sep 19.
5
The Lateral Knee Radiograph: A Detailed Review.外侧膝关节 X 线片:详细评价。
J Knee Surg. 2022 Apr;35(5):482-490. doi: 10.1055/s-0041-1741391. Epub 2022 Jan 21.
6
The accuracy of MRI in diagnosing and classifying acute traumatic multiple ligament knee injuries.MRI 在诊断和分类急性创伤性多韧带膝关节损伤中的准确性。
BMC Musculoskelet Disord. 2022 Jan 13;23(1):43. doi: 10.1186/s12891-021-04976-1.
7
Accuracy of magnetic resonance imaging in predicting anterior cruciate ligament tear location and tear degree.磁共振成像在预测前交叉韧带撕裂位置和撕裂程度方面的准确性。
J Orthop. 2021 May 6;25:129-133. doi: 10.1016/j.jor.2021.05.002. eCollection 2021 May-Jun.
8
The accuracy of MRI in the diagnosis of anterior cruciate ligament injury.磁共振成像(MRI)诊断前交叉韧带损伤的准确性。
Ann Transl Med. 2020 Dec;8(24):1657. doi: 10.21037/atm-20-7391.
9
Magnetic resonance imaging of the knee.膝关节的磁共振成像
Pol J Radiol. 2020 Sep 11;85:e509-e531. doi: 10.5114/pjr.2020.99415. eCollection 2020.
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High prevalence of a deep lateral femoral notch sign in patients with anterior cruciate ligament (ACL) and concomitant posterior root tears of the lateral meniscus.前交叉韧带(ACL)合并外侧半月板后根撕裂患者中存在深外侧股骨髁切迹征的高发生率。
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