Patten R M
Department of Radiology, University of Washington School of Medicine, Seattle 98195, USA.
AJR Am J Roentgenol. 1995 May;164(5):1205-11. doi: 10.2214/ajr.164.5.7717233.
Most elbow injuries result not from acute trauma but from repetitive microtrauma and chronic stress overload of the joint. Such "overuse" injuries may be difficult to diagnose clinically. Occasionally, even acute traumatic injuries may be occult radiographically and difficult to detect. In patients with elbow pain of uncertain origin, MR imaging may improve diagnostic specificity and accuracy. In this essay, characteristic MR imaging findings in common traumatic and overuse syndromes of the elbow are illustrated.
大多数肘部损伤并非由急性创伤引起,而是由重复性微创伤和关节的慢性应力过载所致。此类“过度使用”损伤在临床上可能难以诊断。偶尔,即使是急性创伤性损伤在放射影像学上也可能隐匿而难以检测。对于病因不明的肘部疼痛患者,磁共振成像(MR成像)可能会提高诊断的特异性和准确性。在本文中,将阐述肘部常见创伤性和过度使用综合征的特征性MR成像表现。