Jerosch J, Castro W H, Halm H, Assheuer J
Klinik und Poliklinik für Allgemeine Orthopädie, Westfälische Wilhelms-Universität Münster.
Unfallchirurg. 1993 Sep;96(9):457-61.
In 82 asymptomatic subjects aged 8-62 years we evaluated the menisci by MRI [1.0 tesla; SE (spin-echo) 700/20, PS (partial saturation) 500/10, STIR (Short-Time-Inversion-Recovery-Sequence) 1600/130/30]. The meniscus was graded by means of a standard classification (grades 0-4). In SE sequences we found grade 0 in 45.5% of all cases, grade 1 in 33.2%, grade 2 in 16.1%, grade 3 in 4.5%, and grade 4 in 0.7%. In PS sequences we found grade 0 in 23.9%, grade 1 in 27.5%, grade 2 in 31.5%, grade 3 in 15.9%, and grade 4 in 1.1%. In STIR sequences we found grade 0 in 56%, grade 1 in 25.4%, grade 2 in 11.1%, grade 3 in 6%, and grade 4 in 1.6%. Correlation of meniscus degeneration with subjects' age showed relation of meniscus degeneration with subjects' age showed relation of meniscus degeneration with subjects' age showed an increase of grade 3 and grade 4 lesions with advancing age. Subjects older than 50 years presented grade 3 and 4 lesions in the SE sequence in 28.5% of the cases, in PS sequences in 40.7% of the cases, and in STIR sequences in 25% of the cases. MRI shows meniscal lesions in a significant proportion of asymptomatic patients, especially among subjects older than 50 years. The orthopedic surgeon has to test whether the clinical findings in patients with knee complaints coincide with the results of MRI.
在82名年龄在8至62岁的无症状受试者中,我们通过磁共振成像(MRI)[1.0特斯拉;自旋回波(SE)序列700/20、部分饱和(PS)序列500/10、短时间反转恢复序列(STIR)1600/130/30]对半月板进行了评估。半月板通过标准分类法(0至4级)进行分级。在SE序列中,我们发现所有病例中0级占45.5%,1级占33.2%,2级占16.1%,3级占4.5%,4级占0.7%。在PS序列中,我们发现0级占23.9%,1级占27.5%,2级占31.5%,3级占15.9%,4级占1.1%。在STIR序列中,我们发现0级占56%,1级占25.4%,2级占11.1%,3级占6%,4级占1.6%。半月板退变与受试者年龄的相关性显示,随着年龄的增长,3级和4级损伤有所增加。50岁以上的受试者中,SE序列中28.5%的病例出现3级和4级损伤,PS序列中40.7%的病例出现,STIR序列中25%的病例出现。MRI显示相当比例的无症状患者存在半月板损伤,尤其是在50岁以上的受试者中。骨科医生必须检查膝关节不适患者的临床检查结果是否与MRI结果相符。