膝关节韧带扭伤的影像学诊断.pdf

Vinh Chung Gillian Lieberman, MD July 2001 Sprained Ligaments of the Knee Vinh Chung, Harvard Medical School Year III Gillian Lieberman, MD Vinh Chung Gillian Lieberman, MD Agenda • Introduction • Diagnostic Procedures • MRI Images • Our Patient • Summary 2 Vinh Chung Gillian Lieberman, MD Introduction The knee is the most commonly injured joint • Most common orthopedic problem in the ED with 1.3m ED cases per year • Over 50,000 knee injuries require operations in the U.S. each year • Knees are the most common joints examined by MRI • Injuries continue to increase due to sports activities Roberts, DM. Emergency department evaluation and treatment of knee and leg injuries. Emerg Med Clin North Am . 2000 Feb; 18(1): 67-84, v-vi. Rosen, Peter. Emergency Medicine: Concepts and Clinical Practice, 4th ed., 1998 Mosby-Year Book, Inc. 3 Tandeter, Howard. Acute Knee Injuries: Use of Decision Rules for Selective Radiograph Ordering. American Family Physican. December, 1999. Vol. 60: 9. Vinh Chung Gillian Lieberman, MD Ligament Anatomy 4 Netter, Frank. Atlas of Human Anatomy. Second Edition. Novartis: New Jersey. 1997. P. 475. Vinh Chung Gillian Lieberman, MD Anterior Cruciate Ligament vs. Posterior Cruciate Ligament Ligament Size Location Function ACL Smaller Anterior tibia to