肩关节磁共振诊断__培训课件.pptVIP

肱二头肌腱脱位 Biceps Tendon Dislocation -Extra-articular: Transverse Ligament Torn; Subscapularis Intact 关节外脱位：横韧带撕裂；肩胛下肌完整 -Intra-articular: Subscapularis Torn or Avulsed 关节内脱位：肩胛下肌撕裂或撕脱 -Biceps Tendon Intra-articular Dislocation: 肌腱关节内脱位： Subscapularis Tendon Avulsed 肩胛下肌腱撕脱 肱二头肌腱脱位 Biceps Tendon Dislocation 肱二头肌腱脱位 Biceps Tendon Dislocation 肱二头肌腱炎/撕裂 Biceps Tendonitis/ Tear -Thick Tendon; Increased Signal 肌腱增厚；信号增加 -Longitudinal Splits 纵向撕裂 盂唇旁囊肿 Paralabral Cyst High Association with Labral Tears and GH Instability 与盂唇撕裂和盂肱关节不稳定密切相关 Analogous to Meniscal Cysts of the Knee 类似于膝关节半月板囊肿 T2 Images- Multi-lobulated Fluid Collections T2加权像-多房液性信号 Location: Posterior, Superior, Inferior 部位：盂唇后，上，下部 Can Cause Neurovascular Entrapment 可导致神经血管卡压 肩胛上神经卡压 Suprascapular Nerve Entrapment -Suprascapular Notch 肩胛上切迹 -Denervation of Supra- and Infraspinatus Muscles 冈上肌和冈下肌去神经化 -Spinoglenoid Notch 冈盂切迹 -Denervation of Infraspinatus Muscle 冈下肌去神经化 冈上肌/冈下肌去神经化 Denervation Supra/Infraspinatus -Entrapment of the Suprascapular Nerve in Suprascapular Notch 肩胛上切迹囊肿导致肩胛上神经卡压 -MR Findings: Early- Denervation edema (High Signal on T2) MR表现： 早期-去神经水肿（T2加权高信号） Late- Fatty Replacement (High Signal on T1) 晚期：脂肪替代（T1加权高信号） 冈下去神经化 Denervation Infraspinatus -Entrapment of Suprascapular Nerve in Spinoglenoid Notch 冈盂切迹囊肿导致肩胛上神经卡压 -Early Denervation Edema of Infraspinatus Muscle 冈下肌去神经水肿 四边孔综合征 Quadrilateral Space Syndrome 旋肱后动脉和腋神经在四边孔处受压后所引起的一系列临床症候群。其主要表现是腋神经支配的肩臂外侧的感觉障碍和三角肌功能受限。 由于当肩关节外展外旋时，组成四边孔的肌肉均受牵拉，从三个方向对四边产生挤压而致本症发生。 -Axillary Nerve Compression Neuropathy 腋神经受压症状 -Poorly Localized Shoulder Pain in ABER Position ABER位局部严重肩痛 -Atrophy of Teres Minor and Deltoid Muscles 小圆肌和三角肌萎缩 Etiologies: Fibrous Bands- Seen with Repetitive Overhead Activity; Paralabral Cyst; Mass 病因：反复过伸过头运动导致的纤维束带；盂唇旁囊肿；肿块 -Chronic Fatty Atrophy of Teres Minor and Deltoid 小圆肌和三角肌慢性萎缩和脂肪化 -High Signal on T1 Images T1加权高信号表现 四边孔综合征 Quadrilateral Space Syndrome Systematic Approach to the Shoulder肩关节读片要领 Osseo