膝关节微细骨折的MRI诊断.pdfVIP

Inner Mon olia M ed J 2008 40 10 1179 膝关节微细骨折的M RI 诊断 , , , ( 内蒙古医学院第二附属医院影像科, 内蒙古呼和浩特0 10030) [ ] 目的: 探讨膝关节微细骨折的MRI 表现方 : 回顾分析 80 例膝关节外伤后微细骨折的MRI 表现使用膝关节专用线圈, 检查序列包括自旋回波( SE) T WIT WI梯度回波( GE) 短时反转恢复序列 1 2 ( ST IR) 结果: 80 例共发现微细骨折108 处, 其中股骨髁60 处, 胫骨平台43 处, 髌骨5 处包括骨软骨骨 折15 处, 隐性骨折8 处, 骨挫伤85 处结论: MRI 可以准确显示膝关节周围微细骨折的部位范围及膝关 节附属结构的损伤, 推断其损伤机制, 可以解释临床外伤后持续疼痛, 除指导临床积极治疗外, 同时还可以进 行随访 [ ] 膝关节; 骨折; 磁共振成像 [ ] R683. 42, R445. 2 [ ] A [ ] 1004-095 1( 2008) 10- 1179-02 MRI Dia nosis of Micro- fracture of Knee YU Jin -hon , TAO Me-i li, ZHANG Yun-fen , ZHONG Xiu ( D ep art ment of R ad iol ogy , The Second Af f i liated H osp i tal of I nner M ongol ia M ed ical College, H uhhot 010030 Ch ina) [Abstract] Objective: To investi ate the M RI findin s of micro - fracture of knee joint . Methods: MRI ima ines of micro- fracture of knee joint w ith trauma in 80 cases w ere retrospectively analyzed. M RI sequences included SE T W I, T WI, GE and ST IR. Results: one hundred and ei ht micro- fracture w ere found in 80 cas- l 2 es, include 60 femoral condyle, 43 tibial plateau and 5 patella. There are osteochondral fracture 15 cases , occult fracture 8 cases, bone contusion 85 cases. Conclusion: M RI could accurately display the location, types and ran e of micro- fracture of knee joint as w ell as its adjunctive structive in injury and deduce the injury mechanism, ex- plain the clinical persistent ache after injury, direct the positive treatment and could be follow ed up. [ Key words] Knee joint; Fracture; Ma netic resonance ima in , , M RI , , X , CT : ( SE) , , , SE TlWI( 400~ 600 ms, TE 16~ 20 ms) , MRI , SE T WI( TR 2300~ 3000 ms, TE 80~ 90 ms) ,