MR在关节疾病诊断中的价值.ppt

Images in two different patients with tears of the central disk of the TFCC. (a) Coronal three-dimensional gradient-echo indirect MR arthrogram (46/15, 45° flip angle) in a 42-year-old man illustrates absence of the central disk of the TFCC (black arrows), which is consistent with a large central tear. There is also abnormal marrow signal intensity (white arrows) in the ulnar side of the lunate, which is consistent with ulnar impaction syndrome. (b) Unenhanced coronal three-dimensional gradient-echo MR image (58/12, 10° flip angle) in a 23-year-old woman demonstrates abnormal high signal intensity extending through the central disk of the TFCC (arrows). Images in two different patients with normal scapholunate ligaments. (a) Coronal three-dimensional gradient-echo indirect MR arthrogram (46/15, 45° flip angle) in a 30-year-old woman illustrates a normal low-signal-intensity appearance of the scapholunate ligament (arrows). (b) Unenhanced coronal three-dimensional gradient-echo MR image (58/12, 10° flip angle) in a 37-year-old man demonstrates a normal low-signal-intensity scapholunate ligament (arrows). 5a. Images in two different patients with torn scapholunate ligaments. (a) Coronal T1-weighted fat-suppressed indirect MR arthrogram (500/14) in a 53-year-old woman demonstrates fluid signal intensity (arrows) between the scaphoid and the lunate. (b) Unenhanced coronal three-dimensional gradient-echo MR image (58/12, 10° flip angle) in a 46-year-old man demonstrates abnormal high signal intensity tracking through the scapholunate ligament (arrows). Abnormal ulnar collateral ligament. E = medial epicondyle, F = common flexor tendon, U = ulna. (a) Longitudinal US image of the ulnar collateral ligament shows focal hypoechoic disruption (arrow) of ligament fibers with relatively normal ligament seen distally (arrowheads). (b) Coronal T1-weighted spin-echo MR image (700/14) and (c) coronal anatomic slice obtained after intraarticular administration of contrast mater