肩关节常见疾病MRI诊断-Ⅰ课件.pptxVIP

MR imaging of the common shoulder abnormalities;Background 背景;常见疾病名称;一、 Rotator cuff tendons disease 肩袖肌腱病;NEER in installment of rotator cuff;MRI manifestations of rotator cuff;Oblique coronary a normal MRI imaging;Fig 1 Subdeltoid–subacromial bursitis.肩峰下滑囊炎。Coronal oblique MR images of the shoulder show fluid in the dilated subdeltoid–subacromial bursa (arrow head).常规MRI斜 冠状位示肩峰下滑囊积液(箭头)； 1A: SE T1W; 1B: TSE T2W. Fig 2 Acromial morphology.肩峰形态。A. Shape of the Acromion. Type I, flatⅠ型，肩峰下表面为一平面；Type II, curvedⅡ型，肩峰下表面为弧形凹面；Type III, hooked Ⅲ型，肩峰下表面前部呈钩状突； B. Sagittal oblique image shows a Type II acromion and a degenerative spur at the anteroinferior edge of the acromion (arrow). MRI造影斜矢状位示肩峰前下缘的骨刺(箭)， Ⅱ型肩峰;Fig 3 Tendinitis.肩袖变性。 Coronal oblique MR images of the shoulder show the supraspinatus tendon is diffuse thickening, with intrasubstance intermediate signal on T1-weighted and T2-weighted MR images(arrow).常规 MRI斜冠状位示冈上肌腱增粗，连续性好，T1W和T2W信号均增高(箭);4A;4C 4D Fig4C: Intratendinous partial thickness tear of the subscapularis. 冈上肌腱腱内部分撕裂。Oblique coronal T2-weighted MR image shows abnormal intratendinous fluid accumulation (arrows). The bursal-sided and articular-sided fi bers are intact常规MRI 斜冠状位FS T2W示冈上肌腱止点处腱内限局液性高信号影( 箭) ，肌腱上下表面均完整.Fig4D: Articular-sided partial thickness tear of the subscapularis.冈上肌腱下表面部分撕裂。 Oblique coronal T1-weighted MR arthrographic image shows partial discontinuity of the articular-sided fi bers (arrows), with contrast material leaking into the substance of the tendon, and intact bursal-sided fi bers. MRI造影斜冠状位示高信号对比剂进入冈上肌腱下表面(箭)，但未进入肩峰下滑囊;Fig 5:Different MRI techniques for labral tear.盂唇撕裂对比。 Fig5A : An axial routine MR image shows intact anteroinferior labrum. 常规MRI 轴位示盂唇未见撕裂征象； Fig5B: An axial MR arthrographic image demonstrates tear of the anteroinferior labrum (arrow).MRI造影轴位示前方盂唇撕裂(箭);54, M,The right oblique coronary: part of the joint surface and the slippery bursa surface of the Rotator;58Y，M， The left oblique coronary in rotator cuff