MRI-软骨损伤课件.pptVIP

MRIImagingofCartilageinjuryZhi-jieXi,M.D.The?DepartmentoftraumaandHandSurgeryThe?First?Affiliated?Hospital?of?universityofGuangxiTraditionalChineseMedicine.

Zoneofcartilage.

Zoneofcartilage.

normalgray-scalestratificationoftheremainingmedialfemoralcondyleandtibialplateaugray-scalestratification.

Laysofcartilage.

Rechtcclassificationgrade0,normal;grade1,focallowsignalincartilage,thesurfaceofcartilageissmooth;grade2,thefocaldefecthasadepthoflessthan50%ofthetotalcartilagethickness;grade3,thefocaldefecthasadepthofmorethan50%ofthetotalcartilagethickness;grade4,thefullcartilageweredamaged,andthebonesurfaceundercartilageisexposed.

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Thecartilageblacklinesign:anunexpectedMRIappearanceofdeepcartilagefissuring.

Thecartilageblacklinesign:anunexpectedMRIappearanceofdeepcartilagefissuring.

Thecartilageblacklinesign:anunexpectedMRIappearanceofdeepcartilagefissuring.

Sagittal(A)andcoronal(B)fastspin-echoMRimagesofthekneeina24-year-oldprofessionalfootballplayer.Thereishyperintensityintheradialzone,indicatingdeepsurfacedelamination(arrow),adjacenttothetidemarkwithnoflapformation.Thereisalsoassociatedsclerosisofthesubchondralplate.Thepatientunderwentmicrofracturewithagoodclinicaloutcomehyperintensityintheradialzone.

SodiumMRIfindsearlysignsofarthritis?.

displacedosteochondralfragment.

?AT1-weightedsagittalexamdemonstratesanosteochondralinjury(arrow)alongtheanteriorweight-bearingsurfaceofthemedialfemoralcondyle.

?thefat-suppressedfastspin-echoprotondensityweightedcoronalview,twodiscretecartilagedefects(arrows)areapparentbeneaththesiteofosseousinjury.Notethatthesedefectsarenotvisibleon(E),asT1-weightedimagesarerelativelyinsensitiveforcartilagelesionscartilagedefects.

?aprotondensityweighedfastspin-echoaxialimagewit