肘部 MRI - 2024 年更新。

IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren Pub Date : 2024-11-12 DOI:10.1055/a-2416-1491
Christoph Schinnerl, Marc-André Weber, Emanuel Benninger, Tim S Fischer, Anna L Falkowski
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引用次数: 0

摘要

肘部疼痛可导致严重的发病率。基于系统的文献检索以及经常参加肌肉骨骼成像进展会议所获得的知识,本综述旨在简要概述磁共振成像中肘部肌腱和韧带的正常解剖和常见病理。由于创伤和过度使用,这些重要稳定器的丧失会导致肘关节不稳定。核磁共振成像常用于检测创伤后或慢性疾病,这些疾病可导致肘关节后外侧或后内侧不稳。了解正常解剖结构、变异、病理以及适当的影像学检查对诊断至关重要。- 上髁炎是由于慢性退行性变引起的肌腱硬化和部分肌腱撕裂,与急性炎症反应无关。- 肘关节后外侧或后内侧不稳可能是由于外伤导致被动韧带和主动肌肉失去稳定。- 最常见的肘关节不稳定是后外侧旋转性不稳定,而LUCL是受伤后最重要的稳定器。- Schinnerl C, Weber M, Benninger E et al.Fortschr Röntgenstr 2024; DOI 10.1055/a-2416-1491.
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MRI of the Elbow - Update 2024.

Elbow pain can result in significant morbidity. MRI can help diagnosing the cause of elbow pain.Based on a systematic literature search as well as knowledge gained through frequent participation in conferences dedicated to advances in musculoskeletal imaging, this review aims to give a brief overview of normal anatomy and common pathologies of tendons and ligaments of the elbow on magnetic resonance imaging.Stabilization of the elbow joint is provided by osseous structures and passive ligamentous and active muscular support. Loss of these important stabilizers, due to trauma and overuse, can result in elbow instability. Additional MR views or intra-articular contrast media can be useful for the detection of specific pathologies.MRI is frequently used to detect posttraumatic or chronic conditions, which can lead to posterolateral or posteromedial elbow instability. Knowledge of normal anatomy, variants, pathologies, as well as appropriate imaging is crucial to make the diagnosis. · Epicondylitis occurs due to chronic degeneration with tendinosis and partial tendon tearing and is not related to an acute inflammatory reaction.. · Posterolateral or posteromedial elbow instability can be the result of trauma with loss of passive ligamentous and active muscular stabilization.. · The most common elbow instability is posterolateral rotatory instability with the LUCL being the most important stabilizer affected by injury.. · Schinnerl C, Weber M, Benninger E et al. MRI of the Elbow - Update 2024. Fortschr Röntgenstr 2024; DOI 10.1055/a-2416-1491.

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期刊介绍: Die RöFo veröffentlicht Originalarbeiten, Übersichtsartikel und Fallberichte aus dem Bereich der Radiologie und den weiteren bildgebenden Verfahren in der Medizin. Es dürfen nur Arbeiten eingereicht werden, die noch nicht veröffentlicht sind und die auch nicht gleichzeitig einer anderen Zeitschrift zur Veröffentlichung angeboten wurden. Alle eingereichten Beiträge unterliegen einer sorgfältigen fachlichen Begutachtung. Gegründet 1896 – nur knapp 1 Jahr nach der Entdeckung der Röntgenstrahlen durch C.W. Röntgen – blickt die RöFo auf über 100 Jahre Erfahrung als wichtigstes Publikationsmedium in der deutschsprachigen Radiologie zurück. Sie ist damit die älteste radiologische Fachzeitschrift und schafft es erfolgreich, lange Kontinuität mit dem Anspruch an wissenschaftliches Publizieren auf internationalem Niveau zu verbinden. Durch ihren zentralen Platz im Verlagsprogramm stellte die RöFo die Basis für das heute umfassende und erfolgreiche Radiologie-Medienangebot im Georg Thieme Verlag. Besonders eng verbunden ist die RöFo mit der Geschichte der Röntgengesellschaften in Deutschland und Österreich. Sie ist offizielles Organ von DRG und ÖRG und die Mitglieder der Fachgesellschaften erhalten die Zeitschrift im Rahmen ihrer Mitgliedschaft. Mit ihrem wissenschaftlichen Kernteil und dem eigenen Mitteilungsteil der Fachgesellschaften bietet die RöFo Monat für Monat ein Forum für den Austausch von Inhalten und Botschaften der radiologischen Community im deutschsprachigen Raum.
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