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Eur Radiol：膝关节受伤了，重点看哪里？

2017-07-24 shaosai MedSci原创

前交叉韧带撕裂膝关节MRI
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膝关节损伤常见于体育运动中的接触性或非接触性损伤，包括膝关节半月板损伤、膝关节韧带损伤(两者常合并发生)、髌骨脱位肌腱断裂等一系列损伤性疾病。本研究旨在描述超声和MRI在合并前交叉韧带撕裂(ACL)患者外侧副韧带损伤(ALL)的影像学表现，进而比较超声和MRI在前交叉韧带撕裂合并外侧副韧带损伤中的价值，并经结果发表在Eur Radiol上。

膝关节损伤常见于体育运动中的接触性或非接触性损伤，包括膝关节半月板损伤、膝关节韧带损伤(两者常合并发生)、髌骨脱位肌腱断裂等一系列损伤性疾病。本研究旨在描述超声和MRI在合并前交叉韧带撕裂(ACL)患者外侧副韧带损伤(ALL)的影像学表现，进而比较超声和MRI在前交叉韧带撕裂合并外侧副韧带损伤中的价值，并经结果发表在Eur Radiol上。

本研究共纳入了30例怀疑ACL撕裂的患者。双侧膝关节进行X线、超声和MRI检查。两位放射学医师观察并分析ALL在MRI和US上的表现。利用Cohen kappa检验对两阅片者影像学诊断进行分析。

在US检查中，共有63%的病例(19/30； k = 0.93)发现有ALL损伤。有50%病例(15/30； k = 1)发现有韧带起止点的撕裂，且所有撕裂发生在胫骨附着点。在MRI检查中，共有53%的病例(16/30； k = 0.93)发现有ALL损伤。有13%病例(4/30； k = 0.76)发现有韧带起止点的撕裂，且所有撕裂发生在胫骨附着点(k = 0.93)。

本研究表明，ACL撕裂合并的ALL损伤常发生在胫骨附着点。ALL的损伤常与附着点的骨撕裂有关，并且在US上观察效果较好。

原始出处：

Faruch Bilfeld M， Cavaignac E， Wytrykowski K， et al.Anterolateral ligament injuries in knees with an anterior cruciate ligament tear： Contribution of ultrasonography and MRI. Eur Radiol.2017.DOI：10.1148/radiol.2017161732

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    2017-09-27 1e1b8c04m38(暂无匿称)

    学习

    0

  2. 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    2017-08-04 hfuym10906

    学习了学习了学习了学习了

    0

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    2017-08-03 李东泽

    很好，不错，以后会多学习

    0

  4. 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attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Tue Jul 25 06:33:47 CST 2017, time=2017-07-25, status=1, ipAttribution=)]
    2017-07-26 lanqier2013

    原来超声可以做膝关节，学习了

    0

  5. 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    2017-07-26 Jackie Li

    学习

    0

  6. 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    2017-07-26 圣艮山

    学习了已经是

    0

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createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161027/IMG58114E1818EA51495.jpg, createdBy=4b2c1959822, createdName=雅文博武, createdTime=Tue Jul 25 07:17:50 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226008, encodeId=00b422600867, content=学习了，谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Tue Jul 25 06:35:39 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226004, encodeId=5b6622600495, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Tue Jul 25 06:33:47 CST 2017, time=2017-07-25, status=1, ipAttribution=)]
    2017-07-25 1dd8c52fm63(暂无匿称)

    了解了解

    0

  8. 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createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K4BGdu4COj6QWFqgMd3xnWDdgLZKUGI32veZvO2qFAQvpYr1eMbUOTqMvlZWc3MsugtFMHzxDwial/0, createdBy=88731939304, createdName=圣艮山, createdTime=Wed Jul 26 06:05:06 CST 2017, time=2017-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226071, encodeId=b49b2260e1b4, content=了解了解, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Tue Jul 25 07:41:53 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226037, encodeId=7e1d22603e7b, content=学习了很多先进的医学知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161027/IMG58114E1818EA51495.jpg, createdBy=4b2c1959822, createdName=雅文博武, createdTime=Tue Jul 25 07:17:50 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226008, encodeId=00b422600867, content=学习了，谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Tue Jul 25 06:35:39 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226004, encodeId=5b6622600495, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Tue Jul 25 06:33:47 CST 2017, time=2017-07-25, status=1, ipAttribution=)]
    2017-07-25 雅文博武

    学习了很多先进的医学知识

    0

  9. 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attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Tue Jul 25 06:33:47 CST 2017, time=2017-07-25, status=1, ipAttribution=)]
    2017-07-25 惠映实验室

    学习了，谢谢

    0

  10. 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createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161027/IMG58114E1818EA51495.jpg, createdBy=4b2c1959822, createdName=雅文博武, createdTime=Tue Jul 25 07:17:50 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226008, encodeId=00b422600867, content=学习了，谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Tue Jul 25 06:35:39 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226004, encodeId=5b6622600495, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Tue Jul 25 06:33:47 CST 2017, time=2017-07-25, status=1, ipAttribution=)]
    2017-07-25 半夏微凉

    学习了谢谢分享

    0

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