实用放射学杂志
實用放射學雜誌
실용방사학잡지
JOURNAL OF PRACTICAL RADIOLOGY
2009年
12期
1793-1795,1799
,共4页
郝长胜%曹智辉%王秀荣%李兢%申云霞%范光荣%娄明武%富宪民%李金柱%姚晓群%杨广夫
郝長勝%曹智輝%王秀榮%李兢%申雲霞%範光榮%婁明武%富憲民%李金柱%姚曉群%楊廣伕
학장성%조지휘%왕수영%리긍%신운하%범광영%루명무%부헌민%리금주%요효군%양엄부
喙锁韧带%X线摄影%磁共振成像%损伤
喙鎖韌帶%X線攝影%磁共振成像%損傷
훼쇄인대%X선섭영%자공진성상%손상
coracoclavicular ligament%radiography%MR imaging%injury
目的 研究喙锁韧带的影像学表现.方法 选取正常胸部正位CR片400例,其中男、女各200例,观察喙锁关节和喙锁韧带附着处锁骨粗隆显示率,测量喙锁韧带部喙突和锁骨间距.选取正常肩关节MRI 30例,观察喙锁韧带显示率和测量喙锁韧带长度和宽度;选取临床已证实的肩锁关节Ⅱ、Ⅲ级损伤MRI检查8例.结果 400例800侧中见1例(0.25%)存在喙锁关节.198 侧(198/800;24.8%)显示喙锁韧带锁骨附着处粗隆存在.正常喙突锁骨间距为(6.92±3.16) mm.30例正常人MRI斜冠状扫描均可显示喙锁韧带,其锥状韧带长度(11.48±1.43) mm,宽度为(4.82±1.21) mm,梯状韧带长度(9.09±0.84) mm,宽度为(5.10±0.87) mm.肩锁关节损伤8例,MR检查发现:肩锁关节Ⅱ级损伤肩锁韧带撕裂,Ⅲ级损伤并喙锁韧带撕裂.结论 本文建立了正常喙锁韧带的X线和MRI测量标准,为诊断喙锁韧带等疾病提供了依据,肩锁关节Ⅲ级损伤有喙锁韧带撕裂.
目的 研究喙鎖韌帶的影像學錶現.方法 選取正常胸部正位CR片400例,其中男、女各200例,觀察喙鎖關節和喙鎖韌帶附著處鎖骨粗隆顯示率,測量喙鎖韌帶部喙突和鎖骨間距.選取正常肩關節MRI 30例,觀察喙鎖韌帶顯示率和測量喙鎖韌帶長度和寬度;選取臨床已證實的肩鎖關節Ⅱ、Ⅲ級損傷MRI檢查8例.結果 400例800側中見1例(0.25%)存在喙鎖關節.198 側(198/800;24.8%)顯示喙鎖韌帶鎖骨附著處粗隆存在.正常喙突鎖骨間距為(6.92±3.16) mm.30例正常人MRI斜冠狀掃描均可顯示喙鎖韌帶,其錐狀韌帶長度(11.48±1.43) mm,寬度為(4.82±1.21) mm,梯狀韌帶長度(9.09±0.84) mm,寬度為(5.10±0.87) mm.肩鎖關節損傷8例,MR檢查髮現:肩鎖關節Ⅱ級損傷肩鎖韌帶撕裂,Ⅲ級損傷併喙鎖韌帶撕裂.結論 本文建立瞭正常喙鎖韌帶的X線和MRI測量標準,為診斷喙鎖韌帶等疾病提供瞭依據,肩鎖關節Ⅲ級損傷有喙鎖韌帶撕裂.
목적 연구훼쇄인대적영상학표현.방법 선취정상흉부정위CR편400례,기중남、녀각200례,관찰훼쇄관절화훼쇄인대부착처쇄골조륭현시솔,측량훼쇄인대부훼돌화쇄골간거.선취정상견관절MRI 30례,관찰훼쇄인대현시솔화측량훼쇄인대장도화관도;선취림상이증실적견쇄관절Ⅱ、Ⅲ급손상MRI검사8례.결과 400례800측중견1례(0.25%)존재훼쇄관절.198 측(198/800;24.8%)현시훼쇄인대쇄골부착처조륭존재.정상훼돌쇄골간거위(6.92±3.16) mm.30례정상인MRI사관상소묘균가현시훼쇄인대,기추상인대장도(11.48±1.43) mm,관도위(4.82±1.21) mm,제상인대장도(9.09±0.84) mm,관도위(5.10±0.87) mm.견쇄관절손상8례,MR검사발현:견쇄관절Ⅱ급손상견쇄인대시렬,Ⅲ급손상병훼쇄인대시렬.결론 본문건립료정상훼쇄인대적X선화MRI측량표준,위진단훼쇄인대등질병제공료의거,견쇄관절Ⅲ급손상유훼쇄인대시렬.
Objective To study the imaging finding of the coracoclavicular ligament.Methods 400 cases of normal chest films 200 men and 200 women were collected.The presented rates of pseudoarthrosis of the coracoclavicular joints and the clavicular tuberosities which are the coracoclavicular ligament attachment were evaluated and the distances between the clavicle and coracoid process interval were measured.There were 30 cases of normal shoulder MRI,the displaying rate of coracoclavicular ligament, the length and width of the coracoclavicular ligament were measured at MR imaging.8 case with type Ⅱ(n=5) and type Ⅲ(n=3)of acromioclavicular injury were also included in this study.Results Among 400 cases(800 sides),one pseudoarthrosis(0.25%)and 198 clavicular tuberosities(24.8%)were found.The normal distance between the clavicle and coracoid process interval was (6.92±3.16)mm.On MRI study,30 cases of coracoclavicular ligament were all showed on oblique coronal slices. The acromioclavicular ligament and coracoclavicular ligament tear were found in type Ⅱ and type Ⅲ,of acromioclavicular injury respectively on MRI.The length and width of conoid ligament were(11.48±1.43) mm and (4.82±1.21) mm respectively,and the length and width of trapezoid ligament were(9.09±0.84) mm and (5.10±0.87) mm respectively.Conclusion The normal anatomic measurement standards of the coracoclavicular ligament are established on X-ray and MRI,which is important for diagnosis of coracoclavicular ligament lesions.The coracoclavicular ligament torn is showed in typeⅢ of acromioclavicular dislocation.
