CAJ | 학술논문

目的：探讨肩锁关节韧带（ACJL）损伤的磁共振成像（MRI）影像表现和诊断价值。方法收集自2009年4月至2013年8月间共52例经手术及临床治疗证实的肩锁关节韧带损伤患者的MRI检查，对ACJ韧带损伤的核磁共振表现进行观察分析并按Tossy标准进行分级。结果52例ACJL损伤中Ⅰ级损伤19例，表现为肩锁韧带部分撕裂。Ⅱ级损伤19例，表现为肩锁韧带完全撕裂，伴有喙锁韧带的扭伤或部分撕裂。Ⅰ至Ⅱ级5例。Ⅲ级损伤9例，表现为肩锁韧带和喙锁韧带完全撕裂。ACJL损伤的间接征象主要有肩锁关节间隙增宽、关节囊积液、邻近骨折及骨与周围软组织挫伤等。结论 MRI对ACJL损伤的显示率高，并能进行准确分级，具有较高的临床应用价值。
목적：탐토견쇄관절인대（ACJL）손상적자공진성상（MRI）영상표현화진단개치。방법수집자2009년4월지2013년8월간공52례경수술급림상치료증실적견쇄관절인대손상환자적MRI검사，대ACJ인대손상적핵자공진표현진행관찰분석병안Tossy표준진행분급。결과52례ACJL손상중Ⅰ급손상19례，표현위견쇄인대부분시렬。Ⅱ급손상19례，표현위견쇄인대완전시렬，반유훼쇄인대적뉴상혹부분시렬。Ⅰ지Ⅱ급5례。Ⅲ급손상9례，표현위견쇄인대화훼쇄인대완전시렬。ACJL손상적간접정상주요유견쇄관절간극증관、관절낭적액、린근골절급골여주위연조직좌상등。결론 MRI대ACJL손상적현시솔고，병능진행준학분급，구유교고적림상응용개치。
Objective To explore value of MRI in the diagnosis of acromioclavicular joint ligament injury. Methods Collected from April 2009 to August 2013, a total of 52 cases were confirmed by operation and clinical treatment of acromioclavicular joint ligament(ACJL) injury. Analyse ligament ACJL damage of nuclear magnetic reso-nance (NMR) performance and classificate to Tossy standards. Results In 52 cases of ACJ damage, 19 cases of gradeⅠinjury showed the acromioclavicular ligament torn part. Nineteen cases of grade Ⅱinjury showed as the acromio-clavicular ligament tear accompanied by beak lock completely torn ligament sprain or part, Between Ⅰ ~ Ⅱ level for 5 cases, Ⅲ damage level for 9 cases characterized by the acromioclavicular ligament and beak lock completely torn ligament.ACJ ligament damage of indirect signs were broadening ACJ clearance, articular effusion, adjacent fracture and bone and the surrounding soft tissue contusion and so on. Conclusion The display rate of MRI for ACJL injury is high, and can be accurately graded, which has high clinical value.