CAJ | 학술논문

目的：探讨尺骨撞击综合征腕关节的影像学改变，以提高对该病的影像学认识并提高早期诊断率。方法回顾性研究2013年7月至2014年7月就诊的48例怀疑腕关节尺骨撞击综合征患者，在Kostas诊断标准基础上，通过腕关节正、侧位片和MR片影像学观察，结合腕关节镜分析尺骨头、月骨和三角骨的改变。结果 4 8例患者中，M RI检查发现腕骨信号改变，以月骨尺侧部近端和三角骨腰部最为常见，腕关节镜检查三角纤维软骨复合体（T FCC ）退变及尺骨头和月骨的软骨退变比率为100％。结论腕关节尺骨撞击综合征由于缺少明确的创伤病史，尤其当X线片表现不典型时同其他引起腕关节尺侧疼痛的病因较难鉴别，应用早期M RI检查可早期明确诊断，有效提高诊断率。
목적：탐토척골당격종합정완관절적영상학개변，이제고대해병적영상학인식병제고조기진단솔。방법회고성연구2013년7월지2014년7월취진적48례부의완관절척골당격종합정환자，재Kostas진단표준기출상，통과완관절정、측위편화MR편영상학관찰，결합완관절경분석척골두、월골화삼각골적개변。결과 4 8례환자중，M RI검사발현완골신호개변，이월골척측부근단화삼각골요부최위상견，완관절경검사삼각섬유연골복합체（T FCC ）퇴변급척골두화월골적연골퇴변비솔위100％。결론완관절척골당격종합정유우결소명학적창상병사，우기당X선편표현불전형시동기타인기완관절척측동통적병인교난감별，응용조기M RI검사가조기명학진단，유효제고진단솔。
Objective To study the X -ray and M RI features of ulrtarimpaction syndrome ,to make a fur-ther neuroradiologic understand -ing of the disease andto improve the earlythe rate of early diagnosis .Methods Analysis with X -ray and (or) MRI diagnosis of 48 cases of patients withwrist joint ulnar impaction syndrome was position radiographs and MR ,focuses onthe analysis of the ulnar head ,lunate bone and triangular bone change .Results In the 4 8 cases patients ,Most of the cases had positive ulnae variance ,The incidence of abnor-mal bone from high to low for themonth ,triangular bone ,head of ulna bone .Conclusion Conventional radiog-raphy had improtant val -uein the diagnosis ulnae impaction syndrome ,M R could be used for early diagnosis .