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半月板

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For subjects with anterior cruciate ligament and additional meniscal injury, the prevalence varied between 21% and 48%.

前交叉韧带联合半月板受损的患者其发病率有所不同,介于21%和48%之间。

Methods Forty cadaver knees were dissected, and the associations between the transverse geniculate ligament and the anterior horn of the lateral meniscus were observed.

采用 40例成人尸体膝关节标本,观察膝横韧带与外侧半月板前角的关系。

Results 25 cases of fracture, 35 of bone marrow edema, 31 of meniscus trauma, 40 of ligament trauma and 46 of hydrarthrosis were diagnosed by MRI, whilst 17 cases of fracture and 3 of hydrarthrosis were diagnosed by X-ray and CT.

结果 70个膝关节MRI诊断25例骨折,35例骨髓水肿,31例半月板损伤,40例韧带损伤,46例关节积液。X线和CT诊断17例骨折,3例关节积液。

MRI can display not only in hyperosteogeny,but changing in articular meniscus,anticular cartilage,ligament and hydrarthrosis as well.MRI also shows instructive bearings in individualizing treatment and increases early diagnosis rate.

它是一种无创伤、无辐射、信息多的新方法,不仅能显示骨质病变,尤其能显示半月板、关节软骨、韧带及关节腔积液等病变情况,能提高早期诊断率,对治疗个体化有指导意义。

Results:MRI showed degeneration of meniscus in 16 joints,tearing in 7,changing of articular cartilage in 3,relaxing and thinning of lig.cruciatum anterius in 2 and lig.cruciatum posterius in 3,hydrarthrus in 6,changing synovial bursa and fibrous capsule each in 1.All these changes can not be seen in X-ray films.

结果:MRI显示半月板变性16个,撕裂7个;3个有关节软骨病变;前交叉韧带松弛变细2个,后交叉韧带病变3个;关节腔积液6个;滑囊、纤维囊病变各1个,而X线平片均无上述表现。

Methods selective and limited minimally invasive debridement under arthroscope was applied to 54 patients with osteoarthritis of knee joint; hyperplasia of inflammatory synovial membrane and abrasion of anterior cruciate ligament were chipped or vaporized with radiofrequency, the corpus liberum were taken out, cartilage was scoured into certain shape; excision or partial excision were performed to hyperplastic intercondyloid spine, osteophyma and menisci; intercondyloid fossa was formed.results 45 cases were followed up for an average of 18 months (from 6 months to 24 months); the clinical symptoms of most cases released obviously and the joint function improved.conclusions minimally invasive debridement under arthroscope can effectively release oa symptoms, improve joint function and raise the quality of life.

对54例膝关节骨性关节炎患者进行关节镜下选择性、有限化微创清理术。手术内容包括刨削或射频汽化增生的炎性滑膜组织和前交叉韧带磨损、游离体取出、软骨打磨成形、增生髁间棘切除、部分骨赘切除、半月板部分切除、髁间窝成形。结果随诊45例,平均18个月(6~24月),大多数患者临床症状明显缓解,关节功能改善。结论关节镜微创清理术可有效缓解oa症状,改善关节功能,提高生活质量。骨关节炎;膝关节;关节镜检查

In the MRI group, MR images were taken and assessed for location and severity of defects of cartilage by Noyes classification, osteophytes, subchondral cysts, sclerosis, meniscal and/or ligamentous tears.

MRI组根据MRI影像诊断软骨缺损的部位,对软骨缺损严重程度进行Noyes分级,对韧带、半月板、骨赘和软骨下骨囊腔改变情况进行评定,并诊断是否属于前内侧骨关节病变。

The major manifestations of MR imaging included synovial hyperplasia and pannus formation, joint effusion, bone marrow oedma, adnormality of signal and shape of meniscus, soft tissue swelling, cartilage destruction,popliteal lymphagogue, et al.

结果42例JIA患者的42个膝关节可见不同程度的MR异常改变(100%),主要影像学表现包括滑膜增生及血管翳形成、关节腔渗出积液、骨髓水肿、半月板形态及信号异常改变、关节软骨破坏、腘窝淋巴结肿大等。

Objective: To evaluate different examination methods for the diagnosis of the meniscal tears.

目的:评价不同检查方法对半月板损伤的诊断价值。

Background: Loss of meniscal tissue leads to increased pain and decreased clinical function and activity levels.

背景:半月板组织的缺失可导致疼痛的增多以及临床功能、活动度的降低。

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