Pehea e hoʻohana ai iā MRI i ka diagnose kulisuscus a me nā hōʻehaʻeha?

ʻO ka Minaniscus he kāne kāne-Shapedus-Shaped Firrocartilage me kahi'āpana Triangular ma waena o ka paleʻana i ka lāʻau lapaʻau.

Nā mea hana maʻamau a me nā hanana

Ma nā kiʻi Sagittal a me nā kiʻi mua,ʻo ka mea maʻamau ka mea maʻamau ma keʻano he hyponitse. Ma ke kiʻiʻo Sagittal Sagittal SEGITTAL,ʻo ka Meniscus kahi 'Bow-Tie Tie '

Kiʻi 1ʻO ka hiʻohiʻona maʻamau o ka mesiscus medial. ʻO Protons density-cardity subittal nānā:ʻO nā kihi a me nā kiʻina a me nā posterior a me nā posterior a me nā pona ʻO nā kāne i kālaiʻia a me nā'āpana o nā'āpana o ka māhele waena e hoʻopili ai i kona mau pulu a me nā puʻu poster ma hope ona.

He mea kūpono ia e hoʻomaopopo i kekahi mau atatomatical astormalities e like me ke hiki ke hoʻokaʻawale i kahi'āpana kāne

• Ma Sagittal Kaʻa,ʻo ke hoʻololiʻana ma waena o nā ligaming a me nā liniola;

• paikiki candon sheth;

• Ua hoʻopiliʻo Humphrey a me ka Lrisbergʻo Mesisemcus-Femoral Ligament

• ʻO ka Oblique Menesisnt Ligament

• ʻO ka Disad Meniscus kahi mea hoʻokūkū hoʻokūkūʻo Congenpus ma mua. E pili ana kēia kāneʻo Tysiscal Dysplasia e pili kokoke i ka Massiscus ma hope. ʻO iaʻo 'Academic ' Diagnosis ma MRI e pili ana i kaʻikeʻana i ka hoʻomauʻana o nā kiʻi o nā mea kūʻai aku ma kahi o 3 mm. 2). Ua hoʻoponoponoʻia kēia mauʻike e pili ana i nā papa hana i hoʻohanaʻia.

Kiʻi kiʻi 2 mau mea maʻi maʻi maʻi. Kiʻi kiʻi t1-kaumaha. Ke hoʻomau nei i nā kihi mua a me nā kihi hope ma keʻano he 3 mau'āpana 5mm E nānā i ka degeration Myxoid o nā puʻe ma mua o kēia mea makeiscus.

Menciscus Pathology

He hana maʻamau ia e hoʻokaʻawale i nā mea maʻamau ma waena o ka traumatic tessiscus a me nā kāne degenerative. ʻO nā hōʻeha hōʻeha traumatic mai ka noiʻana o ka ikaika o ka mīkini hana nui i kahi maʻi maʻi olakino. I nā'ōpio'ōpio,ʻo ka Fissure ka mea i hōʻehaʻia e ka hōʻeha Valgus Valgus Ma kahi o ka degeneration e like me ka hopena o nā mea hana maʻamau maʻamau e hana ana ma luna o ka Mensicaged e Interage Districtation Deraneration. Hiki ke ulu i nā fissiscal i nā mea maʻi

Ka Heluhelu

Wahi a ke kuhikuhiʻana o ka mokulele Cleavage, hiki ke hoʻokaʻawaleʻia nā fissres i loko o nā fistares ākea, nā fissrical fissures a paʻakikī paha

Firming

Aia kahi papa mokulele i kālaiʻia i ka plateau i hoʻokaʻawale i ka Meniscus i nā'āpana maikaʻi a me nā'āpana haʻahaʻa. ʻO kēia mau leta o nā leʻa e hakakā nui, hiki ke hoʻopilikia nui i ka poʻe maniha a iʻole nā ​​mea make ma hope o ka hōʻinoʻana i ka maʻi ma hope o ka hōʻinoʻia.

Kūmole fissure

Pili i ka mokulele tibial a me ke kalaʻana i keʻano o ka meniskus. ʻOi aku kēia mau mea iʻoi aku i ka poʻe medial. Ua manaʻoʻia kahi hōʻeha piha i manaʻoʻoleʻia a hoʻokaʻawale i nā kāne i nā kāne i loko o nā medial a me nā'āpana hope. ʻO ke kiʻekiʻe o ka paeʻana i ka nui o ka mokuahi o ka Massiscus a me ka pūʻana o ka poster o nā kāne Hui pū me nā kiʻi sagittal, hiki ke kauʻia kahi pāpū paʻa i waho (Kiʻi 3).

A. CONONALL MRI, ke kiʻi nui i ka pūpū posterior B. I ka wā e hana ai i ka scanning mri e like me ke kūlana i hōʻikeʻia e ka laina dotted ma ke kiʻi, e kūʻia kahi pāpū pā.

ʻO nā fusial fissures e kūlike i ka perimeter o ka meniskus a maʻamau e pili pinepine i kaʻaoʻao manuahi o ka mesiscus.

ʻO ka waimakaʻo Parrot Bear

ʻO kahi mea i hoʻopiliʻia e pili ana i kahi mea i loaʻa i kahi mea lōʻihi lōʻihi a me kahiʻano radical radial a me kahi mea e like me ka neʻeʻana o kaʻaoʻao.

I ka wā hope, loaʻa he mau hōʻehaʻo Mariex i nā maʻi,ʻaʻohe mea wehewehe pono, e pili ana i nā hua he nui a me nā pono o ka nui.

ʻO MRI hōʻikeʻo MRI

Kauka He waimaka

Stoller et al. Manaʻoʻia 3 mau papa o nā kāne (kiʻi 4)

Helu 1: Hyperintensity nodular Manircus i hoʻopaʻaʻia ma luna o ka iwi Meniscus;

Helu 2: Ua hoʻomauʻia nā hōʻailona hōʻailona kiʻekiʻe kiʻekiʻe ma kaʻaoʻao o nā kāne

Helu 3:ʻO ka hyperintensity e hoʻonui i hoʻokahi'āpana o ka manoscus.

Kiʻi 4 stoller scale. A: Kūʻai 1: hoʻokahi a iʻole a iʻole a iʻole a iʻole i nā pūnaewele hyperintensity nodperintensity pili i pili me ka'āpana articular o ka manosus; B: Hale Helu 2: Linear IndeRinite waena o ka Mokuna o ka Mokuna o ka Mari: C: CRAND 3: LEARS FRANGETENTER FADER FILPERINATESENENSENDENSENDENDENDENTENDENSIENTINGS EXTERNY E PILI ANA I KA LAHUI ANA O KE ANO O KEIKI.

ʻOiai keʻano o ka hoʻokaʻawaleʻana ma waena o nā helu 2 a me 3 he modest ʻO kēia kūʻokoʻa i waena o kahi mea i hanaʻia a me ka teren terissusʻaʻole kūpono loa, a he nui nā kumu o ka halaʻole a iʻole nā ​​hemahema.

Kiʻi 5.ʻO ka hiʻohiʻona maikaʻi o ka Meniscus. ʻO Saigittol Proton Chestisty e nānā me ka momona momona. Hiki keʻikeʻia nā wahi hōʻailona kiʻekiʻe me kaʻole o nā kiʻi linear cracture maoli.

Precations:

He hana maikaʻi loaʻo MRI, me ka noʻonoʻoʻana a me keʻano a me ka kiko'ī ma waena o 90% a me 95%. Ma Mri, kahi Clent Mesiscal e like me keʻano o ka laina laina laina waena o nā papa hana o ka minimani.

Keʻike waleʻia ka waimaka ma kahi o nā'āpana hoʻokahi, aia kekahi mau pilikia,ʻoi aku ka paʻakikī o nā hopena kiʻekiʻe o nā hopena maikaʻi. Inā he hyperintensity ma loko o ka minesissus i ka mea nui e pili ana i ka Minorcus i kaʻaoʻaoʻo Meniscal,ʻo ia ma ka liʻiliʻi o nā'āpanaʻelua, e manaʻoʻia e noʻonoʻoʻia. Pono e hoʻoponoponoʻia kēia manaʻo i ke kiʻi kiʻi kiʻi kiʻi kiʻiʻia (3 a i 4 mau'āpana a iʻole ka loaʻaʻana o kahi helu 3D

ʻOi aku ka paʻakikī o ka mīkini radial ma kahi e hōʻikeʻia ana, hāʻawiʻia i ko lākouʻano. ʻO kēia mau alakaʻi nui e alakaʻi i nā morphological abnormalies.

• Ka neʻeʻana a iʻole kaʻaeʻana i ke kiʻi ma ke kiʻi mua;

• Discestinouous a iʻole ke nānāʻana i keʻano o ka postieccus bostie ma luna o ke kiʻi sagittal (kiʻi 6);

Kiʻi 6.ʻO ka FADIAL FISSURE ma ka māhele anterior o ka mediscus o ka Mediscus ma Sagittal Proy-Changity. ʻO ka hiʻohiʻona maʻamau o ka mediscus mediscus truncated bow tie (pua).

• ʻO kahi nalo a iʻole 'Ghost ' Meniscus me kahi radital radal intact.

ʻO Rupture o ka Meniscus me kahi pahu i hoʻopaʻaʻia i nā mea e koi ai ma kahi o 10% o ka lōʻihi lōʻihi e hoʻonui ai i ka spondylikellhesis. I kēia hihia,ʻo ka mea nānā o Mri ma kahi o 70%, e pili ana i nā mea hōʻike diagnostic i hoʻohanaʻia.

Nāʻike mR e pono ai e nānā:

ʻO kaʻike maʻamau loa kaʻikeʻikeʻana i nā'āpana likeʻole o ka neʻeʻana i ka REATCOWRLAR READS. Hōʻikeʻia ka māhele i hoʻokaʻawaleʻia e like me ka mea i hoʻopaʻaʻia i ka huiʻana o ka curpirant ʻO nā pūpū nui loa I kēia hihia, ua hoʻopiliʻia ka hoʻopunipuniʻana o nā kāne kāne ma keʻano o keʻano o ke ola maikaʻi.

Kiʻi 7ʻO keʻano o ka hana o ka Medisus i hanaʻia he 'pāluaʻelua PCL ' hōʻailona. ʻO ka nānāʻana o Sagittal PD-kaumaha me ka momona momona

Kiʻi 8 hiʻohiʻona o ke alo o ke alo. ʻO ka nānāʻana i keʻano o ke kaumahaʻo Sagittol Proton. ʻO ka hapa anterior Hoʻomaopopo e hōʻikeʻia nā kihi hope loa (*).

Nāʻikena MR'ē aʻe:

Ua hōʻoiaʻia nā hōʻailona MRI'ē aʻe, e like me ka naloʻana o nā bow anediscus, e hoʻokaʻawale i nā mea hana ma waena

Kiʻi kiʻi 9 unicated bale i ka slot. ʻO ka nānāʻana o FrontLal PD-kaupaona ma hope o ka momona momona. ʻO ka mea i hoʻokaʻawaleʻiaʻo Tineiscus Friegment (Arrow) e hoʻopili me ka ACL (Arrow).

ʻO kekahi hōʻailona'ē aʻe o ka mea i loaʻa i keʻano o ka meniscal inceability ke hōʻikeʻana i ka neʻeʻana o ka peripheral o nā'āpana kāne i ka maʻi maʻi maʻi maʻi. ʻO kēia mau neʻe e pili ana i ka neʻeʻana o nā mea lapaʻau a me ka hoʻopiʻiʻana o kekahi mau hihia cleft o kekahi mau hihia i loko o 10% o nā hihia. ʻO ka coronal a me nā'āpana transfering ke ala maikaʻi loa e hoʻomaopopo ai i kēia mau'āpana.

ʻO Jisiscus Depatchment

ʻO ka mea i hanaʻiaʻo MeissCal i kahi hopena o ka hōʻeha valgus koʻikoʻi a ua kumuʻo ia e Rupture o ka Massiscus 'Copsular. ʻO kēia mau mea e pili ana i ka pūpū posterior o ka poʻe Medial e hoʻopili ana i nā cops i hoʻopiliʻia ma o kahi pūpūʻoihana

Ua hopena lākou i kahi 5 mm offset i keʻano o nā mea kiʻekiʻe mai ka palena o ka papa o ka teiscus a me ke kaheʻana o ka cops i waena o nā meaʻala.

Kiʻi 11 detachment o nā pūpū poster o ka manosiscus. ʻO ka nānāʻana i ka nānāʻana i ka nānāʻana. ʻO ka mea hoʻokaʻawale i hoʻokaʻawaleʻiaʻo Marissus ma kahi o ke ala. Aia kahi wahi nui o ka hyperintensity

Ke hele nei

ʻO kēia ka hopena o kahi hōʻeha hōʻeha a ma muli o keʻano o nā kāneʻo Meniscal-Tibal Ligament a me ka hoʻopunipuni Ma mri, ua hoʻopuniʻia ka mea i hoʻokaʻawaleʻia e nā kāne i hoʻokaʻawaleʻia e ka wai aʻikeʻia e 'clout i ka plateau

Kiʻiʻia 12 mau kānaka holo moana. ʻO ka nānāʻana i mua o ka maikaʻi loa o ka momona momona. Ua hoʻopuniʻia ka mea i hoʻokaʻawaleʻia e ka wai,ʻoi aku ma waena o kona haʻahaʻa haʻahaʻa a me ka poki tibial plateau

ʻO nā kāne postoperative

Hoʻomaopopo kaʻeha ma hope o kaʻehaʻana o Taniscecomy i nā pilikia paʻakikī he nui: Nā Fisurrent, Postmentiscty necrosis notush Ua hiki pinepine iā MRI eʻike i nā fisurrent recurres no ka waihoʻana o nā kāne i nā hyperintensities waena ʻO kaʻike wale nō i manaʻoʻia he pathological a i ho'ākākaʻiaʻo ia he fisurrent flid i ka fluid interamesiscal hyperintensity ma nā kiʻi o T2-kaupaona. ʻO kēia mau kaupalena o ka morg maʻalahi e hoʻohiki ai i kekahi mau mea kākau e hōʻike i ka hoʻohanaʻana i ka hoʻohanaʻana o Mri ortroscopy,ʻoiai keʻano o nā hopena ma aneʻi.

Pehea e kūʻai ai i nā mea aʻoaʻo o Ortheadic a me nā mea kani?

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