Mashandisiro Aungaita MRI Kuongorora KENISE Meniscus uye Kukuvara Kwemwedzi?

Iyo meniscus ndeye meniscucartilage ine trilarartilage nechikamu chiri pakati pechiTibi

Zvakajairika uye zvisina kujairika mri kuwana

PaSagittal uye Frontism Mifananidzo, yakajairwa meniscus yakatsetseka mune hypoinnense. Pamufananidzo wakanyanya Sagittal, meniscus ndeye 'Meniscus a ' Back-tie 'Chimiro chinosanganisira chikamu chepakati-sagittal inosanganiswa neanotenderera uye posterior nyanga (Mufananidzo 1).

Mufananidzo 1 zvakajairika MRI chitarisiko cheMocial Meniscus. Proton density-inorema Sagittal maonero: Iyo anterior uye yepashure memeniscal angles ndeye homogeneous hypointeense matatu matatu. Iyo meniscus yakavezwa uye ine zvikamu zveChikamu chepakati chinosanganisira nyanga dzayo pamberi payo uye nyanga dzayo yepashure neshure kwayo.

Izvo zvinobatsira kuti unzwisise zvimwe zvehunhu zvisingaenzaniswi sezvavanogona kutevedzera kupatsanurana kwevanhurume.

• MuChikamu cheSagittal, Shanduko pakati pevakadzoreredzwa uye anterior ligaments;

• Popliteal Tendon Sheathi;

• Humphrey uye Wrishberg's Meniscus-Chemukati Figrament inobatanidza iyo yepashure nyanga yeiyo Lateral Meniscus kune iyo Medial Chemukati Centrel;

• Iyo Oblique Meniscus Ligamente, iyo dzimwe nguva inobatanidza runyanga rwevanhurume kuenda kune runyanga rwevanhukadzi, rinogona kutevedzera migiscus kana barrel kubata

• Discoid meniscus isingawanzo congenital meniscus kuremara. Iyi meniscal menplasia inokanganisa anenge anongova ega menisculi. Itsvo 'Chikoro ' Kuongororwa Izvi zvakawanikwa zvinogadziriswa zvichienderana nezvikamu zvezvikamu zvinoshandiswa.

Mufananidzo 2 discoid gare gare meniscus. Sagittal t1-yakaremerwa mufananidzo. Kuenderera mberi kwemberi uye kumashure makona pane matatu akateedzana 5mm yakatarwa zvikamu. Cherekedza myxoid kuderera kweiyo anterior runyanga rweiyi discoid meniscus.

Meniscus pathology kufungidzira

Zvakajairika kudzidzira kusiyanisa pakati pekurwara kwevarume uye degenerative meniscus. Kukuvara kunoshungurudza kunoitwa kubva mukushandiswa kwesimba rakanyanya kumauto kune vane hutano varume. Mune vakuru vadiki, fiss inonyatsokonzerwa nekukuvara kwelgus valgus, nekukwira kamwe kamwe kweTibia mushure mekutenderera kwekunze kana hyperflexion yebvi pa20 ° yekuchinjika. Panzvimbo iyoyo, kuora kunoitika semhedzisiro yemasimba akajairwa mauto anoita kuti meniscus akakuvadzwa neInterstitial myxoid kuora. Yakatenderedza Meniscal Fissures inogona kukudziridza zvoga kana kuti zvinogona kukonzerwa nekukuvara kudiki.

Kuiswa

Sekureva kwekutungamira kweiyo ndege yekuchena, fissures inogona kukamurwa kuita fissurontal fissures, vertical fissures kana yakaoma fissures

Yakatwasuka fissure

Iko kune ndege yakasarudzika yakafanana neTibial Plateau iyo inokamura varume veManisciki mune yepamusoro uye yakafukidzwa zvikamu. Iyi maronda akakomberedzwa, anogona kukanganisa zvakanyanya mession kana anotevera meniscus, uye anoonekwa akasungwa, kunyangwe marara anotama kuita groove mushure mekukuvara kwemumhanzi arondedzerwa.

Vertical fissure

Perpendicular kune tibial ndege uye padenderedzwa reVarume. Izvi zvinowanzo kukanganisa mindarcus mindiscus. Kukuvara kwakazara kunoonekwa kusagadzikana uye kunokamura meniscus kuita menduru uye yakazotevera zvikamu. Chikamu chekutarisa chinosanganisirawo huwandu hwemanyorerwo hwemukati Yakasanganiswa neMifananidzo yeSagittal, mbiya inobata misodzi inogona kutongwa kunze (Mufananidzo 3).

A. Coronal Mri, museve unonongedza kune runyanga rwepashure pegwenzi reMeniscus, iro riri nyore kuti rakarasika semabhomba rinobata gomba; B. Paunenge uchiita MRI Kutarisa zvinoenderana nenzvimbo yakaratidzwa nemutsara wedombo mumufananidzo, pseudo mbiya kubata misodzi ichaonekwa.

Firtial fissures ndeye perpendicular kune iyo perimeter yeiyo meniscus uye inowanzo kukanganisa iyo yemahara yemumheneko.

Parrot Bak the Farar

Icho chakasanganiswa chetiriki kukuvara kunosanganisira chikamu chehurefu uye chidimbu chapaza chinoshamisa chinowedzera kune iyo yemahara pamucheto.

Pakupedzisira, pane kukuvara kwakasimba kwevanhukadzi, pasina rondedzero yakajeka, inosanganisira akawanda akatwasuka uye akaomarara fissures.

Miri moratidziro yekukuvara kweMeniscus

Meniscus kubvarura

Stolller et al. akakurudzira mamakisi matatu eMeniscus (Mufananidzo 4)

Giredhi 1: Hyperintensity nodular meniscus akachengetera pane mamencus;

Giredhi 2: Yakakwira chiratidzo mutsara meniscus akachengetera pamusoro peMeniscus pamusoro;

Giredhi 3: Hyperinensity inowedzera kune imwe chete yehunyanzvi pamusoro peMeniscus.

Mufananidzo 4 Stoler chiyero. A: Giredhi 1: Imwe kana inopfuura yepakati nodular hyperenserity nzvimbo dzakabatana neyenzi yemidziyo yeMeniscus; B: Giredhi 2: mutsara wepakati peymemenerensity pane iyo articular pamusoro peMeniscus; C: Giredhi 3: mutsara wepakati peymemenerensity inowedzera kune chinongedzo pamusoro peMeniscus.

Kunyangwe kusiyanisa pakati pemakiredhi 2 uye 3 kuri mwero, kunobatanidza degenerative intramencal hyperenensity (Mufananidzo 5) kubva kune yechokwadi fissures. Uku kusiyanisa pakati penzvimbo inovhiringidzika uye yakabvaruka haisi nguva dzose zvakananga, uye kune akawanda masosi ekukanganisa nekuda kwekuonekwa kwekuwedzera kana kushaikwa.

Mufananidzo 5. Iko kuoneka kuoneka kweiyo meniscus. Sagittal proton density maonero nemafuta ekutenderera. Nzvimbo dzakakwirira dzemumiratidzo dzinogona kuoneka pasina chero yechokwadi fracture mutsara mufananidzo.

Zvekungwaririra:

MRI ine chekuita zvakanyanya, nekunzwa uye chokwadi pakati pe 90% uye 95%. PaMRI, cleft yeMeniscal inoonekwa seyakaenzana mutsara hypointeense yekuwedzera kune imwe yenzvimbo dzekunyepedzera dzeMeniscus (Staller Giredhi 3), kana chimiro chakachena chegnormical.

Kana misodzi ichingoonekwa pane imwe chete chidimbu, pane zvimwe zvinonetsa, kunyanya njodzi huru yeyenhema mhedzisiro. Kana hyperinserity mukati meiyo mutsara meniscus zvakanyanya zvinokanganisa pamusoro peMeniscal pamusoro pezvinhu, ice kanokwana maviri ezviitiko, zvinokurudzirwa kuti zvionekwe. Pfungwa iyi inofanirwa kuve yakashandurwa zvichienderana neyekuwana kwemifananidzo inoshandiswa (3 kusvika 4 mm zvikamu kana kuwana vhoriyamu 3 ye isotropic mm zvikamu).

Radial Meniscal Clefts dzimwe dzimwe nguva zvinonyanya kuoma kuongorora, zvakapihwa kutaridzika kwavo. Izvi zvinonyanya kutungamira kune morphological abnormalities:

• Yemahara Edge Kukanganisa kana kugurana pamufananidzo wemberi;

• Kuderedzwa kana kutaridzika kutaridzika kweiyo meniscus bowtie pane sagittal mufananidzo (Mufananidzo 6);

Mufananidzo 6. Radial Fissure mune iyo Anterior Segment yeMeals Meniscus muSagittal Pronity Density-anorema maonero. Zvakajairika kutaridzika kweMocial Meniscus Truncated How Ti (Arrow).

• Kushaikwa kana gohino '' meniscus ine radial radial gap.

Kubviswa kweMeniscus ane bhatani mubato complication inenge gumi muzana yeiyo refuitudyly yekuwedzera sponylolistissis. Mune ino kesi, kunzwa kweMRI kuri kuita anenge 70%, zvichienderana neiyo yekuongorora maitiro anoshandiswa.

MRI Wri Widings Anoda Kutarisirwa:

Kutsvaga kwakajairika ndiko kuoneka kwakananga kwekutama kwedunhu rekutengesa muIntercondlar Dunhu: PCLOCKY RINOGONESESA PAKUTI ZVINOGONESESWA UYE ZVINOGONESWA LUGPERI Chikwangwani chakabvumirwa chinoonekwa seyakaganhurirwa hypointeente bhendi yakafanana neyakajairwa posterior cruciate ligrament ligrament ligament, 'kaviri pcl Kunyanyisa kuridza nyanga (pamusoro pe6 mm muhukuru) kunogona kuratidzawo kuvapo kwebhari mubato (Mufananidzo 8). Mune ino kesi, iyo yakaparadzirwa masiscus chidimbu chakabatanidzwa kune vane hutano hwakagwinya runyanga.

Mufananidzo 7 kutaridzika kweMocial Meniscus Chibato chine 'kaviri pcl ' chiratidzo. Sagittal PD-inorema maonero nemafuta ekudzvinyirira: Iyo yakabviswa meniscus fragment (museve) iri pasi peiyo yakajairika pcl (museve) uye inoumba hunhu 'mbiri pcl ' kutaridzika.

Mufananidzo 8 chitarisiko cheiyo hofori yemukati. Sagittal proton density akarema maonero. Iyo anterior chikamu chevakatenderwa chidimbu (museve) chakabatanidzwa kune iyo anterior myiscus kona (museve). Ziva kuti makona kumashure haana kuratidzwa (*).

Zvimwe MRI ZVAKAWANDA:

Zvimwe zveMRI Zviratidzo zvakasimbiswa, sekushaikwa kwehutachiona hwehutachiona hweMeniscus, kana zvidimbu zvemukati zvakadzama zvakananga muMillimeter Frontive mifananidzo (Fig. 9) kana exial mifananidzo.

Mufananidzo 9 wakabvisa bhata bhatani mubato mune slot. Frontal PD-inorema tarisa mushure mekudzvinyirira kwemafuta. Iyo yakabviswa meniscus chidimbu (museve) iri kusangana neACL (museve).

Chimwe chiratidzo chakarongeka chekusagadzikana kwemukati ndeyekuzivikanwa kwekutengeswa kwekuparadza kweMeniscal zvidimbu muzvikamu zvechikadzi kana echikadzi. Uku kudzikisira kunosanganisira kungori kwega kwevanhurume vechiremba uye kuomeserwa kwemamwe manhamba akaomeswa ezvemakore gumi muzana. Zvikamu zveCoronal uye zvinotsauka ndiyo nzira yakanakisa yekuziva izvi zvidimbu.

Meniscus decachment

Meniscal Datachment inoitika semhedzisiro yekukuvara kwakanyanya kwealgus uye kunokonzerwa nekukasira kweiyo meniscus 'capsular capendage. Izvi zvinowanzo kukanganisa runyanga rwemukati mesiscus runonamatira pamwe chete neyejogine pamwe neakabatanidzwa capsule (iyo posterior oblique ligament).

Ivo vanoguma ne5 mm yekubvisa kune yepamusoro mamsiscus kubva kune yepashure muganho weTagittal pikicha (Fig. 11), kana kuiswa kwemvura pakati peiyo meniscus uye ndege yeiyo yakabatana capingle.

Mufananidzo 11 Conachment of the posterior runyanga rwevaMeniscus. Sagittal proton desity maonero. Varume vakaparadzaniswa vanoregererwa vanyeriorly. Kune nzvimbo yakakura ye hyperenserity (*) pakati pechigadziko cheMeniscus uye yepashure capsule (museve).

Kuyerera meniscus

Iyi ndiyo mhedzisiro yekukuvara kwechisimba uye inokonzerwa nemamendi eMeniscal-tibial ligament yekubvisa uye kuumbwa kwechikamu chemifananidzo cheMeniscus. PaMRI, varume vakaparadzaniswa vakaparadzaniswa zvizere nemvura uye vanoratidzika se 'Float ' paTibial Plateau (Mufananidzo 12).

Mufananidzo 12 kuyerera meniscus. Frontal Proton density maonero nemafuta ekutenderera. Iyo yakaparadzaniswa meniscus yakakomberedzwa nemvura, kunyanya pakati payo yakaderera pamusoro uye iyo tibial clateau (museve).

Postoperative Meniscus

Kurwadziwa kwenguva pfupi mushure mekunge meniscectomy inopa matambudziko mazhinji ekuongorora Mri kazhinji anotadza kuona anodzikinura fissures nekuti meniscectomy inosiya huru hyperinserities iyo 'zvisizvo ' Taurirana neiyo meniscus pamusoro. Iko kumwe chete kutsvaga kwaionekwa sechipikiso uye kududzirwa seyekudzokorora fissure yaive fluid intramencal hyperansity pane t2-yakawandisa mifananidzo. Izvi zvinogumira zveMRI ZVEKUTI ZVAKAITWA Vamwe vanyori kuti vakurudzire kushandiswa kweMRI Arthroscopy, kunyangwe zvakare mhedzisiro pano hazvo hazvibvumirane.

Matenga sei kuti utenge orthopedic mispende uye zviridzwa zveOrthopedic?

Nekuti Czmeditech​ Spine Implants, intramedullary zvipikiri, Traumal Plate, Locking Plate, cranial-maxillofacial, prostisesa, Zvishandiso zvine simba, vekunze taxators, arthroscopy, kutarisirwa kwevaterinary uye yavo inotsigira chiridzwa.

Mukuwedzera, isu takazvipira kuramba tichikudziridza zvigadzirwa zvitsva uye tichiwedzera mitsara yechigadzirwa, kuti tisangane nezvinodiwa zvevamwe vanachiremba nevarwere, uyezve vanokwanisawo kukwikwidza vese muzvinyorwa zvepasirese uye zviridzwa.

Isu tinotengesa pasi rese, saka unogona Bata US AT email kero rwiyo@orthopepepec-char.com quote yemahara, kana kutumira meseji pane whatsapp yekukurumidza kupindura +86 - 18112515727.

Kana uchida kuziva rumwe ruzivo, tinya Czmeditech kuti uwane zvimwe zvakawanda.