Ungayisebenzisa njani i-MRI ukuze ufumane i-meniscus ye-mediscus kunye nemozulu ye-ligamente?

I-Meaniscus yi-fisiscurilage enemikhonto ye-mediscus enecandelo le-triangling phakathi kwe-tibial concele kunye nethafa eliphucula ukungqinelana kwe-femoro-tibial tibial kwaye lidlala indima ebalulekileyo kwi-KEA PHINGIcs.

Eqhelekileyo kunye nengaqhelekanga i-MRI

Kwi-sagittal nemifanekiso eyangaphambili, iMentiscus eqhelekileyo ingunxantathu kwi-hypoinse. Ngowona mfanekiso we-sagittal ka-Sagittal, iMediscus yi- Bond-Tie 'I-Story-Tie equka icandelo le-sagittal elihlanganisiweyo kunye ne-ANTREAT kunye neempondo zangaphandle (umzobo 1).

Umzobo 1 ukubonakala kwe-mri eqhelekileyo ye-Mediscus. I-Proton Dennity-I-Sagittal ye-Sagittal ye-Sagittal ye-SUGT I-Menaiscus yenzekile kwaye inamacandelo ecandelo eliphakathi eliqhagamshela iimpondo zangaphandle phambi kwayo kunye neempondo zalo zangemva kwayo.

Kuluncedo ukuqonda imeko ethile ye-anatomical njengoko inokuthi ilingane i-meniscal ye-meniscal:

• Kwicandelo le-sagittal, utshintsho phakathi kwe-ligations efihlakeleyo nengaphandle;

• I-Popliteal Tendon Sheath;

• I-meniscy ye-menischey kunye ne-wisberg ye-fephsberg-idibanisa i-posteringi engasemva ye-fortiscus yangasemva kwi-conmoral yenyama ye-medial femoral;

• I-Ligarie Medigus Ligament i-Ligament i-Ligament i-uphondo engaphandle yeMenuntus kwiPosteringi Histy ye-Mepotissus ye-Menaiscus echaseneyo, ingalingisa i-menissus yemfuza okanye i-barrel

• I-Discoculad Meaniscus sisiphene esinqabileyo sokuzalwa esinqabileyo. Le ntsimiscal DysPissia ichaphazela phantse ngokukhethekileyo iMentiscus. I- 'I-Recanomic ' i-MRI isekwe ekuboneni ukuqhubeka kwe-ANTARAN NOBUCHULE KWI-SEAGTAL EZIQHELEKILEYO (2). Ezi zinto zifunyanisiweyo zihlengahlengiswa ngokusekwe kuseto oluyinxalenye olusetyenzisiweyo.

Umzobo 2 wafumana iMentiscus ye-Lateral. Umfanekiso we-sagittal t1. Ukuqhubeka kweziko langaphambili kunye nasemva kwe-3 ngokulandelelana kwamacandelo 5mm. Qaphela i-Myxoid yosulelo lophondo lwangaphandle kwale ntsuscus.

I-Meaniscus Pathology icinga

Yinto eqhelekileyo ukubahlulahlula phakathi kokukhohlakeleyo kwe-menaumatic menaiscus kunye ne-menaiscus efanelekileyo. Ukulimala okuxhalabisayo kubangelwa kukusetyenziswa kwamandla okugqithisileyo kwiMentiscus esempilweni. Kubantu abadala abancinci, ubunyani buhlala bubangelwa kukulimala ngokungathanga ngqo, ukuphakama ngequbuliso kwe-tibia emva kojikelezo lwangaphandle okanye i-hyperflefleion yedolo nge-20 ° lezinye. Endaweni yoko, ukwahlula-ntle kwenzeka ngenxa yemikhosi eqhelekileyo yoomatshini osebenza kwi-menascus yonakaliswe yi-Intertilial Deggeneration. Iifestile ezithe tye kakhulu zinokuhlakulela ngokuzenzekelayo okanye zinokubangelwa kukulimala okuncinci.

Ukwahlulahlula

Ngokokushicilela ngenqwelomoya, iifestile zinokwahlulwa zibe ziifestile ezithe tye, iifestile ezithe nkqo okanye iifestile ezinzima

Fissure fissure

Kukho inqwelomoya eyahlulahlulo kwithafa le-tibial ehlulahlula iMediscus ibe ngamacandelo aphezulu kwaye aphantsi. Ezi zilonda zithe tyaba zixhaphake, zinokuchaphazela kakhulu iMedical okanye iMediscus okanye iMediscus, kwaye ziqwalaselwe izinzile, nangona ubuncwane obushushu kwi-Groove emva komonakalo kwi-Mediscus sele kuchaziwe.

Nkqo

I-perpendicular kwindiza ye-tibial kunye nokujikeleza kweMentiscus. Oku kuxhaphake ngakumbi iMentiscus. Ukulimala ngokupheleleyo kuthathelwa ingqalelo ngokungathandabuzekiyo kwaye ukwahlula iMentiscus ibe ngamacandelo aneMedial kunye ne-Lateral. Inqanaba lokuskena likwabandakanya umzimba weMediscus olandelayo kunye ne-Possathi yophondo lweMenuscus, ekulula ukuba isetyenziswe kakubi njengeendawo zokudibana, ezinokubakho ngaphandle xa i-gene ijikelezwe ngaphandle. Idityaniswe nemifanekiso ye-sagittal, i-barrel paar ingabanjiswa (umzobo 3).

A. I-Coronal Mri, utolo lukhomba kwi-Possarior Highter Shoiscus, ekulula ukuba isetyenziswe kakubi njenge-barrel rack rack; B. Xa usenza iskena seMri ngokwesikhundla esiboniswe ngumgca onamachaphaza kumfanekiso, i-pseudo yabanjwa idesika iya kuvela.

I-fismual fissus igqitha kumjikelezo weMentiscus kwaye ihlala ichaphazela umda wasimahla weMentiscus.

I-Parrot Beak Dear

Ngumonakalo othe nkqo ohlanganisiweyo oquka icandelo elide kunye necandelo le-radial syclicalls ehamba ngomda wasimahla.

Okokugqibela, kukho ukwenzakala okuntsonkothileyo, ngaphandle kwenkcazo ecacileyo, ebandakanya ubuninzi obuthile kwaye buyathe nkqo.

I-MRI ibonakalisa ukulimala kweMediscus

I-Meaniscus Tear

Isidlo se-et al. iphakamise amabanga ama-3 eMentissus (umzobo 4)

IBAKALA 1

IBAKALA 2: UMGANGATHO WOKUGQIBELA WOKUGQIBELA WOKUGQIBELA WOKUGQIBELA WOKUGQIBELA WOKUGQIBELA WOKUGQIBELA?

IBAKALA 3: I-HYPERTINNTINTONIT idlulela kumphezulu omnye wamagcisa kwiMentiscus.

Umzobo 4 Isikali somthengisi. A: IBakala 1: Inqaku elinye okanye elingaphezulu le-Hyperintertity Iindawo eziPhakamelayo ezihambelana nomphezulu we-mesiscus; B: IBAKALA 2: Umgca ophakathi kwe-hyperinnity yehlelo kumhlaba wobugcisa beMentiscus; C: IBAKALA 3: Umgca ophakathi kwe-hyperinfennity ye-hyperinnity ukwanda kumda wobugcisa we Meaniscus.

Nangona umahluko phakathi kweBanga lesi-2 nelesi-3 luthotywa, ukwahlulahlulahlula-hypeiscioscal Dypediscal Lo mahluko phakathi kweMediscus enesidima kunye neqwengiweyo ayisoloko ngqo, kwaye mininzi imithombo yempazamo ngenxa yokubonakala kwempazamo okanye ilahlekile.

Umzobo 5. Inkangeleko ye-Meaniscus. Imboniselo ye-Sagittal proton ngoxinzelelo lwe-fatteate Iindawo eziphezulu zophawu zinokubonwa ngaphandle komfanekiso wento yokuqhekeza.

Ukulumkela:

I-MRI inentsebenzo egqwesileyo, ngovakalelo kunye nobungqina obuthile phakathi kwe-90% ne-95%. Kwi-MRI, i-meniscal ye-meniscal ivela njenge-Intermaple yoLwandiso lwe-Hypoinyanse yolwandiso lwe-articular ye-menacus (iBanga 3), okanye engaqhelekanga ye-morphologue.

Xa iinyembezi zibonakala kuphela kwisilayi esinye, kukho ubunzima, ngakumbi umngcipheko omkhulu weziphumo ezilungileyo zobuxoki. Ukuba i-hypernrinternity ngaphakathi kwe-menar menar ichaphazele imeko ye-menariscal, okt ubuncinci ngamacandelo amabini akufuphi, kuyacetyiswa ukuba kuthathelwe ingqalelo. Lo mxholo kufuneka uhlengahlengiswe ngokuxhomekeka kubuchule bokufumana umfanekiso osetyenzisiweyo (3 ukuya kwi-4 ukuya kwi-4 mm yamacandelo okanye ukufumana i-3D ye-3D kunye namacandelo eIsoLotropic MM).

I-raidiscal fiscal slefts ngamanye amaxesha kunzima ngakumbi ukuxilonga, kunikwa ukuba banikezele. Oku ikakhulu kukhokelela kwi-morpholoints engaqhelekanga:

• Ukuphazamiseka simahla

• Ukubonakala kwento okanye ukubonakala okungafunekiyo kwi-menatie bodtie kwi-sagittal umfanekiso (umzobo 6);

Umzobo we-6 Inkangeleko eqhelekileyo ye-mediscus ye-medissus ye-medis ecinyiwe (utolo).

• I- okanye '' fiscus 'nge-radial raid radial.

Ukuphuphuma kweMenkis nge-bycket siphatheze malunga ne-10% ye-spondylolistlistshest. Kule meko, imvakalelo ye-MRI imalunga nama-70%, kuxhomekeka kwimilinganiselo yokuxilonga esetyenzisiweyo.

Iziphumo ezifunwayo:

Eyona nto iphambili kukufumana umbono oqhelekileyo wokuboniswa ngokuthe ngqo kwamaqhekeza afudukayo kwingingqi ye-pritcondylar: I-Popotior PlTuetery Cruenel Ligament Ligamente (i-PCL) 'i-PCL ye-PCL ye-Medical yonakalisiwe kwaye i-liganu ye-Medial iyonakaliswa kwaye i-ANTARME i-ANGENCE i-I-i-i-ligament ye-ANTAL iyona nto icocekileyo. Icandelo elifudusiweyo livela njenge-Arcuto Gabe ye-Hyporalse ye-Homentior kwi-Posteriate Proveties Crteriment Ligament Ligament Ligament Ligament Ligament liquime, ivelisa i- pcl '. Iimpondo ezigqithisileyo (ngaphezulu kwe-6 mm ubukhulu) zinokubonakalisa ubukho besiphatho sebarrel (umzobo 8). Kule meko, isiqwenga se-mesissis esichaziweyo siqhotyoshelwe kwi uphondo elingaphandle elingaphandle.

Umzobo 7 Ukubonakala kwe-mediscus ye-Mediscus ine- 'i-pcl pcl '. Imbono ye-Sagittal ye-PD ngoxinzelelo lwe-PMS: I-Medissus ye-Medissus engafudukiyo (utolo) ubuxoki phantsi kwePCL eqhelekileyo (utolo)

Umzobo 8 ukubonakala kwe uphondo lwangaphambili. I-Sagittal prondon Inxalenye engaphandle yeqhekeza elibekiweyo (utolo) luqhotyoshelwe kwi-angle ye-meniscus ye-anthes (utolo). Qaphela ukuba iikona ezingasemva aziboniswanga (*).

Ezinye izinto ze-MR:

Ezinye iimpawu zeMri ziqinisekisiwe, ezinje nge-tie ye-tie, i-meniscus ye-mediscus, okanye iziqwenga ze-menagiscal zikhutshiwe ngqo kwingingqi ye-himender

Umzobo 9 Isiphatho se-Bicket esikhutshiweyo kwi-slot. Imbonakalo ye-PD ye-PD ye-PD emva kokucinezelwa kwamafutha. Isiqwenga se-mesissus esivulekileyo (utolo) sinxibelelana ne-ACL (utolo).

Olunye uphawu olusesikweni lokungazinzi kwe-meincal kukuchonga ukufuduka kwe-peripheral iziqwenga zeMemoral kwi-themoral ye-themoral ye-themoral okanye i-themoral-tikis. Ezi ndawo zikhutshiweyo zibandakanya ukubaluleka kwe-menaisissus yezonyango kwaye ziyingxaki yamatyala ethe tyaba nge-10% yamatyala. Amacandelo e-Conal and arests yeyona ndlela ilungileyo yokuchonga ezi qhekeza.

I-Meaniscus Deaching

Ukuthinta i-Meaniscal kwenzeka ngenxa yokulimala kakhulu kwexabiso le-xabialbus kwaye kubangelwa kukuveliswa kwe-Meaniscus '. Ezi zinto zidla ngokuchaphazela uphondo lwangasemva le-Metial Mediscus enamathela kwi-capsule edibeneyo ngokusebenzisa i-capsule edibeneyo ye-capsule edibeneyo (i-potertaive ligament ly the bigament).

Zikhokelele kwi-5 mm icime i-menaiscus ephezulu yomda we-posterial weplate ye-tibial ye-tibital imifanekiso (Fib.

Umzobo 11 Ukuthinta uphondo lwasemva kweMepotissus. Imboniselo ye-Sagittal proton. I-mesiscus eyahlukileyo iyashenxiswa kwangaphandle. Kukho indawo enkulu ye-hyperinnity

I-menaring menaiscus

Esi sisiphumo sokulimala kobundlobongela kwaye kungenxa ye-MeanisCal-Tibial Ligracure kunye nokuthintelwa kwenxalenye yeMedial yeMentiscus. Kwi-MRI, iMentiscus eyahlukileyo ijikelezwe ngokupheleleyo ngulwelo kwaye ibonakala ngathi 'i-' i- 'kwithafa le-tibial plate (umzobo 12).

Umzobo we-12 yeMentiscus. Imbonakalo ye-proton ye-proton ye-proton ye-prondow ngemeko yokufakelwa kwamafutha. IMentiscus eyahlukileyo ijikelezwe ngulwelo, ngakumbi phakathi komgangatho wayo ongaphantsi kunye neflethi ye-tibial (utolo).

I-Poistopetive Meaniscus

Ukuphinda ubuye umva emva kokuba iMentiscectomy ibonisa ubunzima obukhulu bokuxilonga: I-Fissis ephindaphindiweyo, i-Chondrolycectomy, iChondrolyces, i-surthygia. I-MRI ihlala isilela ekufumaneni ubunyani obuhlaziyayo kuba iMentiscectomy inamaza e-hyperintennis ephakathi Ekuphela kokufumana okukuthathwa njengezinto ezenziwayo kwaye kutolikwe njengokuphindaphindwa kwe-fismonisciscal hypeninfoniscal ye-T2--s2. Oku kunqongophala kwemida ye-MRI ilula kuye kwafikelele abanye ababhali ukuba bafundise ukusetyenziswa kwe-MRI Arthroscopy, nangona iziphumo azingqinelani.

Ungayithenga njani i-orphopents kunye nezixhobo ze-orthopedic?

Kuba I-CZMEDICH , sinomgca opheleleyo wemveliso ye-Orthoric utyanSpents kunye nezixhobo ezihambelana nayo, iimveliso kubandakanya i-spine ifakinti, izipikili ze-intramellary, Iplate ye-Mouma, Ukutshixa iplate, I-cranial-maxillofacial, I-Prosthesis, Izixhobo zamandla, Abalungisi bangaphandle, I-Arthroscopy, Inkathalo yonyango lwezilwanyana kunye neeseti zesixhobo zazo.

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