成人胫骨结节损伤的MRI表现  

MRI Findings of Tibial Tubercle Injury in Adult

作　　者：刘德海[1] 丁长青[1] 王安震[1] 孙惠芳[1] LIU De-hai DING Chang-qing WANG An-zhen et al.

机构地区：[1]江苏省徐州市丰县人民医院影像科,江苏徐州221700

出　　处：《中国CT和MRI杂志》2017年第2期125-127,共3页Chinese Journal of CT and MRI

基　　金：2010年;2013年徐州市科技发展基金(项目编号:XF10c060);2014年江苏省卫生厅医学科研立项课题(项目编号:YG201419);徐州市第一期医学青年后备人才培养工程"资助(徐卫科教2014年3号)

摘　　要：目的探讨成人胫骨结节损伤的MRI表现特征。方法回顾性分析14例成人胫骨结节损伤的临床和MRI资料。结果急性期损伤10例,均伴髌韧带远侧肥厚肿胀、信号增高;其中胫骨结节挫伤及不全撕脱7例,表现为胫骨结节水肿信号、与骨干分离不明显;胫骨结节完全撕脱3例,伴髌韧带回缩及骨折片明显游离;慢性期损伤4例,均伴胫骨结节骨性突起明显及髌韧带远侧高信号,1例骨碎片存留在髌韧带内。结论 MRI可清晰显示成人胫骨结节急慢性损伤的影像学特征,值得应用。Objective To investigate the MRI features of tibial tubercle injury in adult. Methods A retrospective analysis of clinical and MRI data of 14 cases with tibial tubercle injury in adult. Results Of all the cases, 10 cases were acute phase injury, were associated with Swelling, hypertrophy and increased signal in the distal of the patellar ligament.7 cases of the 10 cases were contusion and incomplete avulsion of the tibial tubercle, which showed edema signal and the separation of the backbone was not obvious.3 cases were completely avulsion of tibial tubercle, with patellar tendon retraction and free fracture. 4 cases were chronic injury, associated with obvious bony protrusion in tibial tubercle and high signal in the distal area of the patellar ligament, one case of bone fragments retained in the patellar tendon. Conclusion MRI imaging can clearly show the characteristic of the acute and chronic injury oftibial tubercle in adult,so which is worthy of application.

关 键 词：胫骨结节 骨折 前膝痛 磁共振成像 

分 类 号：R274.1[医药卫生—中医骨伤科学]