MRI对非骨性跟距骨联合及引起并发症的诊断价值  

作　　者：许锦 邱雷雨 冯建钜 

机构地区：[1]浙江省诸暨市人民医院,311800

出　　处：《浙江临床医学》2020年第4期549-551,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省绍兴市科技计划项目(2013D10033)。

摘　　要：目的探索MRI对非骨性跟距骨联合诊断及引起并发症的评估.方法收集18例非骨性跟距骨联合患者,均行MRI检查,分析非骨性跟距骨联合MRI特点,并对其引起继发改变做出评估,同时观察5例健康志愿者跟距关节及毗邻结构的MRI解剖.结果18例非骨性跟距骨联合中,纤维性骨联合10例,软骨性骨联合8例,MRI表现为联合处关节间隙狭窄,跟骨载距突与距骨内侧结节骨质增生.继发改变中,骨赘形成18例,骨水肿15例,腱鞘炎4例,踝管综合征7例,腱鞘囊肿2例.5例健康志愿者均清楚显示跟距关节及毗邻结构.结论MRI可以对非骨性跟距骨联合做出明确诊断,并对引起的并发症做出准确评估.Objective To explore the assessment of MRI on nonosseous talocalcaneal coalition and complications produced.Methods A total of 18 patients with nonosseous talocalcaneal coalition and complications produced were collected,all of whom underwent MRI examination to analyze the characteristics of nonosseous talocalcaneal coalition and complications produced MRI and assess the secondary changes they cause.Meanwhile,MRI anatomy of calcaneus joint and adjacent structures in 5 healthy volunteers were observed.Results In 18 nonosseous talocalcaneal coalition cases,fibrous osseous union had 10 cases,cartilaginous osseous union had 8 cases.MRI was characterized by joint space narrowing at the joint,osteophytic hyperplasia of calcaneus tuberosity and medial talus tuberosity.In secondary changes,there were 18 cases of osteophyte formation,15 cases of bone edema,4 cases of tenosynovitis,7 cases of tarsal tunnel syndrome,and 2 cases of ganglion cyst.The calcaneus joint and adjacent structures were clearly visible in 5 healthy volunteers.Conclusion MRI can make a clear diagnosis on nonosseous talocalcaneal coalition,and make a precise assessment on complications produced.

关 键 词：跟距骨联合 踝管综合征 腱鞘囊肿 磁共振成像 

分 类 号：R68[医药卫生—骨科学]