MRI评估膝关节前外侧韧带损伤的价值研究  

The Value of MRI in Evaluating Anterior Lateral Ligament Injury of the Knee Joint

作　　者：姜昱林 邓进 田智勇[1] 陈晓英 ZHOU Jing JIANG Yu-Lin;DENG Jin;TIAN Zhi-yong;CHEN Xiao-Ying;ZHOU Jing(Department of Bone and Joint Surgery,the Fourth People's Hospital of Guiyang,Guiyang 550002,Guizhou Province,China;The Affiliated Hospital of Guizhou Medical University,Guiyang 550000,Guizhou Province,China;Department of Orthopedics and Traumatology,Yibin Hospital of T.C.M,Yibin 644007,Sichuan Province,China;不详)

机构地区：[1]贵阳市第四人民医院骨关节外科,贵州贵阳550002 [2]贵州医科大学附属医院,贵州贵阳550000 [3]宜宾市中医院骨伤科,四川宜宾644007 [4]不详

出　　处：《中国CT和MRI杂志》2025年第1期165-167,共3页Chinese Journal of CT and MRI

基　　金：2020年四川省中医药管理局科学技术研究专项课题——高能量激光生物刺激穴位治疗膝骨关节炎的临床疗效研究(2020LC0238)。

摘　　要：目的 探讨膝关节前交叉韧带(ACL)撕裂的前外侧韧带(ALL)在超声和M RI上的病理表现。方法 这项前瞻性研究包括30名疑似急性前交叉韧带撕裂的患者。分别对伤侧和健侧膝关节进行X线片、US和MRI检查。两名放射科医生在MRI和US检查中对ALL进行了评估,并kappa评估这些检查者的发现之间的一致性。结果 超声检查发现ALL受损率为63%(19/30;k=0.93)。50%的病例(15/30;k=1)出现了末端撕裂,所有病例的撕裂都位于胫骨附着处。MRI检查发现ALL受损率为53%(16/30;k=0.93)。13%的病例(4/30;k=0.76)出现末端撕裂,所有病例的撕裂均位于胫骨附着处(k=0.93)。结论前交叉韧带撕裂伤多发生在胫骨末端。它们通常与末端的骨撕脱有关,在US上看起来更好。Objective To explore the pathological manifestations of anterior lateral ligament(ALL)in anterior cruciate ligament(ACL)tear of the knee joint on ultrasound and MRI.Methods This prospective study included 30 patients suspected of acute anterior cruciate ligament tear.Perform X-ray,US,and MRI examinations on the injured and healthy knee joints respectively.Two radiologists evaluated ALL in MRI and US examinations,and kappa assessed the consistency between the findings of these exa miners.Results Ultrasound examination revealed a damage rate of 63%(19/30;k=0.93)in ALL.50%of cases(15/30;k=1)experienced distal tearing,and all cases had tears located at the attachment of the tibia.MRI examination revealed a damage rate of 53%(16/30;k=0.93)in ALL.13%of cases(4/30;k=0.76)experienced distal tearing,and all cases had tears located at the attachment of the tibia(k=0.93).Conclusion Anterior cruciate ligament tea rs often occur at the end of the tibia.They a re usually associated with bone avulsion at the end and appear better on the US.

关 键 词：膝关节前交叉韧带 前外側韧带 超声 MRI 

分 类 号：R445.1[医药卫生—影像医学与核医学]