儿童膝关节的成像检查
Carlos Yaya-Quezada1, Lewis Fanney1,2, Vandan Patel1,3,4
1Section of Musculoskeletal Imaging, Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Seminars in musculoskeletal radiology
|July 29, 2024
概括
膝盖的正常发育可以呈现出模仿病理的成像发现. 本综述详细介绍了未成熟膝关节的发育变异,将正常发现与易受伤害的情况区分开来.
科学领域:
- 儿科放射学 儿科放射学
- 整形外科成像 整形外科成像
- 骨的发育 骨的发育
背景情况:
- 不成熟的膝盖成像发现可以模仿病理或表明弱点区域.
- 了解正常发育变异对于儿科患者的准确诊断至关重要.
- 年龄和骨成熟显著影响膝关节成像的外观.
研究的目的:
- 为了审查未成熟的膝关节关节的发育解剖学.
- 概述年龄和成熟度相关的成像考虑因素.
- 描述各种发育变异及其与病理学的差异化.
主要方法:
- 对未成熟膝关节的发育解剖学和成像特征的审查.
- 根据解剖学部位对变异的分类:小腿骨,腿骨,软组织和骨部件.
- 对常见成像模拟的差异诊断的讨论.
主要成果:
- 详细描述骨变异 (例如,FOPE,骨化变异,甲基细胞不规则).
- 骨关节变异的解释 (例如,部分骨,背侧缺陷,过度使用综合征,突破骨折).
- 软组织 (例如, discoid 阴茎,ACL 变体) 和骨质变体 (例如, fabella,阴茎骨头) 的审查.
结论:
- 识别未成熟膝关节的正常发育变异对于避免误诊至关重要.
- 将发育变异与真正的病理区分开来,可以确保适当的患者管理.
- 本综述为解释复杂的儿科膝盖成像发现提供了一个框架.
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