偶然的三角形纤维软骨复杂变化在手腕MRI上
Lilah Fones1, Alexis Kasper1, Molly Milano1
1Thomas Jefferson University, Philadelphia, PA, USA.
概括
无症状的三角纤维软骨复合体 (TFCC) 变化在手腕MRI上很常见,在44%的没有侧疼痛的患者中发现. 总是将MRI发现与患者的症状相关联,以避免误诊.
科学领域:
- 整形外科成像 整形外科成像
- 放射学 放射学是一门学科.
- 肌肉骨系统 运动器官系统
背景情况:
- 在手腕MRI上发生的三角纤维软骨复合体 (TFCC) 变化可以在没有症状的情况下发生.
- 这项研究调查了无症状TFCC变化的患病率.
研究的目的:
- 为了确定无症状TFCC变化的速度,在接受手腕MRI治疗非侧手腕疼痛的患者中.
- 为了将这一率与患有侧手腕疼痛的患者进行比较.
主要方法:
- 对132例手腕MRI病例 (CPT代码73221) 的回顾性审查.
- 对人口统计,症状,检查,创伤和MRI发现的分析.
- 主要队列 (非腰椎侧面疼痛) 和对照组 (腰椎侧面疼痛) 的比较.
主要成果:
- 44%没有腰侧手腕疼痛的患者在MRI上显示异常的TFCC.
- 异常的TFCC发现与年龄较大有关.
- 80%的侧手腕疼痛患者在MRI上有异常的TFCC.
结论:
- 在无症状个体中,MRI上的异常TFCC发现很常见.
- 与患者症状的临床相关性对于准确诊断至关重要.
- 患者应被告知,手腕MRI中偶然发现TFCC的可能性很高.
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