肩关节米粒体性滑囊炎的MRI表现及诊断价值
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摘要
目的探讨肩关节米粒体性滑囊炎的MRI表现及其诊断价值。方法收集肩关节米粒体性滑囊炎3例,总结其MRI表现,并结合文献复习进行分析。结果肩关节米粒体性滑囊炎MRI表现为肿胀、增厚的滑膜囊内少许长T2、长T1信号积液,并弥漫分布多个大小不等T2WI低信号结节灶,其边界清楚,T1WI序列不能显示滑膜囊内结节灶。结论 T2WI序列增厚、肿胀的滑膜囊内弥漫分布大小不等低信号结节灶为肩关节米粒体性滑囊炎的特征性表现,MRI对本病有较高的诊断价值及辨识度,应作为首选检查方法及术后随访的主要手段。
引文
[1]周昆鹏,杨光,李叔强等.肩峰下滑囊炎伴米粒体形成1例[J].中国修复重建外科杂志, 2015,29(6):792.
[2] Forse CL, Mucha BL, Santos ML, et al. Rice body formation without rheumatic disease or tuberculosis infection:a case report and literature review[J]. Clin Rheumatol, 2012, 31(12):1753-1756.
[3] Popert AJ, Scott DL, Wainwright AC, et al. Frequency of occurrence, mode of development, and significance or rice bodies in rheumatoid joints[J]. Ann Rheum Dis, 1982, 41(2):109-117.
[4] Uludag S, Seyahi A, Ege Y, et al. Rice body mass formation mimicking a neoplastic disease around the trochanteric bursae of the hip[J]. Acta Orthop Traumatol Turc, 2010, 44(6):492-495.
[5] Tyllianakis M, Kasimatis G, Athanaselis S, et al. Rice-body formation and tenosynovitis of the wrist:a case report[J]. J Orthop Surg(Hong Kong), 2006, 14(2):208-211.
[6] Tan CH, Rai SB, Chandy J. MRI appearances of multiple rice body formation in chronic subacromial and subdeltoid bursitis, in association with synovial chondromatosis[J]. Clin Radiol, 2004,59(8):753-757.
[7] Spence LD, Adams J, Gibbons D, et al. Rice body formation in bicipito-radial bursitis:ultrasound, CT, and MRI findings[J].Skeletal Radiol, 1998, 27(1):30-32.
[8]赵霞,王宁,苑乐.米粒体滑囊炎的MRI表现[J].中国中西医结合影像学杂志, 2017, 15(6):729-730.
[9]张博,任世祥,林源,等.关节镜治疗肩峰下滑囊米粒体形成伴肩袖损伤1例[J].中国修复重建外科杂志, 2015,29(4):527.
[10]徐建军. CT磁共振成像诊断滑膜骨软骨瘤病临床应用分析[J].中国伤残医学, 2014, 22(8):182-183.
[11]倪广峰,李骞昊.滑膜骨软骨瘤病的CT及MRI对比分析[J].现代医用影像学, 2015, 24(5):837-838.
[12]毕立军,杨萍,侯印西,等.滑膜骨软骨瘤病的影像学分析[J].宁夏医科大学学报, 2012, 34(3):299-301,318.
[13]谭源满,吴艳,叶思婷,等.色素沉着绒毛结节性滑膜炎与腱鞘巨细胞瘤的MRI诊断[J].医学影像学杂志, 2017(1):125-127, 157.
[14]范胜坤.色素沉着绒毛结节性滑膜炎的影像学表现[J].当代医学, 2010, 16(24):101-102.
[15]徐顺利,吕翔.大型肩峰下三角肌下滑囊炎伴米粒体形成的手术治疗中国[J].修复重建外科杂志, 2017, 31(7):896.
[16]葛冠男,钱军.关节镜手术治疗5例肩关节米粒体性滑囊炎[J].中华骨与关节外科杂志, 2017, 10(3):212-215.
[2] Forse CL, Mucha BL, Santos ML, et al. Rice body formation without rheumatic disease or tuberculosis infection:a case report and literature review[J]. Clin Rheumatol, 2012, 31(12):1753-1756.
[3] Popert AJ, Scott DL, Wainwright AC, et al. Frequency of occurrence, mode of development, and significance or rice bodies in rheumatoid joints[J]. Ann Rheum Dis, 1982, 41(2):109-117.
[4] Uludag S, Seyahi A, Ege Y, et al. Rice body mass formation mimicking a neoplastic disease around the trochanteric bursae of the hip[J]. Acta Orthop Traumatol Turc, 2010, 44(6):492-495.
[5] Tyllianakis M, Kasimatis G, Athanaselis S, et al. Rice-body formation and tenosynovitis of the wrist:a case report[J]. J Orthop Surg(Hong Kong), 2006, 14(2):208-211.
[6] Tan CH, Rai SB, Chandy J. MRI appearances of multiple rice body formation in chronic subacromial and subdeltoid bursitis, in association with synovial chondromatosis[J]. Clin Radiol, 2004,59(8):753-757.
[7] Spence LD, Adams J, Gibbons D, et al. Rice body formation in bicipito-radial bursitis:ultrasound, CT, and MRI findings[J].Skeletal Radiol, 1998, 27(1):30-32.
[8]赵霞,王宁,苑乐.米粒体滑囊炎的MRI表现[J].中国中西医结合影像学杂志, 2017, 15(6):729-730.
[9]张博,任世祥,林源,等.关节镜治疗肩峰下滑囊米粒体形成伴肩袖损伤1例[J].中国修复重建外科杂志, 2015,29(4):527.
[10]徐建军. CT磁共振成像诊断滑膜骨软骨瘤病临床应用分析[J].中国伤残医学, 2014, 22(8):182-183.
[11]倪广峰,李骞昊.滑膜骨软骨瘤病的CT及MRI对比分析[J].现代医用影像学, 2015, 24(5):837-838.
[12]毕立军,杨萍,侯印西,等.滑膜骨软骨瘤病的影像学分析[J].宁夏医科大学学报, 2012, 34(3):299-301,318.
[13]谭源满,吴艳,叶思婷,等.色素沉着绒毛结节性滑膜炎与腱鞘巨细胞瘤的MRI诊断[J].医学影像学杂志, 2017(1):125-127, 157.
[14]范胜坤.色素沉着绒毛结节性滑膜炎的影像学表现[J].当代医学, 2010, 16(24):101-102.
[15]徐顺利,吕翔.大型肩峰下三角肌下滑囊炎伴米粒体形成的手术治疗中国[J].修复重建外科杂志, 2017, 31(7):896.
[16]葛冠男,钱军.关节镜手术治疗5例肩关节米粒体性滑囊炎[J].中华骨与关节外科杂志, 2017, 10(3):212-215.