膝关节髌内侧滑膜皱襞综合征的MRI诊断价值
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摘要
目的 :探讨膝关节髌内侧滑膜皱襞的解剖及滑膜皱襞综合征的MRI表现,并与关节镜对照,为临床提供诊断依据。方法:选取关节镜术后证实为髌内侧滑膜皱襞的患者74例,术前行MRI表现,并与关节镜对照。结果:MRI诊断髌内侧滑膜皱襞的灵敏度为88.5%,特异度为95.4%,阳性预测值为95.8%,阴性预测值为76.9%。与关节镜对比,一致性检验结果 Kappa值>0.75。结论:MRI诊断髌内侧滑膜皱襞与关节镜具有较高一致性,对膝关节髌内侧滑膜皱襞的诊断和分型具有重要价值。
Objective:Discussing the anatomy of mediopatellar plica of knee and the MRI performance of plica syndrome,and comparing with arthroscopy,to provide morphological basis for clinical diagnosis. Methods:Collecting 74 cases were found medial synovial plica symptom confirmed by arthroscopy. The MRI features were retrospectively analyzed and compared with arthroscopy findings. Results:The sensitivity of MRI diagnosis in knee joint mediopatellar plica was 88.5%,specificity was95.4%,positive predictive value was 95.8%,negative predictive value was 76.9%. The Results were compared with those of arthroscopy,Kappa value was more than 0.75. Conclusion:There is a good consistency between MRI and arthroscopy for diagnosis of medial patellar plica of knee,and it has important value in diagnosis and classification of mediopatellar plica of knee.
Objective:Discussing the anatomy of mediopatellar plica of knee and the MRI performance of plica syndrome,and comparing with arthroscopy,to provide morphological basis for clinical diagnosis. Methods:Collecting 74 cases were found medial synovial plica symptom confirmed by arthroscopy. The MRI features were retrospectively analyzed and compared with arthroscopy findings. Results:The sensitivity of MRI diagnosis in knee joint mediopatellar plica was 88.5%,specificity was95.4%,positive predictive value was 95.8%,negative predictive value was 76.9%. The Results were compared with those of arthroscopy,Kappa value was more than 0.75. Conclusion:There is a good consistency between MRI and arthroscopy for diagnosis of medial patellar plica of knee,and it has important value in diagnosis and classification of mediopatellar plica of knee.
引文
[1]Fulkerson JP,Arendt EA.Anterior knee pain in females[J].Clin Orthop Relat Res,2000,372:69-73.
[2]Gagliardi JA,Chung EM,Chandnani VP,et al.Detection and staging of the chondromalacia patellar:relative efficacies of conventional MR imaging,MR arthrography,and CT arthrography[J].AJR Am J Roentgenol,1994,163:629-636.
[3]Garcia-Valtuille R,Abascal F,Cerezal L,et al.Anatomy and MR imaging appearances of synovial plica of the knee[J].Radiographics,2002,22:775-784.
[4]Boles CA,Butler J,Lee JA,et al.Magnetic Resonance characteristics of medial plica of the knee:correlation with arthroscopic resection[J].J Comput Assist Tomogr,2004,28:397-401.
[5]王秀莲,董天祥,沈素华.滑膜皱襞综合征的诊断与治疗[J].中华骨科杂志,1994,14(7):413-415.
[6]王永明,史晨辉,李宽新,等.膝关节症状性滑膜皱襞与骨性关节炎[J].中国内镜杂志,2004,10(10):60-62.
[7]Bumbasirevic M,Lesic A,Bumbasirevic V.Anterior knee pain[J].Orthop Trauma,2010,24:53-62.
[8]Matsusue Y,Ueo T,Yamamuro T.Arthroscopic resection of the shelf(mediopatellar plica)in the knee under local anesthesia in outpatient clinic[J].Nihon Geka Hokan,1991,60:176-183.
[9]Sakakibara J.Arthroscopic study on lino’s band(plica synovialis mediopatellaris)[J].Jap Orthop Assoc,1976,50:513-522.
[10]Christoforakis JJ,Sanchez-Ballester J,Hunt N,et al.Synovial shelves of the knee:association with chondral lesions[J].Knee Surgery,Sports Traumatology,Arthroscopy,2006,14:1292-1298.
[11]李勇,王奎友,孙忠霞,等.膝关节镜诊治滑膜皱襞综合征[J].中国骨伤,2004,17(7):442.
[12]林涛,吴丽芳,郭艳幸,等.医用臭氧联合中药薰洗治疗滑膜皱襞综合征30例[J].中国中医骨伤科杂志,2014,22(6):32-34.
[2]Gagliardi JA,Chung EM,Chandnani VP,et al.Detection and staging of the chondromalacia patellar:relative efficacies of conventional MR imaging,MR arthrography,and CT arthrography[J].AJR Am J Roentgenol,1994,163:629-636.
[3]Garcia-Valtuille R,Abascal F,Cerezal L,et al.Anatomy and MR imaging appearances of synovial plica of the knee[J].Radiographics,2002,22:775-784.
[4]Boles CA,Butler J,Lee JA,et al.Magnetic Resonance characteristics of medial plica of the knee:correlation with arthroscopic resection[J].J Comput Assist Tomogr,2004,28:397-401.
[5]王秀莲,董天祥,沈素华.滑膜皱襞综合征的诊断与治疗[J].中华骨科杂志,1994,14(7):413-415.
[6]王永明,史晨辉,李宽新,等.膝关节症状性滑膜皱襞与骨性关节炎[J].中国内镜杂志,2004,10(10):60-62.
[7]Bumbasirevic M,Lesic A,Bumbasirevic V.Anterior knee pain[J].Orthop Trauma,2010,24:53-62.
[8]Matsusue Y,Ueo T,Yamamuro T.Arthroscopic resection of the shelf(mediopatellar plica)in the knee under local anesthesia in outpatient clinic[J].Nihon Geka Hokan,1991,60:176-183.
[9]Sakakibara J.Arthroscopic study on lino’s band(plica synovialis mediopatellaris)[J].Jap Orthop Assoc,1976,50:513-522.
[10]Christoforakis JJ,Sanchez-Ballester J,Hunt N,et al.Synovial shelves of the knee:association with chondral lesions[J].Knee Surgery,Sports Traumatology,Arthroscopy,2006,14:1292-1298.
[11]李勇,王奎友,孙忠霞,等.膝关节镜诊治滑膜皱襞综合征[J].中国骨伤,2004,17(7):442.
[12]林涛,吴丽芳,郭艳幸,等.医用臭氧联合中药薰洗治疗滑膜皱襞综合征30例[J].中国中医骨伤科杂志,2014,22(6):32-34.