摘要
目的 通过磁共振检查观测不 同屈膝角度下半月板的运动及形态学改 变,以期获取准确、完整的数据及变 化规律。方法 健康志愿者34名行膝关 节MRI扫描,每个关节行伸直位和屈膝 30°、60°三个体位检查,利用MR容积 数据进行MPR重建,测量半月板外周缘在 不同体位下的位置和高度改变并进行统 计学处理。结果 随着屈膝角度的增大, 半月板的移动距离和高度有不同程度的 增加,移动距离多为外侧半月板大于内 侧(P<0.05),半月板前角大于后角。 半月板前后角均向后移位、体部向外侧 移位,从1st至3rd,移动距离呈下降趋 势,从4th至7th,半月板移动距离为负 值,移动方向为远离半月板中心。结论 不同角度屈膝位MRI扫描以无创而简便的 方法显示半月板的运动和形态学改变, 为更好地认识半月板疾病和半月板移植 提供客观依据。
Objective To evaluate movement and morphologic change of the meniscal at different flexion angle of the knee by performing MRI scanning in human subjects, so as to obtain accurate and comprehensive data and the rule of the individual variation. Methods Thirty-four healthy knees from volunteers were examined by MRI,The knees were imaged with the knee flexed in different angle (0°, 30°, 60°) with a 3-dimemsional multil-data imaging being processed, the meniscal migration and height change were measured. Results The migration and the height change of the meniscus increased with the knee flexed. Posterior motion of lateral meniscus was greater than medial meniscus mostly, greater in the anterior horn than in the posterior horn (P<0.05). Both of the anterior and the posterior horns of the meniscus migrated posteriorly while the middle portion of the meniscus migrated laterally. There was a decrease in the migration from the 1st to 3rd, but negative values wereobserved from 4th to 7th with the direction being away from the meniscus. Conclusion It is a simple and non-invasive way that MRI scan of the knee at different degrees of flexion, demonstrating the kinematics and morphologic changes of the meniscus, providing better understanding of the meniscus diseases andobjective evidence for meniscus transplantation.
【关键词】膝关节;磁共振;半月板; 运动;形态学
【中图分类号】R684
【文献标识码】A
【DOI】 10.3969/j.issn.1672- 5131.2017.02.037
前言
半月板在承受载荷、吸收震荡、润滑和稳定关节等方面有着重要 作用。膝关节活动过程中,半月板随着膝关节胫骨和股骨移动,增加接 触面积和提供更加有效保护关节软骨作用。半月板能够发挥生理功能 必须保持正常的解剖形态和位置。目前的研究多集中在半月板损伤、 形态学测量等[1-2],针对屈膝过程中半月板的运动和形态学变化的研究 较少。本研究采集正常膝关节容积数据及进行三维重建,观测不同屈 膝角度半月板位置和形态的相对变化,以期获取准确、完整的数据及 变化规律,以供临床工作参考。
中国CT和MRI杂志
第15卷, 第 2 期
2017年02月
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