资源描述：
《膝关节和肩关节的MRI解剖.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、JamesY.SongMSIVGillianLieberman,MDNovember2002MRIAnatomyoftheKneeandShoulderJamesY.Song,UCSanFranciscoMSIVGillianLiebermanMDJamesY.SongMSIVGillianLieberman,MDAgenda•KneeSagittal,CoronalFSEPDLigamentous(ACL,PCL,MCL,LCL)andmeniscalinjury•ShoulderSagittal,CoronalT2WIShoulderimpingementclassificati
2、on2JamesY.SongMSIVGillianLieberman,MDAnatomy:KneeSagittalplantarispatellararticulargastroc(m)cartilagelaterallateralmeniscusmeniscus(ant.horn)(post.horn)infrapatellartibia,fatpadarticularPG(l)cartilageStibialisposteriorBIDMC20023JamesY.SongMSIVGillianLieberman,MDAnatomy:KneeCoronalvastuslateral
3、ispopliteala+v.bicepsfemorisiliotibialtractgastroc.(lateral)gastroc.(medial)ACLPCLMCLtendonofsartoriousperoneuslongusBIDMC20024JamesY.SongMSIVGillianLieberman,MDAnteriorCruciateLigament•FunctionalAnatomyIntra-articular,extra-synovial,extendsfromanteriortibiatotoinnerportionoflateralfemoralcondy
4、leLimitsanteriortranslationoftibia,hyperextension,internalrotation•MechanismofInjuryExternalrotationandabductionw/hyperextension,directforwarddisplacementoftibia,internalrotationw/fullyextendedkneeCanoccurinconjunctionw/meniscaltears(41-68%),injuryofothercollateralligaments,osteochondralorcompr
5、essionfractures5JamesY.SongMSIVGillianLieberman,MDMRICriteriaforACLruptureCompleteRuptureDIRECTSIGNS:-completefiberdisruption-abnormalcourseofcruciateligament-intracapsularpseudomassinpositionofACLINDIRECTSIGNS:-acuteangulationofPCL-drawerphenomenon-”kissingcontusions”6JamesY.SongMSIVGillianLie
6、berman,MDMRICriteriaforACLRuptureIncompleteRupture-thinningofACL<10mm-periligamentouspseudomassinpresenceofintactfibers-increasedintraligamentoussignalwithremnantsofintactfibers7JamesY.SongMSIVGillianLieberman,MDACLTearSagittalPDSagittalT2WIGrafetal.Am.J.Sports.Med.1993;21(2):220-3.8JamesY.Song
7、MSIVGillianLieberman,MDPostCruciateLigament•FunctionalAnatomyExtendsfromposteriortibiatoinneraspectofmedialfemoralcondyleLimitsanteriortranslationoffemur,stabilizeskneeinextension•MechanismofInjuryIsolatedtearsecondarytofallonflex
