摘要
目的探讨疼痛性副舟骨的X线,CT及磁共振成像(MRI)征象.方法回顾性分析15例经临床、影像及手术诊断为疼痛性副舟骨的影像检查资料,并与30例无症状患者的影像资料对照分析.结果 X线及CT表现为副舟骨-舟骨联合间隙增宽1例,联合面下小点状低密度灶4例,9例联合面呈不规则锯齿状改变,6例副舟骨骨质硬化.2例副舟骨-舟骨联合周围软组织内小钙化灶.6例X线及CT未见明确异常征象,其余9例患者具有上述一个以上征象.MRI显示15例副舟骨-舟骨联合面两侧均有对称性斑片状骨水肿,其中4例副舟骨周围软组织水肿,5例伴有胫骨后肌腱病.30例阴性对照组无阳性发现.结论疼痛性副舟骨有比较典型的影像表现,结合临床症状能够准确地进行诊断.
Objective To investigate the X-ray, CT and MRI findings of painful navicular bone. Methods The X-ray,CT and MRI characteristics of 15 cases with clinical, surgeries and images proved painful accessory navicular bone were retrospectively analyzed, comparing with another 30 asymptomatic cases. Results X-ray and CT showed synchondrosis widening in 1 of 15 cases,irregular serrated changes in 9 of 15 cases, small point-like low-density lesions under synchondrosis surfacein 4 of 15 cases and 6 of 15 cases presented osteosclerosis in accessory navicular bone. Small focal calcification in surrounding soft tissue can be found in 2 of 15 cases. 6 of 15 cases showed no abnormal signs on X-ray and CT, and the remaining 9 of 15 patients had more than one of the above signs.There was symmetrical patchy bone edema on both sides of the synchondrosis on MRI in all cases, and 4 of them had surrounding soft tissue edema. Five of 15 cases combined with retrotibial tendinopathy.No positive findings were found in the negative control group. Conclusion The painful accessory navicular bone had typical imaging performances, which couldbe accurately diagnosed in combination with clinical symptoms.
作者
白爱国
朱学敏
肖靖
邢泽竞
Bai Aiguo;Zhu Xuemin;Xiao Jing;Xing Zejing(Departmerit of Imaging,Shanghai Guolong Hospital,Shanghai 201318,China)
出处
《实用医学影像杂志》
2019年第4期374-376,共3页
Journal of Practical Medical Imaging
关键词
舟骨
疼痛
X线
体层摄影术
X线计算机
磁共振成像
Scaphoid bone
Pain
X-rays
Tomography,X-ray computed
Magnetic resonance imaging
