肩关节磁共振诊断课件.ppt

肩关节磁共振诊断;肩关节磁共振诊断;MR扫描技术;;;正常骨性出口;肩峰形态;肩峰形态;肩峰下倾;骨性肩峰发育异常（轴位）;骨性肩峰发育（矢状面）;骨性肩峰;肩峰骨赘形成;肩峰;喙肩关节;喙突碰撞;肩袖;肩袖（矢状面）;肩袖（矢状面）;肩袖（轴位）;肩袖（轴位）

RotatorCuff(AxialPlane);肩袖（冠状面）;肩袖病变;肌腱病变;关节囊部分撕裂（关节面）

PartialThicknessTear(Articular);部分撕裂（关节囊面）

PartialThicknessTear(Bursal);肩袖部分撕裂（肌腱内型）

PartialThicknessTear(Interstitial);肩袖肌间囊肿

IntramuscularCystRotatorCuff;肌间囊肿IntramuscularCystRotatorCuff;全层撕裂FullThicknessTear;-FluidSignalwithinSST

冈上肌腱内出现液性信号;-GadArthrogram:DemonstratesFullThicknessTear

-肩关节造影：显示全层撕裂;-IntermediateT1-Signal

-T1W中等信号;完全撕裂CompleteTear

特征：肌肉肌腱回缩Musculotendinousretraction;脂肪增厚FattyAtrophy;-Normalmusclebulk

-正常冈上肌;钙化性肌腱炎CalcificTendonitis;肩袖病变

RotatorCuffPathology;关节囊结构和盂唇

CapsularStructuresandLabrum;Bankart病变

BankartLesion;-SubtleLesionsBestDemonstratedonMRArthrography

-MR肩关节造影能更好的显示盂唇微小病变;HillSach病变

HillSachsLesion;SLAP病

SLAPTears;肩关节表面和骨性结构

OsseousStructuresandArticularSurfaces;红骨髓变HematopoieticMarrow;皮质下囊变SubcorticalCysticChange;创伤Trauma;肱骨头无菌性坏死AVN;非特异性骨髓信号异常

NonspecificMarrowSignal;肿瘤Tumor;关节软骨ArticularCartilage;肱二头肌病变

BicepsTendon;肱二头肌病变

BicepsTendon;肱二头肌病变

BicepsTendon;-Extra-articularBiceps:BestSeenonAxialImage

关节外肱二头肌腱：轴位显示最佳

-InBicipitalGroove;TransverseLigament

肌腱位于二头肌沟内，外有横韧带保护;肱二头肌腱脱位

BicepsTendonDislocation;-BicepsTendonIntra-articularDislocation:

肌腱关节内脱位：

SubscapularisTendonAvulsed

肩胛下肌腱撕脱;肱二头肌腱脱位

BicepsTendonDislocation;肱二头肌腱炎/撕裂

BicepsTendonitis/Tear;盂唇旁囊肿

ParalabralCyst;肩胛上神经卡压

SuprascapularNerveEntrapment;冈上肌/冈下肌去神经化

DenervationSupra/Infraspinatus;冈下去神经化

DenervationInfraspinatus;四边孔综合征

QuadrilateralSpaceSyndrome;-ChronicFattyAtrophyofTeresMinorandDeltoid

小圆肌和三角肌慢性萎缩和脂肪化

-HighSignalonT1Images

T1加权高信号表现;SystematicApproachtotheShoulder

肩关节读片要领;CapsuleandLabrum

LabralTear;Anterior;SLAP;Posterior

关节囊和盂唇

盂唇撕裂；前盂唇病变；SLAP；后盂唇病变

OsseousStructuresandArticularSurfaces

Trauma;Arthritis;Infection;Tumor

骨性结构和关节面

创伤；关节炎；感