He aha ka MRI o ke kuli ke ami hoi i hana ia e MRI o ke kuli?

Ke kukuli ke ami hoi i ka loa kūlana ma ke kanaka musculoskeletal nenoaiu. Ia mea ke kumu o kaʻike, a kukuli nā palapū - o ka maoli pilikia o Traumatology. Ka mea maikaʻi kukuli ami kiʻi 'ana i kūpono ua kuhiʻume mākenēki resonance kiʻi (MRI). Me ka mea e hiki diagnose i keʻano o nā palapū, e hoʻomaka ana me ka haehaeʻia ligaments a me ka loa fractures. He aha ka MRI o ke kuli? Pehea hana na scan NineManga.com? Ma keia mau mea e e hoʻokaʻina 'mai.

Anatomia o ke kuli ami

Kēia hui o ka nui i loko o ke kanaka kino. Iwi kukuli kumu - o ka femur a me ka tibia a me ka patella. Fibula mea i pili i ke ami. I ka ili o ka iwi ho okumu i hui, uhi me ka cartilage. Mahalo no ka mea, emi ke kū'ē ikaika, a ua lako pono nanea ana o ka neʻe.

Ma ka distal pauʻana o ka femur i mau condyle - kīloi paʻewa (lower) a me ka medial (nui). Ka mea, i ka poepoe shape. Condyles ma laila, a ma ka proximal hope o ka tibia. Ka mea, e kŘpa a palahalaha. Ma waena o ka penei kekahi surfaces i na menisci (ma waho a ma loko) - falcate cartilage. Ka mea, stabilize i ke kuli, hana i ke kūlana o ka hawewe absorber i loko o laila.

Ke kukuli ke ami hoi i kaʻawale kaula mau kaulike kona kumupaʻa:

• tibialis (medial) collateral;
• fibula (kīloi paʻewa) collateral;
• anterior cruciate;
• posterior cruciate.

Ke 'ole i ka loaʻa o ke kuli tendon. Mua e noonoo MRI o ke kuli hui, i hōʻike mai ia mea kumukuai 'ana i kumumanaʻo i loko o ka hapanui o na hihiaʻino i ka tendon o ka quadriceps nāʻiʻo. Kona wanaao ae no i ka manawa e contraction o na nāʻiʻo. I kekahi manawa, ua diagnosed nā palapū, a anuanu akea tendon iliotibialnogo'āpana. Kēia 'ole o ka ikaika kīloi paʻewa hōʻeuʻeu noaaeeecaoee o ke kuli ami.

Nāʻikepili no ka MRI

Poho i ka hale o ke kuli ana loa pinepine. Ke hoʻomalu i kuhikuhi alakai i kaʻeleu Aloha Hawaii a me ka hoʻokō ui kanaka imi. Prior i ka hoʻolako 'ia o ke kōkua i kauka lawe mai i ka MRI. Kēia mea he pololei a me ka ike loea iaoia no kaʻike, o likeʻole nā palapū.

Ma MRI o ke kuli, eia kekahi mau nāʻikepili. Mau nā:

• hiki poino e collateral a me ka cruciate ligaments;
• 'aʻe i ka pono o ka meniscus paha tendons;
• kēia fracture;
• eha ma ke kuli;
• hoakaka ike loaa ma radiography.

Contraindications i ke ao

"He aha e MRI o ke kuli hui a me ka wāwae?" - he ninau ia i ka pane i eʻimi,ʻaʻole nā kanaka, no ka mea, i kēia hana o kaʻike, ma laila nā contraindications:

• i ke alo o ka pacemaker (pacemaker), i ka hana o ka i hiki e wāwahiʻia ma muli o ia i ke ao;
• superimposed ma luna o nā ipu koko metala pakalōlō i hiki ke 'oni iki ma muli o ka ole o kaʻume mākenēki kahua;
• plight o ke ahonui;
• claustrophobia;
• ferromagnetic implants, no ka mea, o ka i huli mai,ʻaʻole he pololei kiʻi nānaina i ka hopena o ka hana noiʻi;
• hāpai keiki i no 12 pule.

Mai keia papa inoa mākou e hōʻike claustrophobia. Ua mea,ʻaʻole he piha aupuni contraindication. A hiki i ka hoike ana o ke ahonui o ka makau o ka paʻa, a hoopaaia lewa ana sedation paha anesthesia mea ole hohonu.

e mālama nei i ka noiʻi

Pehea i ka MRI o ke kuli - he wela kumuhana na kanaka, ka poe i hoonohoia ma keia ina hana. No laila, ma mua ana i nā hana MRI e hoomanawanui i kaumaha aku ai i kau ma luna o kūikawā kapa. Oe ke noho i loko o kā lākou mau mea, ina ka mea, i ole metala pihi, zippers. Ma mua o ka mea like, e hoi pono e wehe a pau Jewelry, nā maka aniani, kiaʻi, e lawe aku oe, mai kaʻekeʻeke o ki, ke kelepona hele.

Kaʻimiʻana ua hana ia me ka hoʻomanawanui supine. Nā wāwae e hoonoho iho i loko o ka mea kani. Iloko o ke ao i ka pōʻino, ua make wāwae i loko o ka Radio alapine (frequency)'ōwili hao. Healthy lala ka laua ia ia. Ma lalo o ka noiʻi 'ana wāwae ua puni iho la he uuku lole wili. He mea pono no i ka mea maikaʻi visualization o ka cruciate ligament.

Inā he mea i hoʻohuoiʻia no ke alo o kaʻeho, laila, hana i ka Akä naÿe MRI. Ma mua o hoao i loko o ke aa koko o ka hoomanawanui ua lawelawe iho la no ke kupaianaha waiwai. He mea pono i ka hōʻoia 'ana i ke kuli MRI hoike i kaʻeho.

MRI'anatomia o ke kuli ami

No ka mea pololeiʻike, mea nui i ka ike i ka MRI, e hōʻike i ke kuli mea maʻamau. Eia ka hōʻike o ka papa kuhikuhiE eiiiiiaiou o ke kuli.

1. Ma ka maʻamau anterior cruciate ligament ma T2-T1 a me VI-VI nana e like 'oleʻeleʻele me ka homogenous haʻahaʻa hoailona pinepine'. Posterior cruciate ligament i loko o nā kiʻi loaa ma MRI, ka mea, ua visualized i loko o ka palapala o ka pono-i ho'ākāka 'homogeneousʻeleʻele kaula.
2. Tibial a fibular collateral ligament maʻamau i ma T2-T1 a me VI-VI homogeneous haʻahaʻa pinepine 'neaiaea.
3. Normal menisci ma T2-T1 a me VI-VI visualized like homogeneously hypointense kanu'ōiwi (mai iʻeleʻele) me kikowaena nā aʻalolo laulau a me nā ipu koko. Nā contours o na menisci akaka, o ka ili honua, ua'ōlohelohe.
4. Tendons maʻamau loa haʻahaʻa hoʻomaopop 'ana i maika i. Ka mea, e hiki e mai haawi aku ia i nā kiʻi o ka wehe 'ia ma T1 a me T2.
5. Articular cartilage ua wehewehe aku ma ka haʻahaʻa hoailona pinepine 'ma T2-VI, a me ka awelika neaiae pinepine' ma T1-VI.

ligament poino

Ka loa, he pono ole nā palapū e ligament o ka anterior cruciate. MRI hōʻike i ke kuli ami ua poino keia 'ole? At wanaao ae māhuahua peahi pinepine 'i loko o ka ahui. Aia paha e kekahi discontinuity a kaawale o ka maʻamau neaiaea. Ka wā hou nā palapū huikau e MRI hualoaʻa infer i ke alo a kaawale o ka wanaao ae, no ka mea, i ka wa ligament poino piʻina ma ka nui (he ua haanou ana).

Eha collateral ligament paha ia i ka piha wanaao ae, he hapa waimaka a me ka intraligamentous nahā i. Inā e loaʻa ka poino tibial collateral ligament, a laila ia e e malama ai hanaʻia naʻe. Hoikeia mai'āpana hoomahuahua i ka peahi ana mai. Kēia ka mea hōʻike i ke kuli MRI i ka lā mua. A laila, i kēia mau wahi nalo muli o ke omo o ka oi loli i loko o ka puni'aʻaʻa eha.

Mai hemo mai fibular collateral ligament diagnosed, IeAUPIIe, IAa IO loa pohihihi keia. i hui ia nā palapū me ka nunui comminuted fractures o ka tibial condyle iwi poho a puni pahee nā'aʻaʻa.

poino i na menisci

No nā palapū no ka mea kuli i manaoia mau hale, e ia i ka loa informative kiʻi i loaa i loko o ka sagittal a me ka coronal Kekoa. E Loiloi i mea makemake MRI o ke kuli, a me kaʻike,, kauka e lohe i na kēia mau 'ano:

• meniscus ka nui;
• lākou hoʻonohonohoʻia, ano o ka neaiaea;
• mānoanoa a me ka hohonu o ka Hoʻololi 'neaiaea;
• IIeEeAIEUAA o loli i loko o ka meniscus.

E kuhikuhi i kekahi mau degere meniscus poho :

1. First ka papahelu - unexpressed kikowaena degeneration. I MRI loli i 'akomi i loko o ka meniscus. Ka mea, hoike mai hoʻokāʻoi neaiae pinepine '.
2. Lua o ka papahelu - he, he pono ole kikowaena degeneration. Loko o ka meniscus ua ana nui māhele o ka mahuahua neaiaea pinepine '.
3. Ke kolu o ka papahelu - haehaeia meniscus. Loko o ka meniscus hōʻike loa neaiae pinepine '. Ke contour o ke kūʻai '-articular la lakou lehulehu ana. I kekahi manawa, i ke kulana o ka meniscus koena ai.

poho i ka tendons

Hoʻokolokolo 'ana o ke kuli tendon ua hana i loko o ka sagittal a me ka iho Kekoa. Ka mua o kēia mau loli i visualized nui maopopo. ua hoopaa poino ina ke kēia MR hoailona 'akomi i ka waʻume mākenēki resonance kiʻi:

• effusion tendon wahi (ka excessive pane i ka overload) a edema peritendinoznoy ma synovial'aʻaʻa (i loko o ia mau wahi, kahi oleʻili lahilahi);
• ai hanaʻia naʻe a thinning o ka tendon;
• neaiae oko (me degenerative pathology o ke kikowaena tendon āpana Hahai I longitudinally radiance, wehewehe aku ma hyperintensive neaiaea ma T1-VI);
• piha tendon rupture (i kakau ai hanaʻia naʻe tendon hakina me ka hoololi neaiae pinepine 'a me ka wavy contour).

iwi fractures

Kekahi o ka loa e like me nā palapū - he hakina iwi i lilo i ke kuli ami. Inā oiaio fractures malama i ka laina emi o ka neaiaea me ka anaʻe o ka cortical iwi. I kekahi manawa, hoʻoneʻe koena ai. Ua hiki e hemarthrosis - kahe ana ke koko i loko o ka ami lua. He ma T1-kaumaha kiʻi hoike mai ai ia i ka oi neaiae hoʻohālikelike i ka serous loli.

Pakahi aku la ia noteworthy mau maʻi (lōʻihi-kū) fractures, no kekahi kanaka ma hope o ka loaa poino, mai imi 'oihana kōkua. No ka mea, e like me nā palapū wehewehe aku hypointense, nonuniform loli a me na hoailona o ka fibrous'aʻaʻa sclerosis a me medullary ka lewa.

He waiwai kona hoomaopopo ana a me ka contusion eha (paopao koke mai oia) iwi. He aha ke ano o ka MRI iho i loko o kēia mau hihia? Ma kēia mau nā palapū ana intraosseous kaupalena nani. Ua Ua wehewehe aku ma ka eiei? I ka nawaliwali hoailona kulu ma T1-kaumaha kiʻi a me ka mahuahua ana o kona pinepine 'ma T2-kaumaha kiʻi. Pathological neaiae hiki ke waiho waho no 3-10 mahina.

Ma ka hopena, e pono ke kūʻai 'ana i kumumanaʻo i ke kuli ami ua eha hou pinepine ana. Kekahi o ka mea maikaʻi kāu kiʻina hana no kaʻike, o kekahi mau lesions meaʻume mākenēki resonance kiʻi. Ua loaʻa paha kekahi mau pono. Mua, i kēia noiʻi ka loa informative. Ua apono '' Oihana e Loiloi i ka ano o ka iwi a me ka pahee nā'aʻaʻa. Ka lua, ka meaʻume mākenēki resonance kiʻi mea noho malie hoi no ka hoʻomanawanui iki mai (i loko o ka wa e kaawale aku o contraindications). 'O kēia ke kumu ka ia MRI o ka iho no nā keiki a me nā mākua.