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1.
2.
The aim of the study was to identify the striated muscle forces hypothesized to assist bladder neck opening and closure in
females. Cadaveric dissection was used to identify the levator plate (LP), the anterior portion of pubococcygeus muscle (PCM),
the longitudinal muscle of the anus (LMA), and their relation to the bladder, vagina and rectum. X-ray video recordings were
made during coughing, straining, squeezing and micturition in a group of 20 incontinent patients and 4 controls, along with
surface EMG, urethral pressure and digital palpation studies. During effort, urethral closure appeared to be activated by
a forward muscle force corresponding to PCM, and bladder neck closure by backward muscle forces corresponding to LP and LMA.
During micturition the PCM force appeared to relax, allowing LP and LMA to pull open the outflow tract. The data appear to
support the hypothesis of specific directional muscle forces stretching the vagina to assist bladder neck opening and closure. 相似文献
3.
The objectives of this study were to compare the ability of T1-weighted (T1W), proton density/T2-weighted (PD/T2W), and fat saturation (FS) PD/T2W magnetic resonance (MR) sequences for depiction of the knee collateral ligaments and related injuries, and to compare MR findings with clinical findings. Ten subjects with normal knee ligaments and 64 patients with suspected collateral ligament injuries underwent coronal T1W, PD/T2W, and FS PD/T2W imaging. Abnormalities ranged from edema surrounding the collateral ligaments (grade I) to complete disruption of ligamentous fibers (grade III). FS PD/T2W images improved definition of the medial collateral ligament (MCL) and lateral collateral ligament (LCL) compared with other sequences in 78% and 81% of patients, respectively. While the apparent grade of collateral ligament injury was similar with all pulse sequences in most patients, depiction of such injury was usually most conspicuous on FS PD/T2W images (MCL, 92% of patients; LCL, 38% of patients). In no patients were clinically diagnosed collateral ligament injuries undetected or understaged with MR imaging. MR findings indicated higher-grade MCL and LCL injuries than did clinical examination in 24 and 15 patients, respectively. 相似文献
4.
Axel Stäbler M.D. Richard G. H. Baumeister M.D. Ulrike Szeimies Ulrich Fink M.D. Hermann Berger M.D. 《Skeletal radiology》1994,23(2):103-106
Post-traumatic ulnar carpal translocation is a rare, severe ligamentous injury to the wrist. Radiologic findings include widening of the radiocarpal joint space at the radial styloid process and ulnar displacement of the carpus. Less than 50% of the lunate articulates with the radius in the neutral position; the lunate is tilted dorsally with palmar subluxation due to a ruptured radioscapholunate (RSL) ligament. This malposition should be called rotatory palmar subluxation of the lunate (RPSL), by analogy to rotatory subluxation of the scaphoid (RSS). In contrast to dorsiflexed intercalated segment instability (DISI), in RPSL the RSL ligament is ruptured and, in the majority of cases, the scapholunate ligament remains intact. A prompt diagnosis should lead to successful treatment. 相似文献
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自1999年12月-2004年2月采用切开复位张力带内固定治疗后交叉韧带胫止点撕脱骨折18例,术后骨折愈合良好,关节功能满意,现介绍如下。 相似文献
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9.
Higueras Guerrero V Torregrosa Andrés A Martí-Bonmatí L Casillas C Sanfeliu M 《European radiology》1999,9(9):1796-1799
The aim of this study was to assess the accuracy of MR in the diagnosis of synovialisation of the anterior cruciate ligament
(ACL) compared with arthroscopy. One hundred and forty-nine patients were examined with MR imaging and arthroscopy of the
knee. The MR sign used to consider a synovialised ACL consisted of hypointense fibrillar tracts, disrupted and wavily, in
its expected course. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV), comparison
of proportions (McNemar test) and Kappa values for agreement between MR imaging and arthroscopy were calculated. Of the 133
(89.3 %) ligaments without synovialisation at arthroscopy, 130 accorded with the MR results. Of the 16 (10.7 %) synovialised
ligaments, 13 accorded with the MR results. Three false-positive and three false-negative MR diagnoses were identified. The
agreement between both techniques was excellent (Kappa = 0.79; p = 0.000), without differences (McNemar test; p = 1). Sensitivity was 0.81, specificity 0.98, PPV 0.98 and NPV 0.81. Magnetic resonance imaging is highly reliability for
synovialisation diagnosis. The imaging sign used to diagnose synovialised ACL (hypointense comma-like tracts in its expected
course) is reliable. As this reparative process can simulate an intact ligament, knowledge of this sign is important in diagnosing
synovialisation of ACL tears so as not to confuse it with normal ACL.
Received: 17 June 1998; Accepted: 6 August 1998 相似文献
10.
Objective. To report the sign of ”spinolaminar breach” and its likely importance in fractures of the cervical spinous processes.
Design. Six cases of spinous process fractures demonstrating disruption of the spinolaminar line or ”spinolaminar breach” were analyzed.
Lateral and anteroposterior radiographs (n=6), CT scans (n=3) and MRI scans (n=1) were reviewed together by the authors, with consensus being reached as to the radiographic findings. Clinical records
were also reviewed.
Results. The levels of injury were C6 (n=5) and C5 (n=2). Injuries were associated with delayed anterior subluxation (n=4) and neurological deficit (n=2). Five patients were male and one was female with a mean age of 31 years (range 8–59 years). Injuries resulted from motor
vehicle accidents (n=4), a motor cycle accident (n=1) and a fall (n=1).
Conclusion. ”Spinolaminar breach”, or disruption of the spinolaminar line, indicates a complex spinous process fracture with extension
into the lamina and spinal canal. Spinous process fractures with spinolaminar breach may have associated posterior ligamentous
injury with potential for delayed instability and neurological deficit. It is important that radiologists and physicians caring
for the trauma patient be aware of this sign in order to avoid misdiagnosis as a ”clay shoveler’s fracture”, which can lead
to adverse outcome.
Received: 20 July 1999 Revision requested: 14 September 1999 Revision received: 13 October 1999 Accepted: 26 October 1999 相似文献