膝关节半月板及其损伤的MRI研究

目的　研究正常和损伤的膝关节半月板的MRI表现。方法　对经手术、关节镜或临床证实的 2 6例共 3 2个损伤的半月板与 15例正常的膝关节半月板进行回顾性MRI对比观察。结果　显示正常膝关节半月板在T1WI和T2 WI上均呈三角形低信号。 3 2个损伤的半月板 ,其中内侧损伤 15个 ,外侧损伤 11个 ,两侧半月板同时损伤 3例 6个 ,将 3 2个损伤的半月板按Stoller的 4级分法分类 ,其中 0级 0个 ,I级 6个 ,Ⅱ级 12个 ,Ⅲ级 14个。 18例出现并发症 ,其中合并半月板囊肿 6例 ,内侧副韧带损伤 10例 ,外侧副韧带损伤 9例 ,前交叉韧带损伤 7例 ,后交叉韧带损伤 6例 ,骨挫伤 8例 ,骨折 5例 ,关节囊积液 11例 ,膝关节周围软组织内瘀血 6例。结论　MRI能够清晰显示膝关节半月板的解剖结构 ,能准确诊断半月板的损伤并进行分级 ,还能发现多种并发症。

MRI Study on Knee Meniscus and its Injuries

Objective To study MRI findings of both normal and injured knee meniscus.Methods MRI in twenty-six cases (n=32) with meniscal injuries proved by surgery,or by arthroscopy or by clinical examinations and in 15 cases of normal knee menisci were observed.Results The results showed that normal knee menisci,were triangular low signal intensity on T_1WI and T_2WI.Thirty-two injured meniscal injuries included 15 medial injuries,11 lateral injuries and 3 cases(n=6) of bilateral injuries.32 injured menisci according to the Stoller's four-grade classification as followed :grade 0 in 0,grade one in 6,grade two in 12 and grade three in 14.Eighteen cases were complicated by meniscus cyst in 6,medial accessory ligament injury in 10,lateral accessory ligament injury in 9,anterior cruciate ligament injury in 7,posterior cruciate ligament injury in 6,bone bruise in 8,fracture in 5,intracapsular hydrops and ecchymosis in the soft tissues around the knee in 6.Conclusion MRI can clearly show the anatomical structure of knee meniscus and accurately dagnose meniscal injuries and its complications.