目的:评估联影磁共振ARMS(Acquision and Reconstruction with Motion Suppresion)技术在提高和改良肩关节MRI图像质量、减少及限制伪影方面的作用和临床价值。方法:使用联影u MR770磁共振机器采集肩关节图像,收集南京鼓楼医院2016年1月...目的:评估联影磁共振ARMS(Acquision and Reconstruction with Motion Suppresion)技术在提高和改良肩关节MRI图像质量、减少及限制伪影方面的作用和临床价值。方法:使用联影u MR770磁共振机器采集肩关节图像,收集南京鼓楼医院2016年1月至2017年1月共300例肩关节数据,分成ARMS组和对比组(FSE),分析常规FSE图像与ARMS压脂图像。图像由两位医学影像科诊断医师分别对图像伪影进行Rensis A Likert5分量表法评分。常规扫描和相同方位的ARMS压脂图像对比后采用Wilcoxon符号秩检验。结果:运用ARMS序列图像,评分范围3.01~4.00,平均值为4.68,均在4分以上(P<0.05),图像质量提高,伪影改善或消失。常规FSE序列评分范围2.54~3.00,平均值2.76分。结论:通过对比组的参照,ARMS组评分优于对比组。ARMS技术在核磁共振肩关节扫描中,可以减少图像伪影,提高图像质量。展开更多
In present clinical practice, point Tianzong (SI 11) is often used to treat pain and numbness in the scapular region and the upper limbs. The authors have tried various needling manipulations at this point and obt... In present clinical practice, point Tianzong (SI 11) is often used to treat pain and numbness in the scapular region and the upper limbs. The authors have tried various needling manipulations at this point and obtained extraordinarily good therapeutic result, as is reported in the following. ……展开更多
A 48 year-old female patient received treatment on Oct. 15, 2008. Chief complaint： Right shoulder pain lasting for a year. History of present illness： The right shoulder pain occurred after extracting cold a year a...A 48 year-old female patient received treatment on Oct. 15, 2008. Chief complaint： Right shoulder pain lasting for a year. History of present illness： The right shoulder pain occurred after extracting cold a year ago, and it was diagnosed in the orthopedics as shoulder periarthritis. The patient did not feel any better after taking anti- inflammatory painkillers （the detailed information was unknown） plus functional exercises. Now the shape of the shoulder is normal, but the patient experienced a restricted range of motion and an inability to comb her hair. She also complained of a tenderness spot on the base of the fight palm near the thenar for years, along with slight redness and swelling. The patient＇s appetite and sleep are fine, with regular urination and bowel movements.展开更多
A very rare and serious complication of shoulder dislocation is a lesion to the axillary artery in the elderly population, whose vascular structures have become less flexible. Axillary artery injury secondary to anter...A very rare and serious complication of shoulder dislocation is a lesion to the axillary artery in the elderly population, whose vascular structures have become less flexible. Axillary artery injury secondary to anteroinferior shoulder dislocation is much rarer, especially in the young people. Proper recognition and treatment of this entity of- fers a full recovery to the patient. Present report highlights the possibility of axillary artery injury with anteroinferior shoulder dislocation. A few case reports and small case se- ries of this injury have been reviewed. And recommenda- tions for management have been brought up to date, in line with current thinking.展开更多
This case report presents a 25-year-old female patient with anterior dislocation of right shoulder secondary to seizures as a complication of eclampsia. This is an unusual mechanism of injury, but similar to other un-...This case report presents a 25-year-old female patient with anterior dislocation of right shoulder secondary to seizures as a complication of eclampsia. This is an unusual mechanism of injury, but similar to other un- controlled muscular contractions caused by electroconvul- sive therapy, etc. To the best of our knowledge only one such case has been reported in the English literature. Closed reduction under general anaesthesia was successfully achieved. High suspicion in patients complaining of pain over shoulder joint is necessary for early diagnosis of this condition.展开更多
文摘目的:评估联影磁共振ARMS(Acquision and Reconstruction with Motion Suppresion)技术在提高和改良肩关节MRI图像质量、减少及限制伪影方面的作用和临床价值。方法:使用联影u MR770磁共振机器采集肩关节图像,收集南京鼓楼医院2016年1月至2017年1月共300例肩关节数据,分成ARMS组和对比组(FSE),分析常规FSE图像与ARMS压脂图像。图像由两位医学影像科诊断医师分别对图像伪影进行Rensis A Likert5分量表法评分。常规扫描和相同方位的ARMS压脂图像对比后采用Wilcoxon符号秩检验。结果:运用ARMS序列图像,评分范围3.01~4.00,平均值为4.68,均在4分以上(P<0.05),图像质量提高,伪影改善或消失。常规FSE序列评分范围2.54~3.00,平均值2.76分。结论:通过对比组的参照,ARMS组评分优于对比组。ARMS技术在核磁共振肩关节扫描中,可以减少图像伪影,提高图像质量。
文摘 In present clinical practice, point Tianzong (SI 11) is often used to treat pain and numbness in the scapular region and the upper limbs. The authors have tried various needling manipulations at this point and obtained extraordinarily good therapeutic result, as is reported in the following. ……
文摘A 48 year-old female patient received treatment on Oct. 15, 2008. Chief complaint： Right shoulder pain lasting for a year. History of present illness： The right shoulder pain occurred after extracting cold a year ago, and it was diagnosed in the orthopedics as shoulder periarthritis. The patient did not feel any better after taking anti- inflammatory painkillers （the detailed information was unknown） plus functional exercises. Now the shape of the shoulder is normal, but the patient experienced a restricted range of motion and an inability to comb her hair. She also complained of a tenderness spot on the base of the fight palm near the thenar for years, along with slight redness and swelling. The patient＇s appetite and sleep are fine, with regular urination and bowel movements.
文摘A very rare and serious complication of shoulder dislocation is a lesion to the axillary artery in the elderly population, whose vascular structures have become less flexible. Axillary artery injury secondary to anteroinferior shoulder dislocation is much rarer, especially in the young people. Proper recognition and treatment of this entity of- fers a full recovery to the patient. Present report highlights the possibility of axillary artery injury with anteroinferior shoulder dislocation. A few case reports and small case se- ries of this injury have been reviewed. And recommenda- tions for management have been brought up to date, in line with current thinking.
文摘This case report presents a 25-year-old female patient with anterior dislocation of right shoulder secondary to seizures as a complication of eclampsia. This is an unusual mechanism of injury, but similar to other un- controlled muscular contractions caused by electroconvul- sive therapy, etc. To the best of our knowledge only one such case has been reported in the English literature. Closed reduction under general anaesthesia was successfully achieved. High suspicion in patients complaining of pain over shoulder joint is necessary for early diagnosis of this condition.
