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Band- und Sehnenverletzungen des Ellenbogens in der Magnetresonanztomographie

Assessment of ligament and tendon injuries of the elbow using magnetic resonance imaging

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Zusammenfassung

Dieser Artikel gibt einen Überblick über die Normalanatomie und häufige Pathologien der Sehnen und Ligamente des Ellenbogens in der Magnetresonanztomographie (MRT). Neben der knöchernen Sicherung, insbesondere durch den großflächigen Formschluss der Gelenkpartner im humeroulnaren Gelenk, ist die Stabilisierung des Ellenbogengelenks abhängig von passiven ligamentären und aktiven muskulären Systemen. Mittels MRT können neben posttraumatischen Veränderungen wie Bandrupturen bei Sportlern oder Folgen von Ellbogenluxationen auch chronische Pathologien, z. B. muskuläre Reizzustände und Degenerationen, verlässlich diagnostiziert werden. Bei der Befundung ist eine Einteilung in sich funktionell ergänzender anatomischer Strukturen in Kompartimente sinnvoll. Dabei können ein anteriores, ein posteriores, ein mediales und ein laterales Kompartiment voneinander unterschieden werden.

Abstract

An overview about the normal anatomy and frequent pathologies of tendons and ligaments of the elbow using MRI will be provided. The unique joint configuration and articulation, as well as passive ligamentous and active muscle structures as well as the unique configuration of the articulating components of the elbow contribute to joint stabilization. MRI is an essential imaging modality in patients with ligamentous injuries including the sequelae of joint dislocation as well as chronic pathologies such as long-standing and refractory tendinopathies. Ideally, when reporting MRI of the elbow, the joint is separated into its four compartments, anterior, posterior, medial and lateral, allowing precise, comprehensive and structured reporting.

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Abbreviations

AOL:

Anteriores obliques Ligament

FABS:

Flektierter Ellbogen, abduzierte Schulter, supinierter Unterarm

LCL:

Laterales Kollateralband

LUCL:

Laterales ulnares Kollateralband

MRT:

Magnetresonanztomographie

PD FS:

Protonengewichtet fettgesättigt

PLRI:

Posterolaterale Rotationsinstabilität

POL:

Posteriores obliques Ligament

STIR:

„Short tau inversion recovery“

TIRM:

„Turbo inversion recovery magnitude“

UCL:

Ulnares Kollateralband

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Authors and Affiliations

  1. Muskuloskelettale Radiologie, Klinik für Radiologie und Nuklearmedizin, Universitätsspital Basel, Petersgraben 4, 4031, Basel, Schweiz

    R. Janßen,  A. L. Falkowski MHBA &  A. Hirschmann

Authors
  1. R. Janßen
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  2. A. L. Falkowski MHBA
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  3. A. Hirschmann
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Correspondence to R. Janßen.

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Interessenkonflikt

R. Janßen, A.L. Falkowski und A. Hirschmann geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Janßen, R., Falkowski, A.L. & Hirschmann, A. Band- und Sehnenverletzungen des Ellenbogens in der Magnetresonanztomographie. Radiologe 58, 996–1003 (2018). https://doi.org/10.1007/s00117-018-0441-1

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