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Bildgebung des Ellenbogengelenks mit Fokus MRT

Teil 1: Untersuchungstechniken und -sequenzen, Knochen und Ligamente

Imaging of the elbow joint with focused MRI

Part 1: examination techniques and sequences for bone and ligaments

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Zusammenfassung

Die Bildgebung des Ellenbogengelenks stellt hohe Herausforderungen an die Qualität der Bildgebung aufgrund der anspruchsvollen Anatomie und der Subtilität der Befunde. Zur Diagnostik der periartikulären Weichteile, der ligamentären Strukturen sowie auch im Einzelfall zur Fraktur- und Tumordiagnostik ist die Magnetresonanztomographie (MRT) meist wegweisend und erlaubt die verlässliche Diagnosefindung. Der vorliegende Übersichtbeitrag geht auf die komplexe Anatomie sowie auf anatomische Normvarianten der Schnittbildgebung dieses Gelenks ein und handelt die häufigsten ossären und ligamentären Verletzungen des Ellenbogengelenks ab. Die typischen MRT-Befunde und Indikationen werden veranschaulicht und besprochen, auf etwaige Fallstricke wird hingewiesen. Außerdem wird auf die verschiedenen dezidierten Untersuchungstechniken und -sequenzen eingegangen.

Abstract

Imaging of the elbow joint places high demands on the quality of imaging due to the challenging anatomy and the sometimes subtle findings. For the diagnosis of periarticular soft tissues, ligamentous structures and in individual cases for fracture and tumor diagnosis, magnetic resonance imaging (MRI) is mostly groundbreaking and allows a reliable diagnosis in most cases. This review article discusses the complex imaging anatomy and anatomical variants of this joint and the most common osseous and ligamentous injuries of the elbow joint are presented. The typical MRI findings and indications are illustrated and discussed and possible pitfalls are pointed out. The various examination techniques and MRI sequences are also addressed.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. J. Rehm, F. Zeifang und M.-A. Weber geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Abteilung Diagnostische und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland

    J. Rehm & M.-A. Weber

  2. Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    F. Zeifang

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  1. J. Rehm
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Correspondence to J. Rehm.

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Rehm, J., Zeifang, F. & Weber, MA. Bildgebung des Ellenbogengelenks mit Fokus MRT. Radiologe 54, 167–180 (2014). https://doi.org/10.1007/s00117-013-2607-1

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  • DOI: https://doi.org/10.1007/s00117-013-2607-1

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