| Abstract | Cilj istraživanja: Retrospektivnim istraživanjem pomoću standardnih protokola magnetne rezonancije utvrditi najčešće ozljede koljenog zgloba.
Metode: U razdoblju od 20. veljače 2014. g. do 8. travnja 2014. g. 20 nasumično odabranih pacijenata s ozljedom koljena, od toga 7 (35%) žena i 13 (65%) muškaraca, učinili su MR pregled koljena. Snimanje je obavljeno na MR uređaju Avanto 1,5 T tvrtke Siemes, Erlangen, Njemačka u Kliničkom bolničkom centru Split upotrebom standardne zavojnice te općeg protokola za snimanje koljenog zgloba. Ovaj protokol uključuje proton density turbo spin-echo sekvencu s potiskivanjem signala masti u transverzalnoj, koronarnoj i sagitalnoj ravnini snimanja (TE 41, TR 3000-3300, sloj debljine 3-3,5 mm, FOV 16-20 cm, matriks veličine 320 x 240), te dvije sekvence bez potiskivanja masti u koronarnoj i sagitalnoj ravnini. Prilikom snimanja bolesnik je ležao na leđima, snimani ekstremitet je bio u položaju vanjske rotacije 10 do 15 stupnjeva i u fleksiji 5 do 10 stupnjeva, a oko njega je bila postavljena zavojnica za koljeno. Slike su analizirane na radnoj stanici Leonardo, Siemens.
Rezultati: U 20 pacijenata analizirane su anatomske strukture koljena i to u 12 (60%) ispitanika u desnom, a u 8 (40%) ispitanika u lijevom koljenu. Ukupno je nađeno 36 značajnih ozljeda koljena od kojih najviše na prednjoj ukriženoj svezi, 10 (27,77%), zatim slijede ozljede prednjeg i stražnjeg roga lateralnog meniska, 6 (16,66%), te ozljede prednjeg roga medijalnog meniska, 4 ( 11,11%). Ozljede prednje ukrižene sveze su značajno češće u mlađoj dobnoj skupini (8), u odnosu na stariju dobnu skupinu (2).
Zaključak: Najčešće ozljede koljenog zgloba u našoj skupini pacijenata su ozljede prednje ukrižene sveze, zatim lateralnog i medijalnog meniska. Ozljede prednje ukrižene sveze su češće kod mladih osoba kojima je potrebna edukacija o prevenciji ozljeda. |
| Abstract (english) | Objective: Defining most common knee injuries using standard magnetic resonance imaging protocols in retrospective study.
Methods: In the period from 20 February 2014. to 8th April 2014. 20 randomly selected patients with a knee injury, of which 7 (35%) women and 13 (65%) men, have made magnetic resonance imaging of knee joint. Scanning was done on MRI device Avanto 1.5 T Company Siemes, Erlangen, Germany in the Clinical Hospital Centre Split using standard coils and general protocols for scanning knee joint. This protocol includes a proton density turbo spin-echo sequence with fat suppression signal in the transverse, coronal, sagittal plane mode (TE 41, TR 3000-3300, thickness 3-3.5 mm, 16-20 cm FOV, matrix size of 320 x 240), and two sequences without reducing the fat in the coronary and sagittal plane. While scanning, the patient was lying on his back, scanned limb was in a position of external rotation of 10 to 15 degrees and in flexion 5 to 10 degrees, and around it was set standard knee coil. Images were analyzed on a workstation Leonardo, Siemens.
Results: In 20 patients were analyzed anatomical structures of knee, in 12 (60%) of patients in the right, and in 8 (40%) of patients in the left knee. We discovered 36 significant knee injury most of which on, 10 (27.77%), followed by injury to the anterior and posterior horn of the lateral meniscus, 6 (16.66%), and injuries of the anterior horn of the medial meniscus, 4 (11.11%). The injuries of the anterior cruciate ligament were significantly more common in the younger age groups (8), compared to the older age group (2).
Conclusion: The most common injuries of the knee joint are injuries of the anterior cruciate ligament, then the lateral and medial meniscus. The knee injuries of the anterior cruciate ligament are more common in young people who need education on injury prevention. |
