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Vloga radiološke tehnologije pri diagnosticiranju bolezni in poškodb kolenskega sklepa : diplomsko delo
ID Slapnik, Julija (Author), ID Medič, Mojca (Mentor) More about this mentor... This link opens in a new window, ID Žager Marciuš, Valerija (Reviewer)

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Abstract
Uvod: Kolenski sklep je najbolj obremenjen sklep v človeškem telesu. Nepravilni načini gibanja ali druge nesreče pogosto vodijo v poškodbo sklepa. Med najpogostejše poškodbe spadajo poškodbe vezi, poškodbe meniskusa, skakalčevo koleno ter zlomi in izpahi. Lahko pa se pojavijo tudi bolezenske spremembe kot sta osteoartritis in osteohondroza. Za postavitev diagnoze se poslužujemo radioloških metod; rentgena, računalniške tomografije, magnetne resonance in ultrazvoka. Vsaka izmed njih ima prednosti in slabosti ter indikacije kdaj jo uporabljamo. Namen: Namen je predstaviti vlogo radiološke tehnologije pri diagnosticiranju bolezni in poškodb kolenskega sklepa. Metode dela: Diplomsko nalogo smo pisali po metodi pregleda literature. Področje iskanja so bile različne spletne podatkovne baze. V pomoč so nam bili vključitveni in izključitveni kriteriji. Rezultati: Predstavljenih je sedem najpogostejših patologij kolenskega sklepa in vloga radiološke tehnologije pri le teh. Pri poškodbah križnih vezi uporabljamo RTG slikanje in MR. Sledi patelarna tendionopatija, kjer se za natančnejšo diagnozo se uporabljata UZ in MR. Tudi za poškodbo meniskusov uporabljamo RTG slikanje in MR, pri čemer je slednja metoda izbora. Zlomi in izpahi kolenskega sklepa predstavljajo največji delež rentgenskih preiskav kolenskega sklepa, kjer običajno izvajamo dve osnovni projekciji. V primeru pridruženih poškodb mehkih tkiv pa se poslužujemo še MR slikanja. Osteoartiritis je naslednja patologija pri kateri tudi uporabljamo RTG in MR slikanje, predvsem zaradi določanja stopnje bolezni. Za diagnostiko osteohondroze uporabimo vse radiološke metode; RTG, CT, MR in UZ. Bakerjeva cista pa je zaradi svoje sestave najbolje vidna na MR in UZ slikah. Razprava in zaključek: RTG slikanje se uporabi kot prva metoda za postavitev diagnoze, saj nam omogoča izključitev poškodb skeleta. Zlati standard pri patologijah kolenskega sklepa je MR, saj omogoča dober prikaz mehkih tkiv in hkrati odlično kontrastno ločljivost. V primerih, ko gre za kompleksnejšo poškodbo uporabimo CT slikanje, ki je bolj dostopno. Za določene patologije se poslužujemo UZ, ki je v nekaterih primerih višje specifična in boljša od MR slikanja, hkrati pa bolj dostopna in ima krajši čas preiskave.

Language:Slovenian
Keywords:diplomska dela, radiološka tehnologija, kolenski sklep, patologija kolenskega sklepa, poškodbe križnih vezi, patelarna tendinopatija, poškodbe meniskusov, zlomi in izpahi kolenskega sklepa, osteoartritis, osteohondroza, Bakerjeva cista
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[J. Slapnik]
Year:2024
Number of pages:58 str.
PID:20.500.12556/RUL-161098-527c8a75-8110-baf1-576c-5ce425130377 This link opens in a new window
UDC:616-07
COBISS.SI-ID:206833155 This link opens in a new window
Publication date in RUL:07.09.2024
Views:337
Downloads:127
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Secondary language

Language:English
Title:The role of radiography in the diagnosis of diseases and injuries of the knee joint : diploma work
Abstract:
Introduction: The knee joint is the most stressed joint in the human body. Improper movement or other accidents often lead to joint damage. The most common injuries include ligament injuries, meniscus injuries, jumper's knee, fractures and dislocations. However, pathological changes such as osteoarthritis and osteochondrosis may also occur. We use radiological methods for diagnosis; x-ray, computed tomography, magnetic resonance and ultrasound. Each of them has advantages and disadvantages and indications for when to use it. Purpose: The purpose is to present the role of radiological technology in the diagnosis of diseases and injuries of the knee joint. Methods: The thesis was written using the literature review method. The search area were various online databases. We used different inclusion and exclusion criteria. Results: Here are presented the seven most common pathologies of the knee joint and role of radiological technology for them. In the case of cruciate ligament injuries, we use X-ray imaging and MR imaging. This is followed by patellar tendinopathy, where US and MR are used for a more accurate diagnosis. X-ray imaging and MRI are also used for meniscal injuries, with the latter being the method of choice. Fractures and dislocations of the knee joint account for the largest share of X-ray examinations of the knee joint, where two basic projections are usually performed. In the case of associated soft tissue injuries, MR imaging is also used. Osteoarthritis is the next pathology in which we also use X-ray and MR imaging, mainly to determine the degree of the disease. We use all radiological methods to diagnose osteochondrosis; X-ray, CT, MR and US. Due to its composition, Baker's cyst is best seen on MR and US images. Discussion and conclusion: X-ray imaging is used as the first method for establishing a diagnosis, as it allows us to rule out skeletal injuries. The gold standard in knee joint pathologies is MR, as it enables good visualization of soft tissues and at the same time excellent contrast resolution. In cases where it is a more complex injury, we use CT imaging, which is more accessible. For certain pathologies, we use ultrasound, which in some cases is more specific and better than MR imaging, but at the same time it is more accessible and has a shorter examination time.

Keywords:diploma theses, radiological technology, knee joint, knee joint pathology, cruciate ligament injuries, patellar tendinopathy, meniscal injuries, knee joint fractures and dislocations, osteoarthritis, osteochondrosis, Baker's cyst

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