History:A19-year-oldwomanpresentsforanevaluationoffootpainthatsheshadforseveralmonths.Examinationwasnotablefortendernessatoneofthemetatarsophalangealjoints.

病史:19岁,女性,足部疼痛数月。体格检查示一个跖趾关节显著压痛。

    MRimages

MRimagesoftheleftfootwithoutgadolinium(平扫)areshownbelow.

Inorder:protondensity,T1-weighted,andshorttauinversion-recoveryimages(质子像、T1WI、STIR).

      Q1——ThereisabnormalT2marrowsignalinthesecondmetatarsal(第2跖骨).:ATrueBFalse    

      

Q——Thereissubluxation(半脱位)ofthesecondmetatarsophalangealjoint(跖趾关节).ATrueBFalse      Q3——Whichofthefollowingisthemostlikelyetiologyoftheabovefindings?AOsteomyelitis(骨髓炎)BOsteoidosteoma(骨样骨瘤)CGiantcelltumorofthetendonsheath(腱鞘巨细胞瘤)DPlantarfibromatosis(足底纤维瘤病)ESubchondralfracture(软骨下骨折)  

Follow-upradiograph

Obliqueviewradiographofthefoottakentwoyearslaterisshownbelow.

Q4——Whichofthefollowingisdemonstratedintheaboveimage?ALoosebody(游离体)alongthemetatarsalhead(跖骨头)BFlattening(扁平)ofthemetatarsalheadCMinimallydisplacedfracture(轻微移位骨折)atthemetatarsalhead/neckjunctionDCysticchanges(囊变)inthemetatarsalhead      Q5——Whicheponym(以人名命名的)isattributedtotheabovecondition?AK?hlerdiseaseBPannerdiseaseCSeversdiseaseDTrevordiseaseEFreiberginfraction/disease

        

Q6——Whichmetatarsalismost







































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