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[投掷运动员的肩部疾病:放射学评估与手术关联]

[Shoulder diseases in throwing athletes: radiologic assessment and surgical correlation].

作者信息

Cusmano F, Uccelli M, Pedrazzini M, Armaroli S, Ferrozzi F, Petriccioli D, Adravanti P, Pavone P

机构信息

Istituto di Scienze Radiologiche, Università degli Studi di Parma.

出版信息

Acta Biomed Ateneo Parmense. 2000;71(6):237-44.

Abstract

Lesions of the shoulder, especially rotator cuff tears and glenoid labrum (SLAP) lesions, are commonly caused by traumatic episodes in athletes such as repeated trauma from throwing. The available radiological methods are MRI, CT and MR arthrography. Twelve athletes suffering from shoulder pain or instability have been studied and then underwent successful treatment in arthroscopy. On the basis of our results and experience, we think that MR, especially with intra-articular injection of contrast medium, is the best examination because it offers an accurate evaluation of both rotator cuff and glenoid labrum. Nevertheless difficulties are often encountered and definitive diagnosis sometime rests on arthroscopic exploration.

摘要

肩部损伤,尤其是肩袖撕裂和盂唇(SLAP)损伤,通常由运动员的创伤性事件引起,如投掷动作造成的反复创伤。现有的影像学检查方法包括磁共振成像(MRI)、计算机断层扫描(CT)和磁共振关节造影。我们对12名患有肩部疼痛或不稳定的运动员进行了研究,随后他们均在关节镜检查下成功接受了治疗。基于我们的研究结果和经验,我们认为磁共振成像,尤其是关节内注射造影剂的磁共振成像,是最佳的检查方法,因为它能对肩袖和盂唇进行准确评估。然而,我们在检查过程中经常遇到困难,有时最终诊断仍需依靠关节镜探查。

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