Wörtler K, Waldt S, Burkhart A, Imhoff A B, Rummeny M J
Institut für Röntgendiagnostik, Technische Universität München, Klinikum rechts der Isar, Munich.
Orthopade. 2003 Jul;32(7):595-9. doi: 10.1007/s00132-003-0489-z.
In the detection of SLAP (superior labral anterior to posterior) lesions of the shoulder MR arthrography shows a significantly higher sensitivity compared with conventional MR techniques and therefore, represents the method of choice in diagnostic imaging of the superior labral-bicipital complex. On the basis of morphological criteria it mostly allows distinction of traumatic lesions and anatomic variants of the superior labrum and the biceps anchor as well as classification of detected SLAP lesions (types 1-4 according to Snyder). However, the differentiation of a SLAP type 2 lesion and a sublabral recess can be very difficult, even if all distinction criteria are considered.
在检测肩部上盂唇前后向(SLAP)损伤时,与传统磁共振成像(MR)技术相比,磁共振关节造影显示出显著更高的敏感性,因此,它是上盂唇-肱二头肌复合体诊断成像的首选方法。基于形态学标准,它大多能够区分上盂唇和肱二头肌附着点的创伤性损伤及解剖变异,以及对检测到的SLAP损伤进行分类(根据斯奈德分类为1-4型)。然而,即使考虑了所有区分标准,区分SLAP 2型损伤和盂唇下隐窝也可能非常困难。