Weber J, Kecskés S
Rofo. 1976 Jun;124(6):573-80. doi: 10.1055/s-0029-1230394.
Degenerative changes in the shoulder joint affect the capsule much more frequently than might be expected and are not seen on a plain radiograph. Arthrography of the shoulder has become of increasing significance in view of modern surgical management. Arthrography is used particularly to demonstrate a tear of the rotator cuff (especially the supra spinatus and infra spinatus). It also shows other important abnormalities which cause pain on movement, such as adhesions, tight capsule and the formation of septa. The indications, technique and necessary records, as well as typical pathological findings, are demonstrated in forty shoulder arthrograms. Hemuro-scapular peri-arthritis is a collective term for complex, primarily degenerative or posttraumatic, changes including peri-articular calcification. Demonstration of calcification alone does not justify the radiological diagnosis of humeroscapular peri-arthritis.
肩关节的退行性改变对关节囊的影响比预期更为常见,且在普通X线片上无法显示。鉴于现代外科治疗手段,肩关节造影的重要性日益凸显。肩关节造影尤其用于显示肩袖撕裂(特别是冈上肌和冈下肌)。它还能显示其他导致运动时疼痛的重要异常情况,如粘连、关节囊挛缩和间隔形成。四十例肩关节造影展示了其适应证、技术、必要记录以及典型病理表现。肱肩胛周围炎是一个统称,用于描述包括关节周围钙化在内的复杂的、主要为退行性或创伤后改变。仅显示钙化并不足以作出肱肩胛周围炎的放射学诊断。