Tirman Phillip F, Smith Eric D, Stoller David W, Fritz Russell C
National Orthopedic Imaging Associates, Greenbrae, CA 94904, USA.
Semin Musculoskelet Radiol. 2004 Mar;8(1):29-40. doi: 10.1055/s-2004-823013.
Shoulder pain and injuries are common in athletes. Overhead athletes, in particular, place great demands on the shoulder and supporting structures. Magnetic resonance (MR) imaging is well suited to evaluation of the osseous structures and soft tissues of the shoulder and plays an important role in evaluation of shoulder pain in athletes. Primary extrinsic impingement is well evaluated on MR imaging as are the less common posterior superior glenoid impingement and subcoracoid impingement. Rotator cuff tendinosis as well as partial- and full-thickness tears are frequently encountered in the athletic shoulder. The biceps tendon and rotator interval capsular structures are important sources of shoulder pain. Glenohumeral instability that results from a traumatic event or atraumatic multidirectional recurrent instability is assessed. The biceps labral complex is a source of considerable anatomic variability and pathology.
肩部疼痛和损伤在运动员中很常见。特别是从事过头运动的运动员，肩部及支持结构承受着巨大压力。磁共振（MR）成像非常适合评估肩部的骨骼结构和软组织，在评估运动员肩部疼痛方面发挥着重要作用。原发性外部撞击在MR成像上能得到很好的评估，较罕见的后上盂唇撞击和喙突下撞击也是如此。肩袖肌腱病以及部分和全层撕裂在运动员肩部很常见。肱二头肌肌腱和旋转间隙囊结构是肩部疼痛的重要来源。评估由创伤性事件或非创伤性多方向复发性不稳定导致的盂肱关节不稳定。肱二头肌盂唇复合体存在相当大的解剖变异和病理情况。
