Philipp M O, Philipp-Hauser S, Gäbler C, Breitenseher M
Universitätsklinik für Radiodiagnostik, Medizinische Universität Wien.
Radiologe. 2004 Jun;44(6):562-8. doi: 10.1007/s00117-004-1050-8.
Traumatic injuries to the shoulder girdle are common lesions and occur from birth on through the whole life. Depending on the patient's age, localization and type of injury change. Diagnosis of acute osseous traumatic lesions to the shoulder is based on evaluation of trauma mechanism, patient's examination and, as for the most cases, conventional radiographs. Only in certain cases additional radiological examinations are necessary. As a minimum, two to three images in different planes, anteriorposterior, lateral and axillary, are recommended in order to display all components of the shoulder girdle without superposition. Knowledge of common clinical classifications systems is necessary for exact diagnosis in order to permit decision on conservative or operative treatment of injury.
肩胛带创伤性损伤是常见的损伤,从出生到一生都可能发生。根据患者年龄的不同,损伤的部位和类型会有所变化。肩部急性骨性创伤性损伤的诊断基于对创伤机制的评估、患者检查,并且在大多数情况下,基于传统X线片。只有在某些情况下才需要进行额外的影像学检查。为了在不重叠的情况下显示肩胛带的所有组成部分,建议至少拍摄不同平面(前后位、侧位和腋位)的两到三张图像。了解常见的临床分类系统对于准确诊断是必要的,以便对损伤的保守或手术治疗做出决策。