Daenen B, Houben G, Bauduin E, Lu K V, Meulemans J L
Medical Imaging Department, CHC, Liège, Belgium.
JBR-BTR. 2007 Sep-Oct;90(5):325-37.
Ultrasound has been widely used for the evaluation of the shoulder, mainly for rotator cuff pathology. Developments in technology, as well as better knowledge of the pathology and the anatomy make this examination one of the most useful in the exploration of the shoulder, especially in the hands of the experienced radiologist. Ultrasound is low-cost, readily available and should be considered with plain films as the first step examination of the shoulder. Ultrasound is not only useful for the evaluation of the rotator cuff pathology and impingement syndrome, but is also performing in the evaluation of non rotator cuff pathology such as biceps tendon pathology, shoulder instability, mass evaluation, infection, degenerative and inflammatory arthropathies and nerve entrapment syndromes. Making a complete evaluation of the shoulder helps to differentiate between rotator cuff pathology and others that can mimic rotator cuff disorders. This article will review shoulder anatomy and examination technique and the different pathologies that can be assessed by ultrasound.
超声已广泛用于肩部评估，主要用于评估肩袖病变。技术的发展以及对病变和解剖结构更深入的了解，使这项检查成为肩部检查中最有用的方法之一，尤其是在经验丰富的放射科医生手中。超声成本低、易于获得，应与X线平片一起作为肩部的初步检查方法。超声不仅对评估肩袖病变和撞击综合征有用，还可用于评估非肩袖病变，如肱二头肌肌腱病变、肩部不稳、肿物评估、感染、退行性和炎性关节病以及神经卡压综合征。对肩部进行全面评估有助于区分肩袖病变和其他可模仿肩袖疾病的病变。本文将回顾肩部解剖结构、检查技术以及超声可评估的不同病变。
