Obrist J, Genelin F, Kröpfl A
Unfallkrankenhaus Salzburg.
Z Orthop Ihre Grenzgeb. 1991 Jan-Feb;129(1):31-5. doi: 10.1055/s-2008-1040155.
The article reports of the indication, technique and results of the shoulder joint double-contrast-computertomography. It discuss its diagnostic value in comparison to other examining methods. As alternative preoperative diagnostic procedures only arthroscopy, arthrography and MRI can be considered. Also discussed are the therapeutic consequences resulting from the nature of the pathological lesions (rupture of the limbus glenoidalis, Hill-Sachs-defect, reversed Hill-Sachs-defect). Especially for the first traumatic dislocations of the shoulder joint, we consider this investigational method an eminent enlargement of the diagnostic spectrum. Therefore, we are generous with its indication, attempting to prevent reluxations by primary diagnostic and therapeutic procedure.
本文报道了肩关节双对比计算机断层扫描的适应症、技术和结果。文中讨论了其与其他检查方法相比的诊断价值。作为术前诊断的替代程序，仅可考虑关节镜检查、关节造影和磁共振成像。文中还讨论了由病理病变性质（肩胛盂唇破裂、希尔-萨克斯缺损、反向希尔-萨克斯缺损）导致的治疗后果。特别是对于肩关节首次创伤性脱位，我们认为这种检查方法显著拓宽了诊断范围。因此，我们对其适应症较为宽松，试图通过初步诊断和治疗程序来预防复发。
