Rossi F, Dragoni S, Giombini A
Istituto di Radiologia, Ospedale S. Filippo Neri, U.S.L. RM 12, Roma.
Radiol Med. 1991 Jun;81(6):813-7.
Instability of the glenohumeral joint is a common cause of chronic shoulder pain and disability in athletes using repetitive arm movements in elevation and external rotation. A series of 29 athletes with persistent shoulder discomfort for transient subluxation was evaluated with plain radiography and tomography in right axillary projection. The purpose was to detect abnormalities in the osseous glenoid rim. Twenty-six patients (89.6% of all cases studied) had various degrees of skeletal damage, including 18 fractures (69.2%) of the anterior rim, 2 (7.6%) of the posterior rim, and 6 cases (23.07%) of local degenerative changes; 3 cases were negative for skeletal damages. The result of this study demonstrate conventional radiography to be useful in the diagnostic assessment of shoulder pain in athletes, where similar problems must be promptly detected and not ignored.
对于从事上肢反复进行抬高和外旋运动的运动员而言,盂肱关节不稳是导致慢性肩部疼痛和功能障碍的常见原因。对29例因短暂性半脱位而持续存在肩部不适的运动员进行了系列研究,采用右腋位平片和体层摄影进行评估。目的是检测骨性关节盂边缘的异常情况。26例患者(占所有研究病例的89.6%)存在不同程度的骨骼损伤,包括18例(69.2%)前边缘骨折、2例(7.6%)后边缘骨折以及6例(23.07%)局部退行性改变;3例骨骼损伤呈阴性。本研究结果表明,传统放射摄影在运动员肩部疼痛的诊断评估中具有重要作用,在此类情况下,类似问题必须及时发现且不可忽视。