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肩关节初次脱位患者的肩袖韧带损伤伴关节囊病变:磁共振成像与磁共振关节造影评估。

Capsular lesions with glenohumeral ligament injuries in patients with primary shoulder dislocation: magnetic resonance imaging and magnetic resonance arthrography evaluation.

机构信息

Department of Orthopaedic Surgery, Sørlandet Hospital, Arendal, Norway.

出版信息

Scand J Med Sci Sports. 2011 Dec;21(6):e291-7. doi: 10.1111/j.1600-0838.2010.01282.x. Epub 2011 Mar 15.

Abstract

The glenohumeral ligaments are important structures for the stability of the shoulder. They are integrated parts of the capsule and are at risk to be injured in a traumatic shoulder dislocation. The aim was to examine the prevalence of capsular ligament lesions in the acute phase and at minimum 3 weeks' follow-up after first-time traumatic shoulder dislocation. Forty-two patients aged 16-40 years were included. All patients underwent computed tomography and magnetic resonance imaging (MRI) scans shortly after the injury and MR-arthrography (MRA) at follow-up. The median time from dislocation to MRI was 7 (range 2-14) days and to MRA 30 (range 21-54) days. We found capsular ligament lesions in 22 patients (52.4%) in the acute stage and in five patients (11.9%) at follow up. Nine patients (21.4%) had a humeral avulsion of the anterior glenohumeral ligament (HAGL lesion) on MRI. Three patients (7.1%) had this lesion at follow-up. The rate of HAGL lesions in the acute stage was higher than reported previously, but the prevalence at follow-up was in keeping with earlier published studies.

摘要

肩盂肱韧带是肩部稳定性的重要结构。它们是囊的固有部分,在创伤性肩关节脱位时容易受伤。目的是检查初次创伤性肩关节脱位后急性期和至少 3 周随访时囊韧带损伤的发生率。共纳入 42 名年龄在 16-40 岁的患者。所有患者在受伤后均立即接受计算机断层扫描和磁共振成像(MRI)检查,并在随访时进行磁共振关节造影术(MRA)。从脱位到 MRI 的中位时间为 7 天(范围 2-14 天),到 MRA 的中位时间为 30 天(范围 21-54 天)。我们发现 22 名患者(52.4%)在急性期存在囊韧带损伤,5 名患者(11.9%)在随访时存在损伤。9 名患者(21.4%)在 MRI 上存在肱骨头前盂肱韧带(HAGL 损伤)撕脱。3 名患者(7.1%)在随访时存在该损伤。急性期 HAGL 损伤的发生率高于既往报道,但随访时的发生率与早期发表的研究一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7043/3274698/6569fbb10b61/sms0021-e291-f2.jpg

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