Jerosch J, Marquardt M
Medizinische Einrichtungen, Universität Düsseldorf Orthopädische Klinik und Poliklinik.
Z Orthop Ihre Grenzgeb. 1990 Sep-Oct;128(5):507-11. doi: 10.1055/s-2008-1039605.
In a prospective study we evaluated the use of diagnostic ultrasound for Hill-Sachs lesions in unstable shoulder joints of 114 patients. In 38 patients we found a Hill-Sachs lesion by sonography. 31 patients underwent an arthroscopic procedure. The arthroscopic control of the sonographic findings showed a sensitivity of 95%, a specifity of 92%, an accuracy of 94%, a positive predictive value of 95%, and a negative predictive value of 92%. We also documented posttraumatic joint effusion. With these results ultrasound seems to be more reliable than x ray in the diagnosis of Hill-Sachs lesions.
With a high diagnostic value for detecting Hill-Sachs lesions ultrasound may replace difficult special x ray techniques.
在一项前瞻性研究中，我们评估了诊断性超声在114例不稳定肩关节Hill-Sachs损伤中的应用。通过超声检查，我们在38例患者中发现了Hill-Sachs损伤。31例患者接受了关节镜检查。关节镜检查对超声检查结果的对照显示，其敏感性为95%，特异性为92%，准确性为94%，阳性预测值为95%，阴性预测值为92%。我们还记录了创伤后关节积液。基于这些结果，超声在诊断Hill-Sachs损伤方面似乎比X线更可靠。
超声在检测Hill-Sachs损伤方面具有较高的诊断价值，可能会取代难度较大的特殊X线检查技术。
