Kreitner K F, Lehmann M, Zapf S, Wenda K, Schild H H
Institut für Klinische Strahlenkunde, Universität Mainz.
Rofo. 1990 Nov;153(5):510-5. doi: 10.1055/s-2008-1033429.
In the course of a prospective study, CT arthrography was carried out on 40 patients with shoulder instability. In 35 of these patients a lesion of the capsule and labrum was demonstrated, indicating glenohumeral instability; in three patients this was shown primarily by CT arthrography. In three patients, multidirectional instability was demonstrated. In four patients there was an isolated lesion of the labrum, whereas in one patient all the findings were normal. Compared with the capsulo-labral lesions, bone changes involving the head of the humerus and the glenoid were of lesser importance, although their severity affected the choice of operative treatment in four patients. Fifteen of the 40 patients have undergone surgery so far and in all cases the findings on CT arthrography could be confirmed.
在一项前瞻性研究过程中，对40例肩部不稳定患者进行了CT关节造影。其中35例患者显示出关节囊和盂唇损伤，提示盂肱关节不稳定；3例患者主要通过CT关节造影显示出这种情况。3例患者表现为多方向不稳定。4例患者存在孤立的盂唇损伤，而1例患者所有检查结果均正常。与关节囊盂唇损伤相比，涉及肱骨头和肩胛盂的骨质改变重要性较低，尽管其严重程度影响了4例患者的手术治疗选择。40例患者中目前已有15例接受了手术，所有病例CT关节造影的检查结果均得到证实。
