Annaert J M, Peetrons P, Famaey J P
Service de Médecine du Sport, U.L.B.-I.S.E.P.K., Hôpital Universitaire Saint-Pierre.
Rev Med Brux. 1990 Mar;11(3):47-53.
A careful physical examination is absolutely necessary as a first evaluation of all disorders of the shoulder before performing any imaging technique that must be chosen according to the kind of suspected pathology. The best indications for performing an arthroscanner are the intraarticular lesions such as injuries of the glenoid labrum and of the articular capsule. Echography is the most performing technique for bicipital and rotator cuff tendinitis. CT scan helps to understand the antero-internal retro-coracoidal impingment syndromes as well as uninterpretable bone lesions at standard radiography. Arthrography and arthro-pneumo-tomography are very useful for presurgical assessment of rotator cuff tears.
在进行任何必须根据疑似病理类型选择的成像技术之前，仔细的体格检查对于所有肩部疾病的初步评估绝对必要。关节镜检查的最佳适应症是关节内病变，如盂唇和关节囊损伤。超声检查是肱二头肌和肩袖肌腱炎最有效的检查技术。CT扫描有助于了解前内侧喙突后撞击综合征以及标准X线摄影无法解释的骨病变。关节造影和关节气层造影对肩袖撕裂的术前评估非常有用。
