Gazzola Steve, Bleakney Robert R
Joint Department of Medical Imaging, Mount Sinai Hospital, Toronto, Ontario, Canada.
Sports Med Arthrosc Rev. 2011 Sep;19(3):300-9. doi: 10.1097/JSA.0b013e3182189468.
Rotator cuff pathology is a common cause of shoulder pain, and imaging plays a major role in the management of shoulder problems. General radiography may be useful as an initial screening test particularly in trauma and arthritis. Musculoskeletal ultrasound and magnetic resonance imaging are the most suitable modalities for the investigation of the rotator cuff, having high sensitivities and specificities for full-thickness tears. Musculoskeletal ultrasound and magnetic resonance imaging are less accurate in the detection of partial-thickness tears with greater observer variability. This article reviews the normal and pathologic imaging features of the rotator cuff and highlights the potential usefulness and limitations of various imaging modalities in the assessment of the tendon and the potential impact of imaging findings on clinical patient care.
肩袖病变是肩部疼痛的常见原因，影像学在肩部疾病的管理中起着重要作用。普通X线摄影作为初步筛查检查可能有用，尤其是在创伤和关节炎方面。肌肉骨骼超声和磁共振成像（MRI）是检查肩袖最合适的方式，对全层撕裂具有高敏感性和特异性。肌肉骨骼超声和MRI在检测部分厚度撕裂时准确性较低，观察者间差异较大。本文综述了肩袖的正常和病理影像学特征，强调了各种成像方式在评估肌腱方面的潜在用途和局限性，以及影像学结果对临床患者护理的潜在影响。
