Hannesschläger G, Riedelberger W, Neumüller H, Schwarzl G
Abteilung für Unfallchirurgie, AKH Linz, Osterreich.
Rofo. 1989 Jun;150(6):643-9. doi: 10.1055/s-2008-1047094.
We consider CT to be suitable for investigating the following lesions of the rotator cuff: 1) tendopathia calcarea. 2) Rotator cuff atrophy suitable for surgery. 3) Bone defects. 4) Inflammatory changes with effusions. For demonstrating rotator cuff defects that might require surgery, we recommend CT arthrography, if possible with sagittal sections. This is particularly the case for younger patients with a history of trauma and evidence of a complex shoulder injury and in cases with persistent symptoms after surgical intervention of ineffective conservative treatment. CT, however, is only indicated if sonography supplies limited information or if sonography is negative with positive clinical findings.
我们认为CT适用于检查肩袖的以下病变：1）钙化性肌腱病。2）适合手术的肩袖萎缩。3）骨缺损。4）伴有积液的炎症改变。为了显示可能需要手术的肩袖缺损，我们建议进行CT关节造影，如有可能，采用矢状面扫描。对于有创伤史且有复杂肩部损伤证据的年轻患者，以及在手术干预或无效保守治疗后仍有持续症状的病例，尤其如此。然而，只有在超声检查提供的信息有限或超声检查为阴性但临床检查结果为阳性时，才需要进行CT检查。
