Gundry C R, Schils J P, Resnick D, Sartoris D J
University of Vermont Medical School, Burlington.
Radiol Clin North Am. 1989 Sep;27(5):957-71.
The current status of arthrography of the wrist, knee, and shoulder has been discussed with particular emphasis given to those conditions seen in patients following acute or chronic trauma. Cross-sectional techniques that impact on the current usage of arthrography of these joints also were discussed. Wrist arthrography remains the standard procedure for the evaluation of ligamentous abnormalities about the wrist. MR imaging is unlikely to make a large impact in this area until improvements in technique and surface coil technology allow routine visualization of the very small, but important, interosseous ligaments. MR imaging of the knee will likely replace arthrography except in those cases in which cost considerations or availability prevent its implementation. MR imaging undoubtedly will continue to contribute to the evaluation of shoulder abnormalities, but whether or not it will completely replace standard arthrography and CT arthrography depends upon the results of future studies.
本文讨论了手腕、膝盖和肩膀关节造影的现状，特别强调了急性或慢性创伤患者中出现的相关病症。文中还讨论了影响这些关节造影当前应用的横断面技术。手腕关节造影仍然是评估手腕周围韧带异常的标准程序。在技术和表面线圈技术得到改进，能够常规显示非常小但很重要的骨间韧带之前，磁共振成像（MR成像）不太可能在这一领域产生重大影响。膝盖的MR成像可能会取代关节造影，除非在某些因成本考虑或无法实施而无法进行MR成像的情况下。MR成像无疑将继续有助于肩部异常的评估，但它是否会完全取代标准关节造影和CT关节造影，取决于未来的研究结果。
