Sakuragi K
Department of Orthopaedic Surgery, School of Medicine, Fukuoka University, Japan.
Nihon Seikeigeka Gakkai Zasshi. 1989 Nov;63(11):1330-42.
The usefulness of ultrasonography in the diagnosis of shoulder diseases was evaluated from both basic and clinical viewpoints. The Yokogawa Medical System U-SONIC RT2600 (7.5 MHz probe) was employed for the study. Four-directional scanning of shoulder joints using the water immersion method was performed, and the results were confirmed by surgery. The average thickness of the supraspinatus tendon in the control group was 5.6 mm, increasing with aging after the forties. In the groups with diseases, the ultrasonographic changes were detected to be mild in the rotator cuff at the site uncovered by the acromion and to be remarkable in the long head tendon of the biceps and the head of the humerus were detected, and similar changes were confirmed by surgery. The above results suggested that the changes in the rotator cuff or its surrounding tissues, undetectable by conventional examination, could be demonstrated by ultrasonography and that this method is clinically very useful for the diagnosis of shoulder diseases.
从基础和临床角度评估了超声检查在肩部疾病诊断中的实用性。本研究采用横河医疗系统U-SONIC RT2600（7.5MHz探头）。使用水浸法对肩关节进行四向扫描，并通过手术对结果进行确认。对照组冈上肌腱的平均厚度为5.6mm，40岁以后随年龄增长而增加。在患病组中，超声检查发现肩峰未覆盖部位的肩袖病变较轻，肱二头肌长头肌腱和肱骨头病变明显，手术也证实了类似变化。上述结果表明，传统检查无法检测到的肩袖或其周围组织的变化可通过超声检查显示出来，且该方法在肩部疾病的临床诊断中非常有用。
