Sloth C, Just S L
Department of Diagnostic Radiology, Frederiksberg Hospital, Denmark.
Eur J Radiol. 1989 Aug;9(3):147-51.
One-hundred and twenty-five patients with acuta trauma to the shoulder were radiographed using anteroposterior and transthoracic views supplemented by an apical oblique projection with the patient seated in posterior oblique position, central beam directed 45 degrees caudad. The two standard views were evaluated prior to the apical oblique view. In 15.2% of the patients lesions were seen only in the apical oblique view, which also provided better examinations in 23.2% of all patients. Mainly dislocations of joints and fractures (in particular posterior glenohumeral dislocations), glenoid fractures, Hill-Sachs lesions and soft tissue calcifications were revealed in this view. Its routine use in acute trauma radiography is recommended.
对125例肩部急性创伤患者进行了放射照相，采用前后位和经胸位视图，并辅以顶斜位投影，患者取后斜位坐姿，中心线向尾侧成45度角。在进行顶斜位视图检查之前，先对两个标准视图进行评估。在15.2%的患者中，病变仅在顶斜位视图中可见，在所有患者中有23.2%的患者通过该视图获得了更好的检查效果。该视图主要显示关节脱位和骨折（特别是肱骨头后脱位）、肩胛盂骨折、希尔-萨克斯损伤和软组织钙化。建议在急性创伤放射照相中常规使用该视图。
