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[传统X线诊断和计算机断层扫描在复发性肩关节脱位中检测希尔-萨克斯损伤和骨性Bankart损伤的价值]

[Value of conventional x-ray diagnosis and computerized tomography in the detection of Hill-Sachs defects and bony Bankart lesions in recurrent shoulder dislocations].

作者信息

Madler M, Mayr B, Baierl P, Klein C, Habermeyer P, Huber R

机构信息

Radiologische Klinik und Poliklinik, Universität München.

出版信息

Rofo. 1988 Apr;148(4):384-9. doi: 10.1055/s-2008-1048216.

DOI:10.1055/s-2008-1048216
PMID:2834783
Abstract

Forty patients with anterior dislocation of the shoulder were examined in order to demonstrate Hill-Sachs defects and bony Bankart lesions. All patients had conventional radiographs of the shoulder in two planes, special views according to Hermodsson and Bernageau and CT. The examinations were evaluated by three observers. CT was regarded as the gold standard. Sensitivity for demonstrating Hill-Sachs defects for the standard views was 45% and for the Hermodsson views was 76%. For demonstrating Bankart lesions, standard views had a sensitivity of 37% and the Bernageau view 64%. Computed tomography was markedly superior to the standard and the special views, both for demonstrating the lesions and the agreement between various observers.

摘要

为了显示希尔-萨克斯损伤(Hill-Sachs defects)和骨性肩胛盂唇损伤(bony Bankart lesions),对40例肩关节前脱位患者进行了检查。所有患者均拍摄了肩部两个平面的传统X线片、根据赫莫德松(Hermodsson)和贝纳热奥(Bernageau)方法拍摄的特殊视图以及CT扫描。由三名观察者对检查结果进行评估。CT被视为金标准。标准视图显示希尔-萨克斯损伤的敏感度为45%,赫莫德松视图为76%。对于显示肩胛盂唇损伤,标准视图的敏感度为37%,贝纳热奥视图为64%。无论是在显示损伤方面还是在不同观察者之间的一致性方面,计算机断层扫描均明显优于标准视图和特殊视图。

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