Tamborrini Giorgio, Möller Ingrid, Bong David, Miguel Maribel, Marx Christian, Müller Andreas Marc, Müller-Gerbl Magdalena
Ultrasound Center, Rheumatology, Basel, Switzerland.
EULAR Study Group on Anatomy for the Image.
Ultrasound Int Open. 2017 Jun;3(3):E107-E116. doi: 10.1055/s-0043-110473. Epub 2017 Aug 23.
Shoulder pathologies of the rotator cuff of the shoulder are common in clinical practice. The focus of this pictorial essay is to discuss the anatomical details of the rotator interval of the shoulder, correlate the anatomy with normal ultrasound images and present selected pathologies. We focus on the imaging of the rotator interval that is actually the anterosuperior aspect of the glenohumeral joint capsule that is reinforced externally by the coracohumeral ligament, internally by the superior glenohumeral ligament and capsular fibers which blend together and insert medially and laterally to the bicipital groove. In this article we demonstrate the capability of high-resolution musculoskeletal ultrasound to visualize the detailed anatomy of the rotator interval. MSUS has a higher spatial resolution than other imaging techniques and the ability to examine these structures dynamically and to utilize the probe for precise anatomic localization of the patient's pain by sono-palpation.
肩部肩袖的病理情况在临床实践中很常见。这篇图文并茂的文章重点讨论肩部旋转间隙的解剖细节，将该解剖结构与正常超声图像相关联，并展示一些特定的病理情况。我们关注的是旋转间隙的成像，它实际上是盂肱关节囊的前上部分，在外部由喙肱韧带加强，在内部由肩胛上韧带和囊纤维加强，这些结构相互融合并在内侧和外侧附着于肱二头肌沟。在本文中，我们展示了高分辨率肌肉骨骼超声可视化旋转间隙详细解剖结构的能力。肌肉骨骼超声比其他成像技术具有更高的空间分辨率，并且能够动态检查这些结构，并通过超声触诊利用探头对患者疼痛进行精确的解剖定位。
