Feldman F
Hand Clin. 1987 May;3(2):269-89.
This discussion has attempted to outline a fundamental approach to the radiographic analysis of solitary lesions of the hand and wrist skeleton. The initial evaluation invariably relies on the routine radiograph, using the conventional film-screen combination to obtain a sense of the lesion in its gross anatomic setting. Decisions to use ancillary procedures and the selection of their type and sequence can also best be based on an initial general evaluation. On the basis of an overall view so obtained, and by using a body of general roentgenographic criteria, one can arrive at the most likely diagnostic probabilities. However, in addition to careful study of the lesion, close cooperation between the clinician, the pathologist, and the radiologist cannot be overemphasized. Only by means of such collaboration is it possible to reach a truly valid diagnosis and a rational plan for treatment.
本讨论试图概述一种对手和腕部骨骼孤立性病变进行放射学分析的基本方法。最初的评估总是依赖于常规X线片，使用传统的屏-片组合来在大体解剖背景下了解病变情况。关于是否使用辅助检查以及其类型和顺序的选择，也最好基于最初的全面评估。基于这样获得的整体视图，并运用一系列一般的X线诊断标准，人们可以得出最有可能的诊断概率。然而，除了仔细研究病变外，临床医生、病理学家和放射科医生之间的密切合作再怎么强调也不为过。只有通过这种协作，才有可能得出真正有效的诊断和合理的治疗方案。
