Cotty P, Proust F, Bertrand P, Fouquet B, Rosset P, Alison D, Valat J P, Rouleau P, Laffont J
Service de Neuroradiologie, C.H.U. de Tours.
J Radiol. 1988 Nov;69(11):633-8.
The roentgenograms and the "Leclercq's manoeuvre" of 105 patients who had a shoulder arthrography were reviewed. We differentiated two groups: One with a rotator cuff tear. The other without a rotator cuff tear. The space between the acromion and the head of the humerus was measured on rotation zero degree and external rotational roentgenograms. When the acromio-humeral space was less than 8 mm, it was always correlated with a rotator cuff tear (specificity = 1). If at least tow of the following signs were present, there was in most cases a rotator cuff tear (specificity = 0.96): Sclerosed acromion. Spur of the acromion. Cystic changes around the greater tuberosity. Rounded tuberosities. Inferior gleno-humeral spur. The "Leclercq's manoeuvre" was considered positive either when there was an acromio-humeral space narrowing compared with the other side, or when there was an upward subluxation of the head of the humerus. When positive there was always a rotator cuff tear (sensibility = 0.7; specificity = 1).
回顾了105例行肩关节造影患者的X线片及“勒克莱克手法”。我们将患者分为两组：一组为肩袖撕裂，另一组无肩袖撕裂。在肱骨零位旋转和外旋X线片上测量肩峰与肱骨头之间的间隙。当肩峰-肱间隙小于8mm时，总是与肩袖撕裂相关（特异性=1）。如果出现以下至少两个征象，在大多数情况下存在肩袖撕裂（特异性=0.96）：肩峰硬化、肩峰骨刺、大结节周围囊性变、结节圆钝、下盂肱骨刺。当与对侧相比肩峰-肱间隙变窄，或肱骨头向上半脱位时，“勒克莱克手法”被认为是阳性。当手法阳性时，总是存在肩袖撕裂（敏感性=0.7；特异性=1）。
