Goh Yin Peng, Kamali Moaveni Ash, Hoy Gregory, Tate Julie, Rotstein Andrew
Victoria House Medical Imaging, MIA Radiology, I-MED Radiology Network, Melbourne, Victoria, Australia.
Department of surgery, Alfred Hospital, Monash University, Melbourne, Victoria, Australia.
J Med Imaging Radiat Oncol. 2019 Apr;63(2):216-221. doi: 10.1111/1754-9485.12862. Epub 2019 Feb 25.
Chronic post-traumatic sternoclavicular joint (SCJ) instability can be debilitating and result in restriction of normal daily activities. The diagnosis can be difficult to make clinically or with the use of static imaging modalities. Wide-volume dynamic four-dimensional computed tomography (4D CT) can confidently diagnose chronic post-traumatic SCJ instability. This can aid surgeons in pre-operative planning and help to triage patients into surgical or non-surgical candidates. We propose that 4D CT to be a routine pre-operative imaging in patients with chronic post-traumatic SCJ instability.
慢性创伤后胸锁关节（SCJ）不稳定会使人衰弱，并导致正常日常活动受限。临床上或使用静态成像方式时，诊断可能会很困难。宽容积动态四维计算机断层扫描（4D CT）能够可靠地诊断慢性创伤后SCJ不稳定。这有助于外科医生进行术前规划，并帮助将患者分类为手术或非手术候选者。我们建议将4D CT作为慢性创伤后SCJ不稳定患者的常规术前成像检查。
