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肩部不稳定的影像学评估。

Imaging of shoulder instability.

机构信息

Department of Medicine and Surgery (DiMec), Section of Radiology, University of Parma, Maggiore Hospital, Via Gramsci 14, 43126, Parma, Italy.

Department of Medicine and Surgery (DiMeC), Section of Radiology, University of Parma, Via Gramsci 14, 43126, Parma, Italy.

出版信息

Skeletal Radiol. 2020 Oct;49(10):1505-1523. doi: 10.1007/s00256-020-03459-z. Epub 2020 May 23.

Abstract

The shoulder enjoys the widest range of motion of all the joints in the human body, therefore requires a delicate balance between stability and motility. The glenohumeral joint is inclined to fall into two main instability categories: macro and micro. Macroinstability can be traumatic or atraumatic, with anterior or posterior dislocation of the humeral head. Microinstability falls within the broader section of acquired instability in overstressed shoulder caused by repeated joint stress. Anterior traumatic instability is the most frequent entity and a relatively common injury in young and athletic population. While shoulder instability is a clinical diagnosis, imaging impacts the patient management by detailing the extent of injury, such as capsulo-labral-ligamentous tears, fracture, and/or dislocation, describing the predisposing anatomic conditions and guide the therapetic choice. The aim of this comprehensive review is to cover the imaging findings of shoulder instability by different imaging techniques.

摘要

肩部是人体所有关节中活动范围最广的部位,因此需要在稳定性和活动性之间取得微妙的平衡。盂肱关节容易出现两种主要的不稳定类型:宏观和微观。宏观不稳定可分为创伤性或非创伤性,肱骨头前或后脱位。微观不稳定属于因重复关节应力导致过度紧张的肩部获得性不稳定的更广泛部分。前创伤性不稳定是最常见的实体,也是年轻和运动人群中相对常见的损伤。虽然肩不稳定是一种临床诊断,但影像学通过详细描述损伤程度,如关节囊、盂唇和韧带撕裂、骨折和/或脱位,描述易患的解剖条件,并指导治疗选择,对患者管理产生影响。本综述的目的是通过不同的影像学技术涵盖肩不稳定的影像学表现。

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