肩部双对比计算机断层扫描（CT）关节造影与关节镜检查的前瞻性对比研究。

A prospective comparison study of double contrast computed tomography (CT) arthrography and arthroscopy of the shoulder.

作者信息

Callaghan J J, McNiesh L M, DeHaven J P, Savory C G, Polly D W

机构信息

Orthopaedic Service, Walter Reed Army Medical Center, Washington, DC 20397-5001.

出版信息

Am J Sports Med. 1988 Jan-Feb;16(1):13-20. doi: 10.1177/036354658801600103.

DOI:10.1177/036354658801600103

PMID:3344875

Abstract

Thirty consecutive patients who underwent double contrast CT arthrography prior to shoulder arthroscopy were prospectively studied. Results from both studies were recorded with the radiologist blinded to the arthroscopic findings when making the final CT reading. The sensitivity, specificity, and accuracy, respectively, of CT arthrography findings compared to arthroscopy were 50%, 100%, 96% for rotator cuff; 66%, 100% 96% for bicipital labral complex; 100%, 100%, 100% for loose bodies; 50%, 100% 93% for Hill-Sachs lesions; 90%, 73%, 83% for anterior labral defects; and 100%, 100%, 100% for posterior labral defects. We conclude that shoulder arthroscopy accurately delineates abnormalities of the anterior and posterior labrum, bicipital labral complex, rotator cuff, joint synovium, and humeral head. CT arthrography accurately delineates capsular redundancy, loose bodies, hardware around joints, and bony glenoid rim abnormalities.

摘要

对30例在肩关节镜检查前行双对比CT关节造影的连续患者进行前瞻性研究。在进行最终CT阅片时，由对关节镜检查结果不知情的放射科医生记录两项检查的结果。与关节镜检查相比，CT关节造影检查结果对于肩袖的敏感性、特异性和准确性分别为50%、100%、96%；对于肱二头肌盂唇复合体为66%、100%、96%；对于游离体为100%、100%、100%；对于希尔-萨克斯损伤为50%、100%、93%；对于前盂唇缺损为90%、73%、83%；对于后盂唇缺损为100%、100%、100%。我们得出结论，肩关节镜检查能准确描绘前、后盂唇、肱二头肌盂唇复合体、肩袖、关节滑膜和肱骨头的异常情况。CT关节造影能准确描绘关节囊冗余、游离体、关节周围硬件以及骨性肩胛盂边缘异常情况。