Baker M E, Martinez S, Kier R, Wain S
Department of Radiology and Pathology, Duke University Medical Center, Durham, North Carolina 27710.
J Comput Tomogr. 1988 Jan;12(1):13-8. doi: 10.1016/0149-936x(88)90022-7.
High resolution, narrow collimation, axial computed tomography of the sternoclavicular joint was used to describe changes secondary to degenerative joint disease in 32 cadaveric specimens. The distribution and pattern of sclerosis, cystic changes, and osteophyte formation in the axial plane were well demonstrated using this technique. Joint space narrowing was sometimes difficult to assess. Subtle joint space calcification was exquisitely demonstrated using computed tomography. Clavicular head cupping, an anatomic variant, may predispose to more severe degenerative change. Computed tomography is an excellent means to analyze the sternoclavicular joint for the presence of degenerative joint disease and may be the imaging modality of choice in assessing articular disorders of the sternoclavicular joint.
采用高分辨率、窄准直的胸锁关节轴向计算机断层扫描技术,对32个尸体标本中继发于退行性关节病的变化进行描述。利用该技术能很好地显示轴向平面内硬化、囊性变和骨赘形成的分布及模式。关节间隙变窄有时难以评估。计算机断层扫描能清晰显示细微的关节间隙钙化。锁骨头部杯状畸形作为一种解剖变异,可能更容易发生更严重的退行性改变。计算机断层扫描是分析胸锁关节是否存在退行性关节病的极佳方法,可能是评估胸锁关节关节疾病的首选成像方式。