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超声评估活动受限肩关节的旋转间隙和毗邻肌腱:一种简化肩部位置的技术说明。

Ultrasound evaluation of the rotator interval and adjoining tendons in shoulders with restricted movements: a technical note describing a simplified shoulder position.

机构信息

Department of Musculoskeletal Radiology, Leeds Teaching Hospitals, Leeds, UK.

出版信息

J Ultrasound. 2022 Mar;25(1):115-119. doi: 10.1007/s40477-020-00541-z. Epub 2021 Jan 27.

DOI:10.1007/s40477-020-00541-z
PMID:33502663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8964858/
Abstract

The rotator interval (RI) is a critical but complex anatomical structure for which musculoskeletal ultrasound provides an excellent imaging evaluation. In the patients with restricted and painful movements, the RI may not be visualised optimally as the conventional 'Modified Crass' positions may not be achievable. It can also be difficult to optimally evaluate the anterior supraspinatus and subscapularis tendons in such patients. We describe a simple shoulder position obviating need of pronounced supraspinatus stretch for better evaluation of the rotator interval and adjoining rotator cuff structures.

摘要

旋转间隔(RI)是一个关键但复杂的解剖结构,肌肉骨骼超声为此提供了极好的影像学评估。在活动受限和疼痛的患者中,由于常规的“改良 Crass”体位可能无法达到,RI 可能无法得到最佳可视化。在这些患者中,也很难对前肩袖上肌和肩胛下肌肌腱进行最佳评估。我们描述了一种简单的肩部位置,避免了明显的肩袖上肌拉伸,从而可以更好地评估旋转间隔和相邻的肩袖结构。

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本文引用的文献

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Prevalence of subscapularis tears and accuracy of shoulder ultrasound in pre-operative diagnosis.肩胛下肌撕裂的患病率及肩部超声在术前诊断中的准确性。
Int Orthop. 2016 May;40(5):975-9. doi: 10.1007/s00264-015-3043-9. Epub 2015 Nov 19.
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