Faletti C, Indemini E, Clerico P, Crova M, Vassoney P F
Sezione Autonoma di Radiologia Ortopedica, Ospedale Maria Vittoria, Torino.
Radiol Med. 1988 Mar;75(3):151-5.
One hundred and ninety-three shoulder arthrographies were performed between 1979 and 1985 on patients affected by recurrent dislocations. The diagnostic doubt was cleared up in 162 cases (83%). Arthrographic diagnosis was confirmed by pathological findings in 92% of the patients who underwent surgery. The double-contrast technique under local anaesthesia with anterior access is suggested, since it allows several arthrograms in different projections. Thus, an analytic study of the articular damage can be carried out. The patterns of each projection are briefly shown. Revision of case histories points out that: a) the use of arthrography should always be assessed on a clinical-radiological basis for each patient; b) there is no doubt as to the usefulness of this examination as a direct means of exploration, as far as the articular damage is concerned, not only as an aid to future surgery, but also in the follow-up of the results of the treatment in the long run.
1979年至1985年间，对193例复发性脱位患者进行了肩关节造影。162例（83%）患者的诊断疑问得以消除。在接受手术的患者中，92%的关节造影诊断得到了病理结果的证实。建议采用局部麻醉下前路入路的双重造影技术，因为它可以在不同投照下进行多次关节造影。这样，就可以对关节损伤进行分析研究。简要展示了每个投照的模式。病例史回顾指出：a）应始终根据每位患者的临床-放射学情况评估关节造影的使用；b）就关节损伤而言，毫无疑问，这项检查作为一种直接的探查手段是有用的，不仅有助于未来的手术，而且从长远来看，也有助于对治疗结果的随访。
