Triebel H J, Wening V, Witte G
Rontgenblatter. 1986 Sep;39(9):266-72.
47 patients suspected of rupture of the rotator cuff were sonographed and arthrographed. Rupture of the rotator cuff was diagnosed in 12 cases, both diagnostic methods yielding the same result. In 29 patients sonography and arthrography did not reveal any abnormal findings. Six ruptures evident in sonography were not confirmed by arthrography and were considered false positive. Direct pointers towards rupture of the cuff would be: echoless defects, cuff cannot be visualised fully or in part, irregularities of movement during dynamic examination. Echoless "cystic" areas in the periarticular soft parts must be considered an indirect pointer. Echorich focal findings in the echopoor cuff represent a differential diagnostic problem and we cannot give a final assessment as yet. Shoulder sonography is justified as a screening method in suspicion of rotator cuff rupture before initiating arthrography. If sonography reveals no abnormal findings, shoulder arthrography need not be performed.
对47例疑似肩袖破裂的患者进行了超声检查和关节造影。诊断出12例肩袖破裂，两种诊断方法结果相同。29例患者的超声检查和关节造影未发现任何异常。超声检查显示的6处破裂未得到关节造影的证实，被认为是假阳性。肩袖破裂的直接指征为：无回声缺损、肩袖无法完全或部分显示、动态检查时运动不规则。关节周围软组织中的无回声“囊性”区域必须被视为间接指征。在低回声的肩袖中出现高回声局灶性表现是一个鉴别诊断问题，我们目前还无法给出最终评估。在怀疑肩袖破裂时，在进行关节造影之前，将肩部超声检查作为一种筛查方法是合理的。如果超声检查未发现异常，则无需进行肩部关节造影。
