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肩部肩袖损伤:直接矢状面CT关节造影评估

Rotator cuff lesions of the shoulder: evaluation by direct sagittal CT arthrography.

作者信息

Beltran J, Gray L A, Bools J C, Zuelzer W, Weis L D, Unverferth L J

出版信息

Radiology. 1986 Jul;160(1):161-5. doi: 10.1148/radiology.160.1.3715028.

DOI:10.1148/radiology.160.1.3715028
PMID:3715028
Abstract

Direct sagittal computed tomographic scanning (DSCT) of the shoulder was performed in 42 symptomatic patients, six healthy volunteers, and two cadaver shoulders. Axial CT scanning and double-contrast arthrography with plain radiographs were performed in 41 patients for comparison. DSCT enabled correct identification of 27 of 29 lesions in 24 patients. Seventeen patients had normal shoulders. Axial CT scanning and DSCT together enabled correct identification of all lesions and were markedly superior to plain-film arthrography. DSCT enabled diagnosis of all cases of complete rotator cuff tear plus three cases of incomplete tear and three of rotator cuff atrophy not identified by the other techniques. Axial CT scanning was better than DSCT for diagnosis of Bankart lesions.

摘要

对42例有症状的患者、6名健康志愿者以及2个尸体肩部进行了肩部直接矢状面计算机断层扫描(DSCT)。对41例患者进行了轴向CT扫描以及联合平片的双重对比关节造影以作比较。DSCT能够正确识别24例患者中29处损伤中的27处。17例患者肩部正常。轴向CT扫描和DSCT联合能够正确识别所有损伤,并且明显优于平片关节造影。DSCT能够诊断所有完全性肩袖撕裂病例,另外还能诊断出其他技术未识别出的3例不完全撕裂和3例肩袖萎缩病例。轴向CT扫描在诊断Bankart损伤方面比DSCT更好。

相似文献

1
Rotator cuff lesions of the shoulder: evaluation by direct sagittal CT arthrography.肩部肩袖损伤:直接矢状面CT关节造影评估
Radiology. 1986 Jul;160(1):161-5. doi: 10.1148/radiology.160.1.3715028.
2
Rotator cuff disruption: diagnosis with digital arthrography.
Radiology. 1988 Sep;168(3):705-7. doi: 10.1148/radiology.168.3.3406400.
3
[Double-contrast tomographic arthrography and double-contrast CT arthrography in rotator cuff lesions].
Orthopade. 1995 Nov;24(6):483-90.
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Direct coronal view of the shoulder with arthrographic CT.
Radiology. 1993 Sep;188(3):677-81. doi: 10.1148/radiology.188.3.8351332.
5
[Use of digital subtraction arthrography in lesions of the rotator cuff--comparison with ultrasound].数字减影关节造影在肩袖损伤中的应用——与超声检查的比较
Digitale Bilddiagn. 1990 Mar;10(1):30-5.
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A prospective comparison study of double contrast computed tomography (CT) arthrography and arthroscopy of the shoulder.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。
Am J Sports Med. 1988 Jan-Feb;16(1):13-20. doi: 10.1177/036354658801600103.
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Intratendinous defects of the rotator cuff.
Clin Orthop Relat Res. 1970 Mar-Apr;69:181-8.
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[The value of computed tomography in the diagnosis of the rotator cuff tears and bone and soft tissue tumors].[计算机断层扫描在诊断肩袖撕裂及骨与软组织肿瘤中的价值]
Nihon Seikeigeka Gakkai Zasshi. 1984 Jul;58(7):639-58.
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Single and double contrast arthrography in lesions of the glenohumeral joint.肩关节盂肱关节病变的单对比和双对比关节造影术
Eur J Radiol. 1984 Nov;4(4):237-40.
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[Computed tomography of the rotator cuff--a comparison with other imaging technics].[肩袖的计算机断层扫描——与其他成像技术的比较]
Rofo. 1989 Jun;150(6):643-9. doi: 10.1055/s-2008-1047094.

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