Schwartz E E, Lantieri R, Teplick J G
AJR Am J Roentgenol. 1977 Aug;129(2):291-5. doi: 10.2214/ajr.129.2.291.
Erosion of the inferior aspect of the outer third of the clavicle has been found on chest films in 19 out of 100 randomly selected azotemic patients. This important manifestation of secondary hyperparathyroidism compares favorably with other sites of clavicular erosion. Its frequency and degree increase with length of time on dialysis. A review of the local anatomy and of the mechanical stresses imposed on the coracoclavicular ligament explains why anteroposterior and portable chest films are particularly well suited for early detection of these changes.
在随机选取的100例氮质血症患者中，有19例胸部X线片显示锁骨外侧三分之一下方有骨质侵蚀。继发性甲状旁腺功能亢进的这一重要表现与锁骨其他部位的侵蚀情况相比更具优势。其发生频率和程度随透析时间延长而增加。对局部解剖结构以及喙锁韧带所受机械应力的回顾解释了为何前后位胸片和便携式胸片特别适合早期发现这些变化。
