Schild H, Müller H A, Dale P, Kirschner P
Rontgenblatter. 1981 Mar;34(3):109-12.
Whenever radiographs in the elbow region do not present a clear picture, the physician should consider the possibility of a lesion of the capitulum humeri, despite the fact that this is rather rare. In such cases, the anteroposterior radiographs of the elbow may not present any abnormal findings. In most cases, crescent-shaped or elliptic bone chips in the bend of the elbow or dorsally in the interarticular space of the elbow joint will lead to the proper diagnosis. Classification into groups according to Hahn-Steinthal, Kocher-Lorenz and Krösl can lead to errors if employed too rigidly. In our opinion, lateral tomography of the elbow should always be performed whenever there is any suspicion of a lesion of the capitulum humeri. This will definitely clarify the origin and nature of the fragment, which may be of importance for the selection of the surgical approach and the type of surgical treatment chosen.
每当肘部区域的X光片显示不清晰时，尽管肱骨小头病变相当罕见，医生仍应考虑这种可能性。在这种情况下，肘部的前后位X光片可能没有任何异常发现。在大多数情况下，肘部弯曲处或肘关节关节间隙背侧的新月形或椭圆形骨碎片将有助于做出正确诊断。如果过于严格地按照哈恩 - 施泰因塔尔、科赫尔 - 洛伦茨和克罗塞尔的分类方法进行分组，可能会导致错误。我们认为，每当怀疑有肱骨小头病变时，都应始终对肘部进行侧位断层扫描。这肯定会明确碎片的来源和性质，这对于选择手术入路和所采用的手术治疗类型可能很重要。
