Kitay G S, Iannotti J P, Williams G R, Haygood T, Kneeland B J, Berlin J
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA.
J Shoulder Elbow Surg. 1995 Nov-Dec;4(6):441-8. doi: 10.1016/s1058-2746(05)80036-9.
Patients with an isolated diagnosis of rotator cuff impingement syndrome were prospectively entered into the study. Each of the 23 subjects was refractory to conservative therapy, had preoperative roentgenograms, and underwent an open acromioplasty. The roentgenograms included anteroposterior, axillary, 30 degrees caudal tilt, and supraspinatus outlet views. The roentgenograms were measured by four independent readers. The separate views were then scored for reliability, and the correlation of the measurements with intraoperative acromial measurements was assessed. Interobserver reliability was highest for the caudal tilt view (0.84) and lowest for the axillary view (0.09). The supraspinatus and caudal tilt views correlated significantly with distinct intraoperative measurements of acromial spur size. We continue to advocate the evaluation of both views for preoperative assessment of the acromial spur in the rotator cuff impingement syndrome.
仅诊断为肩袖撞击综合征的患者被前瞻性纳入本研究。23名受试者均对保守治疗无效，术前行X线检查，并接受了开放性肩峰成形术。X线检查包括前后位、腋位、尾端倾斜30度位和冈上肌出口位。X线片由四名独立阅片者测量。然后对各个视图进行可靠性评分，并评估测量结果与术中肩峰测量结果的相关性。观察者间可靠性在尾端倾斜位最高（0.84），在腋位最低（0.09）。冈上肌出口位和尾端倾斜位与肩峰骨刺大小的不同术中测量结果显著相关。我们继续主张在肩袖撞击综合征中，术前评估肩峰骨刺时应评估这两个视图。
