Farin P U, Kaukanen E, Jaroma H, Harju A, Väätäinen U
Department of Clinical Radiology, Kuopio University Hospital, Finland.
Skeletal Radiol. 1996 Aug;25(6):559-62. doi: 10.1007/s002560050135.
To determine the value of ultrasonography (US) in the detection of Hill-Sachs lesion of the humerus in comparison with double-contrast computed tomographic arthrography (CTA) and with arthroscopy.
US and CTA were performed on 92 patients, 86 of whom subsequently underwent arthroscopy. The findings of US, CTA and arthroscopy in these 86 patients in the diagnosis of Hill-Sachs lesion were analyzed.
In the detection of Hill-Sachs lesion US showed a sensitivity of 91% (21 of 23), a specificity of 95% (60 of 63) and an accuracy of 94% (81 of 86) when compared with CTA, and a sensitivity of 94% (18 of 19), specificity of 91% (61 of 67) and accuracy of 91% (79 of 86) when compared with arthroscopy. In only 2% (2 of 86) of patients was there reduced visualization because of restriction of movement. Hill-Sachs lesion and its relationship to the humeral head can be reliably diagnosed with US.
与双对比计算机断层扫描关节造影（CTA）及关节镜检查相比，确定超声检查（US）在检测肱骨希尔-萨克斯损伤中的价值。
对92例患者进行了US和CTA检查，其中86例随后接受了关节镜检查。分析了这86例患者中US、CTA和关节镜检查在诊断希尔-萨克斯损伤方面的结果。
在检测希尔-萨克斯损伤时，与CTA相比，US的灵敏度为91%（23例中的21例），特异性为95%（63例中的60例），准确率为94%（86例中的81例）；与关节镜检查相比，US的灵敏度为94%（19例中的18例），特异性为91%（67例中的61例），准确率为91%（86例中的79例）。仅2%（86例中的2例）的患者因活动受限导致图像显示不佳。US能够可靠地诊断希尔-萨克斯损伤及其与肱骨头的关系。
