Funke M, Leibl T, Grabbe E
Abteilung Röntgendiagnostik I, Georg-August-Universität Göttingen.
Radiologe. 1996 Dec;36(12):951-9. doi: 10.1007/s001170050163.
The diagnosis of glenohumeral instability is based on the patient's history and physical examination. The main objective in using imaging techniques is to define the type and extent of the underlying pathology for therapeutic planning. Plain radiography is the initial step in the diagnostic procedure but can miss typical lesions of the glenohumeral joint structures. CT arthrography and MR imaging offer great sensitivity and accuracy for the detection of traumatic abnormalities of the labral-capsular complex, fractures of the glenoid rim and Hill-Sachs lesions. The advantages and pitfalls of both imaging techniques are discussed.
肩肱关节不稳的诊断基于患者的病史和体格检查。使用成像技术的主要目的是为治疗计划确定潜在病理状况的类型和程度。普通X线摄影是诊断程序的第一步,但可能会遗漏肩肱关节结构的典型病变。CT关节造影和磁共振成像对检测盂唇-关节囊复合体的创伤性异常、肩胛盂边缘骨折和希尔-萨克斯损伤具有很高的敏感性和准确性。本文讨论了这两种成像技术的优缺点。