Tirman P F, Steinbach L S, Belzer J P, Bost F W
San Francisco Magnetic Resonance Center, San Francisco, California 94118-1944, USA.
Orthop Clin North Am. 1997 Oct;28(4):483-515. doi: 10.1016/s0030-5898(05)70306-0.
Our understanding of shoulder disorders has changed considerably as a result of improved diagnostic tools, such as arthroscopy and multiplanar imaging modalities. The diagnosis of the cause of shoulder pain can be difficult because a spectrum of disorders, including cervical spine disease, acromioclavicular arthritis, and shoulder instability. Impingement and denervation syndromes can present with similar clinical findings. Accurate depiction of anatomic abnormalities is important for treatment planning. The purpose of this article is to report on the application of available imaging modalities, with emphasis on MR imaging. A strategy for the appropriate use of these studies and their variations of technique is also provided.
由于关节镜检查和多平面成像模式等诊断工具的改进,我们对肩部疾病的认识有了很大变化。肩部疼痛病因的诊断可能很困难,因为存在一系列疾病,包括颈椎病、肩锁关节炎和肩部不稳定。撞击和去神经综合征可能表现出相似的临床症状。准确描述解剖异常对治疗方案的制定很重要。本文的目的是报告现有成像模式的应用,重点是磁共振成像。还提供了合理使用这些检查及其技术变体的策略。