Dumontier C, Zeitoun F, Chilot F, Sautet A, Bellaiche L, Lenoble E
Service d'Orthopédie, Hôpital Saint-Antoine, Paris.
Ann Radiol (Paris). 1997;40(3):153-65.
Recurrent instability of the shoulder may sometimes be a difficult diagnostic challenge. Bernageau's standard X-rays set, which includes 3 antero-posterior X-rays with medial rotation and 2 glenoid views, is able to confirm the existence of anterior instability events. However, it gives no information on the glenoid labrum and the glenohumeral ligaments. As surgical techniques are more sophisticated, more precise imaging techniques are needed in order to adapt the surgical technique to the anatomical lesions. Although CT arthrography is today the best imaging technique to choose a surgical technique, it will probably be replaced by MR arthrography in the near future. Pros and cons of each imaging techniques are described, together with their implications for the choice of treatment.
肩部复发性不稳定有时可能是一个诊断难题。伯纳热标准X线组合，包括3张内旋前后位X线片和2张关节盂视图，能够确认前方不稳定事件的存在。然而，它无法提供有关关节盂唇和盂肱韧带的信息。随着手术技术越来越复杂，需要更精确的成像技术，以便使手术技术适应解剖学病变。尽管CT关节造影术是目前选择手术技术的最佳成像技术，但在不久的将来它可能会被磁共振关节造影术所取代。文中描述了每种成像技术的优缺点及其对治疗选择的影响。
