摘要
目的:探讨冈上肌出口位X线片在诊断肩峰下撞击综合征中的应用价值。方法:回顾性分析58例经临床证实为肩峰下撞击综合征患者的冈上肌出口位X线表现,根据Bigliani肩峰分型标准进行分型,测量肩峰-肱骨头(A-H)值。结果:58例患者中,Ⅰ型11例(18.96%),Ⅱ型21例(36.21%),Ⅲ型26例(44.83%)。肩峰下间隙狭窄27例(A-H值<1cm),肩锁关节骨质增生12例,冈上肌肌腱钙化6例。结论:冈上肌出口位摄片能够提供肩峰分型的直接依据,可观察肩峰下滑动间隙、肩峰端骨赘的存在及冈上肌肌腱的钙化,对肩峰下撞击综合征的诊断具有病因学意义,并在一定程度上为骨科医生选择治疗方案提供了重要的影像依据。
Objective：To explore the value of supraspinatus outlet radiographs（SORs） in diagnosis of subacromial impingement syndrome（SIS）.Methods：The clinical and imaging data of 58 patients with SIS were collected and retrospectively reviewed.All patients were examined by standard X-rays using supraspinatus outlet view and classified on the basis of the Bigliani criteria in the same manner,A-H distance（A cromion-Humerus distance） was measured.Results：Among 58 patients,there were 11 of type Ⅰ（18.96%）,21 of type Ⅱ（36.21%）,26 of type Ⅲ（44.83%）.27 patients had subacromial space narrowing,12 patients had acromioclavicular joint osteoarthritis and 6 patients had calcification in the supraspinatus tendon.Conclusion：The SORs can evaluate the shape of the acromion directly,because its shape had been suggested to be a predisposing factor to SIS.SORs can also display the subacromial space,acromioclavicular joint osteoarthritis and the calcification in supraspinatus tendon,to some degree it plays an important role in choosing therapeutic approach for orthopedist.
出处
《放射学实践》
2012年第9期1017-1020,共4页
Radiologic Practice
关键词
肌骨骼疾病
体层摄影术
X线计算机
肩峰
Musculoskeletal diseases； Tomography,X-ray computed； Acromion
