中华放射学杂志
中華放射學雜誌
중화방사학잡지
Chinese Journal of Radiology
2012年
1期
61-64
,共4页
崔志新%张悦%郑卓肇%任阿红
崔誌新%張悅%鄭卓肇%任阿紅
최지신%장열%정탁조%임아홍
肩脱位%肩关节%体层摄影术,X线计算机
肩脫位%肩關節%體層攝影術,X線計算機
견탈위%견관절%체층섭영술,X선계산궤
Shoulder dislocation%Shoulder joint%Tomography,X-ray computed
目的 在复发性肩关节前方脱位中,利用MSCT评估关节盂前方骨质缺损情况.方法 回顾分析108例复发性肩关节前脱位和12例单次肩关节脱位患者的MSCT检查,对比评价前方关节盂骨质缺损的发生率、程度及位置.利用Fisher精确概率法分析前方关节盂骨质缺损的发生率,利用Wilcoxon秩和检验比较前方关节盂骨质缺损的上下长径、深度及比例.结果 在复发性肩关节前脱位中,91.7％(99/108)存在前方关节盂的骨质缺损,缺损比例为(16.0±6.0)％,缺损中心位置介于时钟分区的2:20～ 4:25点(平均3:20点),62.0％(67/108)前方出现骨性Bankart病变,包括游离型39例(58.2％)及黏附型28例(41.8％).12例单次肩关节脱位中,9例出现前方关节盂骨质缺损,其缺损发生率(9/12；P=0.100)和缺损比例[(15.2±7.1)％；P=0.453]与复发性肩关节脱位比较差异均无统计学意义.结论 前方关节盂骨质缺损为复发性肩关节前方脱位的常见表现.
目的 在複髮性肩關節前方脫位中,利用MSCT評估關節盂前方骨質缺損情況.方法 迴顧分析108例複髮性肩關節前脫位和12例單次肩關節脫位患者的MSCT檢查,對比評價前方關節盂骨質缺損的髮生率、程度及位置.利用Fisher精確概率法分析前方關節盂骨質缺損的髮生率,利用Wilcoxon秩和檢驗比較前方關節盂骨質缺損的上下長徑、深度及比例.結果 在複髮性肩關節前脫位中,91.7％(99/108)存在前方關節盂的骨質缺損,缺損比例為(16.0±6.0)％,缺損中心位置介于時鐘分區的2:20～ 4:25點(平均3:20點),62.0％(67/108)前方齣現骨性Bankart病變,包括遊離型39例(58.2％)及黏附型28例(41.8％).12例單次肩關節脫位中,9例齣現前方關節盂骨質缺損,其缺損髮生率(9/12；P=0.100)和缺損比例[(15.2±7.1)％；P=0.453]與複髮性肩關節脫位比較差異均無統計學意義.結論 前方關節盂骨質缺損為複髮性肩關節前方脫位的常見錶現.
목적 재복발성견관절전방탈위중,이용MSCT평고관절우전방골질결손정황.방법 회고분석108례복발성견관절전탈위화12례단차견관절탈위환자적MSCT검사,대비평개전방관절우골질결손적발생솔、정도급위치.이용Fisher정학개솔법분석전방관절우골질결손적발생솔,이용Wilcoxon질화검험비교전방관절우골질결손적상하장경、심도급비례.결과 재복발성견관절전탈위중,91.7％(99/108)존재전방관절우적골질결손,결손비례위(16.0±6.0)％,결손중심위치개우시종분구적2:20～ 4:25점(평균3:20점),62.0％(67/108)전방출현골성Bankart병변,포괄유리형39례(58.2％)급점부형28례(41.8％).12례단차견관절탈위중,9례출현전방관절우골질결손,기결손발생솔(9/12；P=0.100)화결손비례[(15.2±7.1)％；P=0.453]여복발성견관절탈위비교차이균무통계학의의.결론 전방관절우골질결손위복발성견관절전방탈위적상견표현.
Objective To evaluate multi-slice CT (MSCT) in glenoid bone loss of patients with recurrent anterior shoulder dislocation.Methods MSCT findings of 108 patients with recurrent anterior shoulder dislocation and 12 with single anterior shoulder dislocation were retrospectively studied.The incidence,degrees and locations of glenoid bone losses were recorded.The incidence was analyzed with Fisher exact test.The maximum length,depth and proportion were compared with Wilcoxon rank sum test.Results Glenoid bone loss was detected in 91.7％ (99/108)patients with recurrent anterior shoulder dislocation.The proportion of glenoid bone loss was ( 16.0 ± 6.0)％,and the central locations of glenoid bone loss were from 2: 20 to 4: 25 ( mean 3: 20).Sixty-two percent (67/108) patients had bony Bankart lesions in which 58.2％ (39/67) bony fragments were free and 41.8％ (28/67) were adherent to the anterior border of the glenoid cavity.Seventy-five percent (9/12) patients with single shoulder dislocation had anterior glenoid bone loss,and the proportion of glenoid bone loss was ( 15.2 ± 7.1 ) ％.There were no statistical differences of the incidence (P =0.100) and proportion of glenoid bone loss ( P =0.453 ) between the recurrent and single anterior shoulder dislocation.Conclusions Anterior glenoid bone loss is common in patients with recurrent anterior shoulder dislocation.
