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We used arthrotomography to study the glenoid labrum in 114 patients. Sixty-nine of the patients had anatomic instability of the shoulder (including recurrent dislocation and subluxation of the shoulder), and 45 patients had functional instability of the shoulder (denoted by chronic pain, clicking of the joint, and the sensation that an unstable condition exists without the objective signs of it). Labral tears were revealed arthrotomographically in 86% of the patients with anatomic instability, while only 40% of the patients with functional instability had labral abnormalities, and these were primarily of minor severity. Fifty-six patients (44 of whom had anatomic instability; 12, functional instability) required surgery. The surgical findings were correlated with the arthrotomographic findings, and no false-positive results were revealed. However, arthrotomography demonstrated only part of the pathologic condition of two patients. These results confirm that there is a strong correlation between labral pathologic conditions and anatomic instability of the shoulder. Arthrotomographic studies have a great impact on the selection of therapy in cases of both anatomic and functional instability of the shoulder. 相似文献
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Hausegger KA; Cragg AH; Lammer J; Lafer M; Fluckiger F; Klein GE; Sternthal MH; Pilger E 《Radiology》1994,190(1):199
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Rosenberg ZS; Jahss MH; Noto AM; Shereff MJ; Cheung Y; Frey CC; Norman A 《Radiology》1988,167(2):489-493
Computed tomography (CT) was performed in 42 patients with 49 clinically suspected tears of the posterior tibial tendon. Twenty-eight of the 49 suspected tears were subsequently surgically explored and repaired. Three patterns of tendon abnormalities were recognized on CT scans: type I-intact, hypertrophied, heterogeneous tendon; type II-attenuated tendon; and type III-absence of a portion of a tendon. Types I and II correlated with partial rupture seen during surgery, and type III correlated with complete rupture of the tendon. CT findings were accurate in 96% of the patients who underwent surgery. In four cases (14%), tendon rupture was seen on CT scans, but the extent of the injury was underestimated and the rupture was misclassified. Reactive periostitis of the distal tibia was seen in 71% of diseased tendons and may represent an important factor in the diagnosis of tendon rupture. 相似文献
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M. H. Baums G. Spahn M. Nozaki H. Steckel W. Schultz H.-M. Klinger 《Knee surgery, sports traumatology, arthroscopy》2007,15(5):687-644
Frozen shoulder is said to be a self-limiting entity but full recovery often takes more than 2 years. For that, most patients
are unwilling to tolerate painful restriction while awaiting resolution. We prospectively investigated 30 patients (16 women,
14 men) for the outcome of arthroscopic capsular release in idiopathic frozen shoulder. Results were determined by the assessment
of subjective and objective parameters to estimate both shoulder function and general health status. Symptoms persisted without
improvement for a minimum of 6 months of conservative treatment. Preoperative average American shoulder and elbow surgeons
score (ASES) was 35, visual analog scale (VAS) to measure pain was 7, and simple shoulder test (SST) was 4. Mean scores of
the physical component of SF-36 were considerably reduced. Mean forward elevation was 85°, average abduction was 70°, mean
internal rotation was 15°, and mean external rotation was 10°. Patients were followed-up at 6 weeks, 3, 6, 12 months and by
a mean of 36 months. Range of motion for all planes improved (P < 0.05). Median VAS reduced to 2, average ASES increased to 91, and SST enhanced to a mean of 10 (P < 0.05). We stated improvement of the physical components in the SF-36 questionnaire in particular bodily pain and the role-physical
score. There were no significant differences between the measurements in the early postoperative phase compared to the mid-term
follow-up (P > 0.05). Our results demonstrate that arthroscopic release of refractory idiopathic frozen shoulder combined with a gentle
manipulation provides reliable expectations for improvement in both clinical and general health status for most patients.
We recommend the use of a limb-specific and a general-health-status questionnaire to conclude the benefit of the surgical
intervention and contribute the optimization of a therapy concept more effectively. 相似文献
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Peroneus quartus muscle: MR imaging features 总被引:2,自引:0,他引:2
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