MRI在肩关节疼痛疾病诊断中的应用

目的：探讨MRI在肩关节疼痛疾病诊断和鉴别诊断中的应用价值。材料和方法：对28例28侧肩关节疼痛患者，使用0．5T的MR仪行肩关节磁共振检查，分析MRI表现的形态学特点。结果：28例肩关节MRI扫描发现：肩袖完全撕裂、肩袖部分撕裂、肌腱炎、肩袖钙化、肩锁关节积液、肱二头肌腱长头腱鞘炎、肌膜脱位等。6例经手术证实，22例行保守治疗。结论：MRI由于其多平面成像的能力和优良的软组织对比，能详细显示肩关节的解剖结构，敏感地发现软组织异常，对肩关节疼痛的诊断和鉴别诊断有较高的应用价值。

Value of MRI in the Diagnosis of the Shoulder Abnormalities

Purpose: To evaluate the value of magnetic resonance imaging used in the shoulder abnormalities . Materials and Methods: Twenty - eight patients (18 men, 10 women) with complaint of shoulder pain underwent MR imaging of the shoulder.All MR imaging was performed on a 0.5T MR machine and the morphologic features were evaluated. Results: MR findings included: full - thickness and partial -thickness tears of the rotator cuff, tendinitis, calcification of the rotator cuff, biceps tendinitis, biceps dislocation and acromioclavicular joint arthritis. Six patients received arthroscopy and/ or open procedure. The other twenty - two patients received conservative treatment.Conclusion: We conclude that MRI is a good noninvasive method for the diagnosis of shoulder pain.