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斜冠状位喙肱韧带 MR 影像对冻结肩的诊断价值

李锦青 张绍祥 宋凌恒 禹智波 乔清 张云泉 李福锁 张宏光 兰晓川 黄敏

局解手术学杂志2016,Vol.25Issue(11):811-814,815,5.
局解手术学杂志2016,Vol.25Issue(11):811-814,815,5.DOI:10.11659/jjssx.05E016062

斜冠状位喙肱韧带 MR 影像对冻结肩的诊断价值

Diagnosis of frozen shoulder with the coracohumeral ligament on the coronal oblique plane by MRI

李锦青 1张绍祥 2宋凌恒 1禹智波 1乔清 1张云泉 1李福锁 1张宏光 1兰晓川 1黄敏1

作者信息

  • 1. 解放军第324医院医学影像科,重庆 400020
  • 2. 第三军医大学生物医学工程系数字医学研究所,重庆 400038
  • 折叠

摘要

Abstract

Objective To evaluate the diagnosis of frozen shoulder with the coracohumeral ligament on the coronal oblique plane with MRI.Methods There were 60 patients(120 shoulder joints)in control group,with 30 males and 30 females,the mean age was 50.5 years old.There were 72 shoulder joints in 72 patients of frozen shoulder group(50 femles and 22 males with a mean age of 53.5 years)with clini-cal evidence and MR imaging evidence of frozen shoulder.These were prospectively analyzed to identify the CHL visualization rate and meas-ure the maximum thickness of the CHL.Results The CHL visualization rate on the coronal oblique plane in the control group was 86.7%(104 /120),and the frozen shoulder group was 87.5%(63 /72),the difference was not significant(P >0.05).The CHL visualization rate on the axial view in the frozen shoulder group was 19.4%(14 /72)and the control group was 24.2%(29 /120),the difference was not signifi-cant(P >0.05).The CHL thickness on the coronal oblique plane (n =63)in the patients with frozen shoulder was (4.37 ±1.71)mm, which was significantly greater than (2.84 ±0.79)mm ofpatients in the control group(n =104),the difference was significant(P <0.001). The CHL thickness on the axial plane(n =14)in the patients with frozen shoulder was (3.93 ±1.49)mm,which was significantly greater than (2.29 ±0.65)mm of patients in the control group(n =29),the difference was significant(P <0.001).Conclusion A thickened CHL is highly suggestive of frozen shoulder,which is 4.37 mm on the coronal oblique plane.

关键词

冻结肩/粘连性关节囊炎/磁共振成像/断层解剖/肩袖间隙/喙肱韧带

Key words

frozen shoulder/adhesive capsulitis/magnetic resonance imaging/sectional anatomy/rotator interval/coracohumeral ligament

分类

医药卫生

引用本文复制引用

李锦青,张绍祥,宋凌恒,禹智波,乔清,张云泉,李福锁,张宏光,兰晓川,黄敏..斜冠状位喙肱韧带 MR 影像对冻结肩的诊断价值[J].局解手术学杂志,2016,25(11):811-814,815,5.

基金项目

重庆市科委自然基金 ()

局解手术学杂志

OACSTPCD

1672-5042

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