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目的:研究冈上肌出口位的最佳摄影方法和对肩关节损失的临床诊断价值。方法:患者直立与摄影板前,面向摄影板,两足稍稍分开,被检查的肩部紧贴暗盒,身体的冠状面与板面约55-65°之间,被检肢体下垂,避免肩胛骨与肱骨的重叠影,中心线向足侧倾斜10-15°,从肩胛冈喙突垂直摄入成像板,曝光条件为:75-85KV,12-14m As。结果:按照标准体位检查下,肩胛骨内缘投影于肩胛骨外缘中央,与喙突、肩峰一起组成“Y”字形投影,并与肋骨缘完全分离。所得的图像测量肩缝下间隙。结论:冈上肌出口位的拍摄常用于诊断肩峰下撞击综合征,而肩缝-肱骨头(A-H)间距值是对于肩缝下间隙是否狭窄的重要依据。
Objective: To study the best photography method of supraspinatus exit position and clinical diagnosis of shoulder joint loss. Methods: The patient stood upright and the front of the photographic plate, facing the photographic plate. The two feet were slightly separated. The checked shoulder was close to the cassette. The coronal plane and the plate surface of the patient were about 55-65 degrees. The dipped limbs were sagged to avoid the shoulder blades and humerus Of the overlapping shadow, the centerline tilted 10-15 ° to the foot side, perpendicular to the scapular coracoid into the imaging plate exposure conditions: 75-85KV, 12-14mAs. Results: According to the standard examination of position, the inner edge of the scapula was projected on the center of the outer edge of the scapula, and the cox beak and acromion formed a “Y” -shaped projection and completely separated from the rib margin. The resulting image measures the gap under the shoulder seam. CONCLUSIONS: The supraspinatus exit site is often used for the diagnosis of subacromial impingement syndrome. The shoulder-humeral head space (A-H) is an important basis for determining whether there is stenosis in the shoulder.