摘要
目的结合磁共振影像,在关节镜下观察盂肱下韧带损伤的表现,明确盂肱下韧带损伤的分型,为临床上常见肩关节疾病的诊断及治疗提供支持。方法收集2019年4—9月在青岛大学附属医院行肩关节关节镜手术的病人84例(其中复发性肩关节脱位12例,肩袖损伤60例,冻结肩10例,钙化性肌腱炎2例),对其磁共振影像及关节镜下表现进行观察分析。结果表现为盂肱下韧带单纯水肿挛缩增厚的病人占44.0%(37/84),肱骨侧撕裂者占29.8%(25/84),腋囊撕裂者占13.1%(11/84),关节盂侧撕裂者占13.1%(11/84)。冻结肩10例病人中7例表现为盂肱下韧带单纯水肿挛缩增厚,复发性肩关节脱位病人12例中8例表现为关节盂侧撕裂。结论盂肱下韧带损伤普遍存在于各种常见肩关节病变中,在肩关节脱位病人中更容易观察到明显的盂肱下韧带撕裂,而冻结肩病人的盂肱下韧带水肿增厚更为明显。
Objective To observe the manifestations of inferior glenohumeral ligament injury under an arthroscope,with reference to magnetic resonance images,to clarify the typing of inferior glenohumeral ligament injury,and to provide support for the diagnosis and treatment of common shoulder joint diseases.Methods A retrospective analysis was performed for the magnetic resonance images and arthroscopic manifestation of 84 patients who underwent arthroscopic surgery for shoulder joint in The Affiliated Hospital of Qingdao University from April to September 2019,and among these patients,12 had recurrent shoulder joint dislocation,60 had rotator cuff injury,10 had frozen shoulder,and 2 had calcific tendinitis.Results Among these patients,44.0%(37/84)had edema,contracture,and thickening of the inferior glenohumeral ligament,29.8%(25/84)had torn ligament at the humeral side,13.1%(11/84)had tear of the axillary ligament,and 13.1%(11/84)had torn ligament at the glenoid side.Among the 10 patients with frozen shoulder,7 had edema,contracture,and thickening of the inferior glenohumeral ligament,and among the 12 patients with recurrent shoulder joint dislocation,8 had torn ligament at the glenoid side.Conclusion Inferior glenohumeral ligament injury is commonly seen in a variety of shoulder joint lesions.Obvious tear of the inferior glenohumeral ligament is more easily observed in patients with shoulder joint dislocation,and edema and thickening of the inferior glenohumeral ligament are more obvious in patients with frozen shoulder.
作者
汪建
任中楷
刘圆圆
张益
李静慧
于腾波
WANG Jian;REN Zhongkai;LIU Yuanyuan;ZHANG Yi;LI Jinghui;YU Tengbo(Sports Medicine Department,The Affiliated Hospital of Qingdao University,Qingdao 266003,China)
出处
《青岛大学学报（医学版）》
CAS
2020年第5期505-508,共4页
Journal of Qingdao University(Medical Sciences)
基金
国家自然科学基金面上项目(31872310)
山东省自然科学基金面上项目(ZR2019MH097)。
关键词
肩损伤
韧带
关节
关节镜检查
磁共振成像
shoulder injuries
ligaments,articular
arthroscopy
magnetic resonance imaging
