摘要
台北榮民總醫院自民國73年7月至民國76年9月止，共有67人臨床上懷疑旋轉環膜撕裂接受手術，其中49人(73%)經手術證實為旋轉環膜撕裂。67人中手術前曾接受超音波檢查者有30人，超音波診斷的靈敏度為82%，特異性為75%，準確度為80%，陽性預估值為90%，陰性預估值為60%。超音波診斷旋轉環膜撕裂的發現以不連續性(discontinuity)（8例）及局部高回音區(echogenic focus)（8例）為最常見，無法看見旋轉環膜(nonvisualization)或旋轉環膜表淺面凹陷(superficial dimpling)則各見一例。其他附屬發現如肽二頭肌長頭滑膜鞘及旋轉環膜附近積水對旋轉環膜撕裂之診斷亦相當有幫助，伴隨的發現如肽骨大結節小斷裂偶亦可由超音波偵測出。
並列摘要
From July 1984 to Sep. 1987, 67 patients suspected rotator cuff tears had received operation at Veterans General Hospital-Taipei. Among them, 49 patients (73%) were proved to have variable degrees of rotator cuff tears. Thirty cases had pre-operative sonographic study. The respective sensitivity, specificity, accuracy, positive predictive value and negative predictive value for diagnosis of rotator cuff tears were 82%, 75%, 80%, 90% and 60%. The most frequent sonographic findings were discontinuity (8 cases) and echogenic focus (8 cases). Other findings such as non-visualization of rotator cuff and superficial dimpling were noted in one case respectively. The associated findings such as fluid accumulation surrounding the rotator cuff or in synovial sheath of biceps long head and chip fracture of greater tuberosity were helpful for diagnosis.
延伸閱讀
- 林峰正、張志鵬、陳宏庭、楊蕙黛、林慶揚（2005）。以超音波評估肩旋轉袖破裂術後復健成效。北市醫學雜誌，2(9)，795-802。https://doi.org/10.6200/TCMJ.2005.2.9.04
- 蘇敏傑、潘宣任、高閔威、周立偉（2018）。【論文摘要】超音波治療對上斜方肌激痛點之立即療效－疼痛閥值及肌電訊號之分析。物理治療，43(2)，121-122。https://doi.org/10.6215/FJPT.2018.75.O04
- 張凱閔、王亭貴（2008）。診斷用超音波於腕隧道症侯群之角色及應用。當代醫學，(421)，902-907。https://doi.org/10.29941/MT.200811.0019
- 陳衍政、謝蕙宜、林宜衡、林森炳（2016）。醫用超音波操作人員之肌肉骨骼傷害預防。中華職業醫學雜誌，23(2)，89-99。https://www.airitilibrary.com/Article/Detail?DocID=10233660-201604-201604270011-201604270011-89-99
- Matthewson, G., Beach, C. J., Nelson, A. A., Woodmass, J. M., Ono, Y., Boorman, R. S., Lo, I. K. Y., & Thornton, G. M. (2015). Partial Thickness Rotator Cuff Tears: Current Concepts. Advances in Orthopedics, 2015(), 36-46. https://doi.org/10.1155/2015/458786