Evaluation of Double-Contrast Shoulder Arthrography for Post-Traumatic Shoulder Joint Pain

肩關節雙重對比攝影術用於創傷後肩關節痛之評估

詹益豐(Yick-Fung Jim) ； 曾元宏(Yuan-Hong Tzeng) ； 沈戊忠(Wu-Chung Shen)

《Mid-Taiwan Journal of Medicine》 4卷2期 (1999/06) Pp. 116-120

https://doi.org/10.6558/MTJM.1999.4(2).7

摘要

慢性肩關節疼痛是一種在門診很常見的狀況，其產生的原因很多，例如五十肩及轉軸肌腱斷裂等。如果在治療之前能夠有一明確診斷，這對病人是有很大的幫忙。我們的研究對象是病人於肩關節受創傷後，接受內科保守治療最少兩個月或以上仍有持續疼痛之病人，給予肩關節雙重對比攝影。研究其間共納入40位患者，其中16例全部或部分轉軸肌腱斷裂，加上6例五十肩，共佔總病例的55%。有肩峰下骨刺的患者（n=8），其得到轉軸肌腱斷裂的比例較無肩峰下骨刺者（n=32）為高（75% ＂vs＂ 31%, ＂p＂=0.042）。綜合來說，肩關節雙重對比攝影術對這一類的病人幫忙很大，值得推薦。

關鍵字

創傷後 ； 轉軸肌腱斷裂 ； 肩關節攝影術

並列摘要

Shoulder pain is a common clinical problem with different etiologies including degeneration, trauma, or overuse. The purpose of the study was to evaluate those post-traumatic patients with arthrography. Forty post-traumatic patients with chronic shoulder pain underwent arthrographic examinations. Among them, 10 cases suffered from rotator cuff tears, six cases had partial rotator cuff tears and six cases had adhesive capsulitis. Abnormal arthrographic findings were noted in 55% of the cases. Subacromial spur formation suggests a high incidence of rotator cuff tear in shoulder trauma. We suggest that for those having subacromial spurs and shoulder trauma history, shoulder arthrography should be used to give additional and significant information.

並列關鍵字

post-traumatic ； rotator cuff tear ； shoulder arthrography