急診外傷患者肩關節軸位攝影修正之研究

Application of Shoulder Modify Axial View to Emergency Trauma Patient

許瓊如(Chiung-Ju Hsu) ； 林秋湧(Chiu-Yung Lin) ； 林偉銘(Wei-Ming Lin) ； 陳文昌(Wen-Chang Chen) ； 吳萬福(Wan-Fu Wu)

《中華放射線技術學雜誌》 37卷3期 (2013/09) Pp. 145-150

摘要

Above ninety percent Shoulder joint trauma patients often have shoulder dislocation, and anterior dislocation. Series X-ray of shoulder joint includes true AP view, superoinferior axial view, and scapular Y view in emergency department clinical practice. The patients are hard to coordinate with superoinferior axial view is because of pain. For patient’s comfortable and safety concern, the research used triangulated assistive device to assist x-ray examination. Ninety seven emergency shoulder trauma patients used x-ray tube to tail thirty to forty degree, and central x-ray to shoulder joints in a modified supine position on triangulated assistive device during the time of research. Radiologist have diagnosed those images and traditional shoulder joint axis images, then scored diagnostic value with five-point scale by three clinical physicians. The average score was 4.56 ± 0.4 and 4.68 ± 0.29, respectively. Reuse paired samples t-test analysis, the correlation of the second group of up to 0.857 (P ＜0.001). There was no significant difference between adjusted triangulated assistant and traditional photography. The adjusted triangulated assistant photography could reduce patients’ uncomfortable and the possibility of secondary injury.

關鍵字

肩關節創傷 ； 三角輔具 ； 肩關節軸位修正照法

並列摘要

Above ninety percent Shoulder joint trauma patients often have shoulder dislocation, and anterior dislocation. Series X-ray of shoulder joint includes true AP view, superoinferior axial view, and scapular Y view in emergency department clinical practice. The patients are hard to coordinate with superoinferior axial view is because of pain. For patient’s comfortable and safety concern, the research used triangulated assistive device to assist x-ray examination. Ninety seven emergency shoulder trauma patients used x-ray tube to tail thirty to forty degree, and central x-ray to shoulder joints in a modified supine position on triangulated assistive device during the time of research. Radiologist have diagnosed those images and traditional shoulder joint axis images, then scored diagnostic value with five-point scale by three clinical physicians. The average score was 4.56 ± 0.4 and 4.68 ± 0.29, respectively. Reuse paired samples t-test analysis, the correlation of the second group of up to 0.857 (P ＜0.001). There was no significant difference between adjusted triangulated assistant and traditional photography. The adjusted triangulated assistant photography could reduce patients’ uncomfortable and the possibility of secondary injury.

並列關鍵字

Shoulder joints trauma ； Triangulated assistive device ； Shoulder modify axial view