MSCT、MRI联合运用在复发性肩关节前脱位Bankart病损中的应用价值

Application of MSCT and MRI in diagnosing Bankart injury of recurrent anterior dislocation of shoulder joint

目的:探讨MSCT、MRI联合运用在复发性肩关节前脱位Bankart病损中的应用价值。方法:回顾性分析经临床、影像证实的复发性肩关节前脱位Bankart病损10例患者的MSCT、MRI表现,主要观察肩关节盂唇前方的CT、MRI改变。结果:10例中,CT发现肩关节盂前下份撕脱性骨折4例,MRI发现肩关节前下盂唇撕脱性骨折1例;MRI发现肩关节盂唇损伤10例,CT不能显示;CT发现合并Hill-Sachs损伤6例,MRI发现Hill-Sachs损伤8例;CT未能发现肱骨头骨挫伤3例;MRI发现肩袖损伤6例,Slap损伤1例。结论:MSCT、MRI能够相互补充,清晰显示Bankart病损及其他合并病变,为临床诊断及治疗提供更加充分的资料。

Objective： To investigate the application of MSCT and MRI in Bankart injury of recurrent anterior dislocation of shoulder joint. Methods：Retrospectively analyse 10 cases Bankart injury of recurrent anterior dislocation of shoulder joint by clinic and radiology. Analysed the manifestations of shoulder joint anterior labrum articularis of spiral CT and MRI. Results： In 10 cases of Bankart injury of recurrent anterior dislocation of shoulder joint, there were 4 cases of avulsion fracture of shoulder joint anterior [abrum examined by CT, 1 case by MRI; 6 cases of Hill-Sachs injury were found examined by CT, 8 cases of Hill-Sachs injury and 3 cases Of bone contusion of humeral head were found by MRI; 6 cases of rotator cuff injury and 1 case of slap injury were found examined by MRI. Conclusion： Spiral CT and MRI can display Bankart injury and other coexisting lesion, which orovide sufficient data for the clinic.