Hill-Sachs lesion: Sonographic detection

被引:20
作者
Farin, PU [1 ]
Kaukanen, E [1 ]
Jaroma, H [1 ]
Harju, A [1 ]
Vaatainen, U [1 ]
机构
[1] KUOPIO UNIV HOSP,DEPT ORTHOPAED & SURG,FIN-70211 KUOPIO,FINLAND
关键词
ultrasonography; arthrography; computed tomography; arthroscopy; Hill-Sachs lesion;
D O I
10.1007/s002560050135
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objective. To determine the value of ultrasonography (US) in the detection of Hill-Sachs lesion of the humerus in comparison with double-contrast computed tomographic arthrography (CTA) and with arthroscopy. Design and patients. US and CTA were performed on 92 patients, 86 of whom subsequently underwent arthroscopy. The findings of US, CTA and arthroscopy in these 86 patients in the diagnosis of Hill-Sachs lesion were analyzed. Results and conclusions. In the detection of Hill-Sachs lesion US showed a sensitivity of 91% (21 of 23), a specificity of 95% (60 of 63) and an accuracy of 94% (81 of 86) when compared with CTA, and a sensitivity of 94% (18 of 19), specificity of 91% (61 of 67) and accuracy of 91% (79 of 86) when compared with arthroscopy. In only 2% (2 of 86) of patients was there reduced visualization because of restriction of movement. Hill-Sachs lesion and its relationship to the humeral head can be reliably diagnosed with US.
引用
收藏
页码:559 / 562
页数:4
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