肩部的术后成像:旋转手套,不稳定性,关节整形
Vincent Martinel1, Marie Faruch2, Maxime Pastor3
1Groupe Orthopédie Ormeau Pyrénées, ELSAN - Polyclinique de l'Ormeau, 28, Boulevard du 8 mai 1945, 65000 Tarbes, France.
Orthopaedics & traumatology, surgery & research : OTSR
|October 16, 2025
概括
肩部手术后的成像需要仔细考虑患者的利益,而不是常规使用. 传统的放射和超声波是第一线,CT或MRI用于基于临床需要的复杂病例.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 医学成像医学成像
背景情况:
- 手术后的肩部成像不是常规的,对于无症状患者缺乏共识.
- 对不利的进展有更明确的迹象,指导诊断选择.
研究的目的:
- 审查肩膀手术后成像的当前指示和方法.
- 强调一种协作式的,针对患者的成像选择方法.
主要方法:
- 审查当前文献和专家意见 (证据水平V).
- 讨论一线 (放射学,超声波) 和二线 (CT,MRI) 影像技术.
- 考虑优势和局限性,包括文物和辐射暴露.
主要成果:
- 传统的放射和超声波是初步评估的主要工具.
- CT和MRI是次要的,根据手术特点和临床问题进行选择.
- 图像扫描关节镜是常见的,而MRI关节镜在法国是未充分利用的.
结论:
- 图像选择必须是外科医生和放射科医生的协作努力.
- 根据患者的进展,手术类型和可用资源量身定制成像是至关重要的.
- 超声波,当由训练有素的专业人员进行时,可以成为临床检查的宝贵延伸.
相关概念视频
Muscles of the Shoulder
8.8K
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
8.8K
Imaging Studies I: CT and MRI
785
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
785
Peripheral Artery Disease V: Postoperative Nursing Management
372
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
372
Imaging Studies III: Computed Tomography
281
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
281
Imaging Studies for Cardiovascular System III: X-Ray
464
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
464


