True scapular roentgenographic diagnosis of subacromial impingement syndrome
- VernacularTitle:肩胛骨X线片在肩峰下撞击综合征诊断中的应用
- Author:
Yan GU
;
Kerong DAI
;
Xiaokui HOU
- Publication Type:Journal Article
- Keywords:
Shoulder impingement syndrome;
Diagnosis;
Radiography
- From:
Chinese Journal of Orthopaedics
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the acromion morphology of scapular roentgenography in the diagnosis of subacromial impingement syndrome. Methods Sixty four patients 75 shoulders with chief complaint of shoulder pain were examined roentgenographically by true scapular A-P and lateral views. The Neer impingement sign of all these patients were positive. Results In this series, there were 10 shoulders of type Ⅰ acromion, 13.3%; typeⅡ 17 shoulders, 22.7%; type Ⅲ 48 shoulders, 64.0%. Fifty nine cases 69 shoulders accepted Lidocaine test. The positive rate was: type Ⅰ, 4 shoulders, 44.4%; type Ⅱ, 8 shoulders, 53.3%; type Ⅲ, 38 shoulders, 84.4%. Among these three groups, the result of Chi test for Lidocaine tests: P0.05 (typeⅠ to type Ⅱ). Conclusion True scapular X ray film is a useful and effective diagnostic method for subacromial impingement syndrome. The incidence of subacromial impingement syndrome of the patients with type Ⅲ acromion is significantly higher than the other two types.
