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ArtikelEvaluation of the Clinical Significance of Classification of Traumatic Anterior Shoulder Instability using Double-contrast Computed Tomography Arthrography  
Oleh: YD, Hao ; F, Cui ; LY, Lu ; YB, Wang
Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of International Medical Research vol. 39 no. 02 (Mar. 2011), page 424-434.
Topik: Shoulder Instability; Sports Injury; Double-Contrast Ct Arthrography; Diagnosis; Treatment; Rehabilitation
Fulltext: 1605.pdf (209.37KB)
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  • Perpustakaan FK
    • Nomor Panggil: J11.K
    • Non-tandon: 1 (dapat dipinjam: 0)
    • Tandon: tidak ada
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Isi artikelThis study evaluated the clinical significance of traumatic anterior shoulder instability (TASI) classification using double-contrast computed tomography (CT) arthrography. Patient were randomly assigned to two groups: group 1 (n = 62); and group 2 (n = 63). TASI symptom severity in group 1 was assessed using physical signs of shoulder trauma and conventional X-ray, CT and magnetic resonance imaging; these patients received either conservative management (with physical rehabilitation) or standard surgery. Group 2 underwent double-contrast CT arthrography to classify TASI; its findings formed the basis of subsequent management. At 24 months post-therapy, significant improvements in clinical outcomes were observed in group 2: Constant scores were higher and Western Ontario Shoulder Instability Index scores were lower. At 24 months, recurrence rates were 21.0% (13/62) in group 1 and 7.9% (5/63) in group 2. Findings suggested that TASI classification using double-contrast CT arthrography provided meaningful information thereby improving treatment efficacy.
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