RESUMO
Chronic post-traumatic sternoclavicular joint (SCJ) instability can be debilitating and result in restriction of normal daily activities. The diagnosis can be difficult to make clinically or with the use of static imaging modalities. Wide-volume dynamic four-dimensional computed tomography (4D CT) can confidently diagnose chronic post-traumatic SCJ instability. This can aid surgeons in pre-operative planning and help to triage patients into surgical or non-surgical candidates. We propose that 4D CT to be a routine pre-operative imaging in patients with chronic post-traumatic SCJ instability.
Assuntos
Tomografia Computadorizada Quadridimensional/métodos , Instabilidade Articular/diagnóstico por imagem , Articulação Esternoclavicular/diagnóstico por imagem , Articulação Esternoclavicular/lesões , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doses de Radiação , Interpretação de Imagem Radiográfica Assistida por ComputadorRESUMO
As described in this case report, the use of the 320-Multidetector Computed Tomography scanner (Aquilion One, Toshiba Medical Systems, Japan) to produce continuous 3-dimensional images in real time, over a distance of 16 cm in the z-axis, proved to aid in the diagnosis of a patient's restrictive elbow joint. This state-of-the-art scanner allows fast and noninvasive dynamic-kinematic functional evaluation of the elbow joint in vivo. It will also be applicable to kinematic studies of other joints.
