[Anatomical investigation of arterial distribution and clinical application of selective angiography of the shoulder joint].
The purpose of this paper is to apply selective angiography to the shoulder joint based on anatomical quantitative study. Prior to the selective angiography, I made the arterial casts of adult cadavers (30 joints) to investigate the vascular distribution of the rotator cuff, and the arterial specimen of fetus cadavers (60 joints) using a modification of Teichmann's technique with cold injection medium to observe the types of origin of the main arteries roentgenographically. Results of these anatomical studies showed the rotator cuff to have 4 main arteries, and each tendon of the rotator cuff to have 2 or more arteries from the scapular side and the humeral side, forming a vascular network on the tendon. The critical zone of the vascular network was in the subacromial part of the rotator cuff where the selective angiogram showed a variety of abnormal vasculature in clinical cases with lesions at the supraspinatus tendon.
D000328:Adult; D000368:Aged; D000792:Angiography / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010489:Periarthritis / Q000000981:diagnostic imaging / Q000473:pathology; D012785:Shoulder Joint / Q000098:blood supply* / Q000000981:diagnostic imaging; D013708:Tendon Injuries / Q000000981:diagnostic imaging / Q000473:pathology