de Beaux A C, Beattie T, Gilbert F
Accident and Emergency Department, Aberdeen Royal Infirmary, Foresterhill, UK.
J R Coll Surg Edinb. 1992 Jun;37(3):205-6.
The significance of the radiological fat pad sign indicating elbow joint effusion after trauma when a fracture is not visible remains controversial. This retrospective analysis of 45 cases examines the need for routine repeat radiography at 2-week review. At follow-up, 29 had normal repeat radiographs, two had undisplaced radial head fractures, three had no radiographs but were clinically well and 11 failed to attend. The incidence of fracture in those having repeat radiography was 6%. We conclude that routine repeat radiography is unnecessary.
在创伤后骨折不可见时,放射学脂肪垫征提示肘关节积液的意义仍存在争议。这项对45例病例的回顾性分析探讨了在2周复查时进行常规重复X线检查的必要性。随访时,29例患者的重复X线片正常,2例有桡骨头无移位骨折,3例未进行X线检查但临床情况良好,11例未前来就诊。进行重复X线检查的患者中骨折发生率为6%。我们得出结论,常规重复X线检查没有必要。