Opherk J P, Rosenthal H, Galanski M
Abteilung Diagnostische Radiologie, Medizinische Hochschule, Carl-Neuberg-Strasse 1, 30625 Hannover.
Radiologe. 2007 Mar;47(3):224-30. doi: 10.1007/s00117-006-1433-0.
Conventional radiography plays an essential role in the primary evaluation of acute ankle and foot trauma. In the case of complex injuries, however, subsequent computed tomography (CT) is nowadays recommended. In this connection, multidetector computed tomography (MDCT) allows better temporal, spatial, and contrast resolution compared with the conventional single-slice spiral CT. Multiplanar reformation and three-dimensional reconstruction of the acquired data sets are also helpful tools for critical assessment of therapeutic intervention. This report reviews the potential of the MDCT technique for accurate fracture classification, precise illustration of displaced components, and postoperative control of arrangement of typical lesions.
传统放射摄影在急性踝关节和足部创伤的初步评估中起着至关重要的作用。然而，对于复杂损伤，如今推荐后续进行计算机断层扫描（CT）。在这方面，与传统单排螺旋CT相比，多排探测器计算机断层扫描（MDCT）具有更好的时间、空间和对比分辨率。对采集的数据集进行多平面重建和三维重建也是对治疗干预进行关键评估的有用工具。本报告回顾了MDCT技术在准确骨折分类、移位成分的精确显示以及典型病变术后排列控制方面的潜力。
