Tadros A M A, Lunsjo K, Czechowski J, Corr P, Abu-Zidan F M
Departments of Orthopedics and Radiology, Faculty of Medicine and Health Sciences, Al-Ain Hospital, Al-Ain, United Arab Emirates.
Acta Radiol. 2007 Feb;48(1):71-5. doi: 10.1080/02841850601026435.
To analyze the usefulness of chest and scapular trauma radiographs, axial computed tomography (CT), and two- and three-dimensional (2D and 3D) reconstruction CT in detecting fractures of the six anatomical regions of the scapula.
Forty-four patients, with a median age (range) of 34 (16-60) years, with scapular fractures caused by blunt trauma were prospectively collected between January 2003 and December 2005. Their chest and scapula radiographs, and axial, 2D, and 3D CTs were reviewed blindly and independently by two observers. Each modality was compared with a gold standard to determine its diagnostic usefulness. Our gold standard was consensus reached by all authors together examining all modalities at the same time. We also compared 3D CTs reconstructed from chest and scapula axial views.
Axial and 3D reconstruction tomographic studies were the only useful modalities in assessing fractures in all six anatomical scapular regions. Three-dimensional CTs reconstructed from chest and scapula axial views were equally sensitive and specific.
CT scanning with 3D reconstructions is the most useful imaging modality to detect and define the extent of scapular injury, and this can be done as part of a chest trauma computed tomography protocol.
分析胸部和肩胛部创伤X线片、轴向计算机断层扫描（CT）以及二维和三维（2D和3D）重建CT在检测肩胛骨六个解剖区域骨折中的效用。
前瞻性收集2003年1月至2005年12月期间44例因钝性创伤导致肩胛骨骨折的患者，中位年龄（范围）为34（16 - 60）岁。两名观察者对其胸部和肩胛部X线片以及轴向、二维和三维CT进行独立盲法评估。将每种检查方法与金标准进行比较以确定其诊断效用。我们的金标准是所有作者同时检查所有检查方法后达成的共识。我们还比较了从胸部和肩胛部轴向视图重建的三维CT。
轴向和三维重建断层扫描研究是评估肩胛骨所有六个解剖区域骨折的唯一有效方法。从胸部和肩胛部轴向视图重建的三维CT具有同等的敏感性和特异性。
三维重建CT扫描是检测和确定肩胛骨损伤范围最有用的成像方法，并且可以作为胸部创伤计算机断层扫描方案的一部分来进行。
