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髋关节骨折脱位:容积计算机断层扫描在检测、特征描述及治疗规划方面能提供哪些帮助?

Fracture-dislocation of the hip: what does volumetric computed tomography add to detection, characterization, and planning treatment?

作者信息

Calisir Cuneyt, Fishman Elliot K, Carrino John A, Fayad Laura M

机构信息

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA.

出版信息

J Comput Assist Tomogr. 2010 Jul;34(4):615-20. doi: 10.1097/RCT.0b013e3181d344fb.

DOI:10.1097/RCT.0b013e3181d344fb
PMID:20657233
Abstract

Traumatic hip fracture-dislocations are serious injuries and may lead to long-term disability even if managed correctly. Standard radiographic procedures have a limited value in fully evaluating a traumatized hip. Multidetector computed tomography is, today, a valuable diagnostic tool for the evaluation of patients with traumatic hip fracture-dislocation. This article reviews the mechanism, clinical presentation, diagnostic algorithm, imaging findings, and the treatment associated with hip fracture-dislocations. The role of volumetric computed tomography in detection, characterization, and planning treatment of these injuries is discussed.

摘要

创伤性髋关节骨折脱位是严重损伤,即使处理得当也可能导致长期残疾。标准的放射学检查方法在全面评估受伤的髋关节方面价值有限。如今,多排螺旋计算机断层扫描是评估创伤性髋关节骨折脱位患者的一种有价值的诊断工具。本文综述了髋关节骨折脱位的机制、临床表现、诊断流程、影像学表现及相关治疗。还讨论了容积计算机断层扫描在这些损伤的检测、特征描述及治疗规划中的作用。

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