Wójcik Krzysztof, Nowak Roman, Polak Damian
University and Hospital Department of Orthopaedics, Silesian Medical University.
Ortop Traumatol Rehabil. 2010 Sep-Oct;12(5):459-66.
The paper presents the case of a young snowboarder injured after falling down on a hill slope. Pelvis and spine computed tomography with 3D reconstruction visualised fractures not visible on standard radiographs. Not all injuries to the pelvis can be seen on a-p radiographs. It is due to its complex spatial anatomy and the presence of gas-filled tissue overlying the bony shadows. Fracture detection may be a diagnostic problem in elderly osteoporotic patients and in young patients with multiple injuries. We believe that computed tomography with 3D reconstruction should be performed when there is a strong suspicion of fracture in spite of a negative standard radiological examination.
本文介绍了一名年轻滑雪板爱好者在山坡上摔倒后受伤的病例。骨盆和脊柱计算机断层扫描三维重建显示了标准X光片上不可见的骨折。并非所有骨盆损伤都能在前后位X光片上看到。这是由于其复杂的空间解剖结构以及骨影上方存在充气组织。在老年骨质疏松患者和多处受伤的年轻患者中，骨折检测可能是一个诊断难题。我们认为，尽管标准放射学检查结果为阴性，但当强烈怀疑存在骨折时，应进行计算机断层扫描三维重建。
