踝关节和足部骨折的 CT 检查：将骨折类型与腱鞘滑膜脂肪的存在相关联：踝关节和足部骨折中的腱鞘滑膜脂肪。
Computed tomography (CT) of fractures of the ankle and foot: correlating fracture patterns with the presence of tenosynovial fat: Tenosynovial fat in ankle and foot fractures.
机构信息
University of California, San Diego Department of Radiology, San Diego, CA.
出版信息
Clin Imaging. 2014 Mar-Apr;38(2):160-3. doi: 10.1016/j.clinimag.2013.10.005. Epub 2013 Nov 7.
PURPOSE
To correlate ankle and foot fracture patterns with the presence of tenosynovial fat on computed tomography (CT).
MATERIALS AND METHODS
In this retrospective, cross-sectional, observation study, two blinded musculoskeletal radiologists independently reviewed 89 CT scans of patients with ankle or foot fractures and recorded the presence of fat about Henry's knot, tibialis posterior tendon, and peroneus longus tendon.
RESULTS
The agreement between the two readers ranged from excellent to substantial. Sixteen to 23 percent of fractures were associated with tenosynovial fat.
CONCLUSIONS
The finding of tenosynovial fat following ankle or foot trauma warrants a closer search for a fracture.
目的
将踝关节和足部骨折模式与 CT 上的腱鞘滑膜脂肪存在相关联。
材料和方法
在这项回顾性、横断面、观察性研究中，两位盲法肌肉骨骼放射科医生独立评估了 89 例踝关节或足部骨折患者的 CT 扫描，并记录了 Henry 结、比目鱼肌肌腱和腓骨长肌腱周围脂肪的存在情况。
结果
两位读者之间的一致性从极好到实质性。16%至 23%的骨折与腱鞘滑膜脂肪有关。
结论
踝关节或足部创伤后发现腱鞘滑膜脂肪提示更仔细地寻找骨折。
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