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多层螺旋CT和磁共振成像用于诊断胫骨平台复杂骨折：一项病例对照研究

MDCT and MRI for the diagnosis of complex fractures of the tibial plateau: A case control study.

作者信息

Xu Yunqin, Li Qiang, Su Peihua, Shen Tugang, Zhu Yazhong

机构信息

Department of Orthopedic Surgery, 98th Hospital of PLA, Huzhou, Zhejiang 313000, P.R. China.

出版信息

Exp Ther Med. 2014 Jan;7(1):199-203. doi: 10.3892/etm.2013.1380. Epub 2013 Nov 1.

DOI:10.3892/etm.2013.1380
PMID:24348790
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3861471/
Abstract

The aim of this study was to evaluate the clinical value of multidetector-row computed tomography (MDCT) and magnetic resonance imaging (MRI) in the diagnosis and treatment of complex fractures of the tibial plateau. A total of 71 patients with complex fractures of the tibial plateau (estimated Schatzker classifications III, V and VI) were included in this study. The X-ray, MDCT and MRI data obtained from the patients were analyzed. MDCT was the most sensitive method in the diagnosis of tibial articular surface collapse, cruciate ligament tibial avulsion fracture, degree of fracture comminution and degree of fracture displacement (P<0.01). MRI was the most sensitive method in the diagnosis of injuries of the cruciate and collateral ligaments, menisci and cartilage peeling of the articular surfaces (P<0.01). MDCT and MRI were demonstrated to be more sensitive than X-rays for the diagnosis of insidious damage around the knee.

摘要

本研究旨在评估多排螺旋计算机断层扫描（MDCT）和磁共振成像（MRI）在胫骨平台复杂骨折诊断及治疗中的临床价值。本研究共纳入71例胫骨平台复杂骨折患者（Schatzker分型估计为III型、V型和VI型）。分析了从患者处获得的X线、MDCT和MRI数据。MDCT在诊断胫骨关节面塌陷、交叉韧带胫骨撕脱骨折、骨折粉碎程度和骨折移位程度方面是最敏感的方法（P<0.01）。MRI在诊断交叉韧带和侧副韧带损伤、半月板损伤及关节面软骨剥脱方面是最敏感的方法（P<0.01）。MDCT和MRI在诊断膝关节周围隐匿性损伤方面比X线更敏感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5c8/3861471/e28833decdf2/ETM-07-01-0199-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5c8/3861471/8dde3d99375b/ETM-07-01-0199-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5c8/3861471/803ae69d7950/ETM-07-01-0199-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5c8/3861471/e28833decdf2/ETM-07-01-0199-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5c8/3861471/8dde3d99375b/ETM-07-01-0199-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5c8/3861471/803ae69d7950/ETM-07-01-0199-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5c8/3861471/e28833decdf2/ETM-07-01-0199-g02.jpg

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Diagnosis of an isolated posterior malleolar fracture in a young female military cadet: a resident case report.一名年轻女性军校学员孤立性后踝骨折的诊断：住院医师病例报告
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