Zhao You-Ming, Li Wu, Tao Zheng-Gang, Guo Jian-Bang, Yang Jie, Wei Sheng-Wang
Zhongguo Gu Shang. 2014 Jan;27(1):74-7.
To investigate the diagnostic value of MRI in radial head fracture with forearm interosseous membrane injuries.
From December 2011 to December 2012,26 patients with fractures of capitulum radial in our hospital were collected. There were 15 males and 11 females, ranging in age from 21 to 53 years old,with an average of 37.6 years old. All the patients visited hospital within 72 hours after injuries. X-ray radiography of full ulnar radial length in injured side, CT in injured side (three-dimensional reconstruction if necessary) and MRI (including the elbow and wrist joints) were performed within a week after the injury. The MRI manifestations of the forearm interosseous membrane (with or without damage, the injured location and the injury degree ) and the fractures degree of radial head were observed and compared for the relativity.
Radial head fracture from Mason type I to III was associated with the forearm interosseous membrane injury. Radial head fracture degree was positive correlated with forearm interosseous membrane injury degree (P < 0.05).
Radial head fracture with suspicious forearm interosseous membrane injury is necessary to take MRI for checking for any interosseous membrane injury and injury degree, then choose the right treatment for radial capitulum fracture, only in this way can be helpful for the functional recovery of elbow and forearm.
探讨MRI在桡骨头骨折合并前臂骨间膜损伤中的诊断价值。
收集2011年12月至2012年12月我院收治的26例桡骨小头骨折患者。其中男15例,女11例,年龄21~53岁,平均37.6岁。所有患者均在伤后72小时内就诊。伤后1周内行患侧尺桡骨全长X线摄片、患侧CT(必要时三维重建)及MRI(包括肘关节和腕关节)检查。观察并比较前臂骨间膜的MRI表现(有无损伤、损伤部位及损伤程度)与桡骨头骨折程度的相关性。
Mason I~III型桡骨头骨折均合并前臂骨间膜损伤。桡骨头骨折程度与前臂骨间膜损伤程度呈正相关(P<0.05)。
对于可疑合并前臂骨间膜损伤的桡骨头骨折,应行MRI检查以明确有无骨间膜损伤及损伤程度,进而合理选择桡骨小头骨折的治疗方式,这有助于肘关节及前臂功能的恢复。