普通X线片在桡骨远端骨折分类中的应用。
The use of plain radiographs in the classification of distal radius fractures.
作者信息
Evans Scott, David Michael, Quraishi Mohammed Kamil, Hanif Umar-Khetaab, Sadique Hammad, Machani Bhuvneswar
机构信息
Department of Trauma & Orthopaedic Surgery, Birmingham City Hospital, Bimingham B18 7QH, United Kingdom.
Department of Trauma & Orthopaedic Surgery, Heartlands Hospital, Birmingham B9 5SS, United Kingdom.
出版信息
J Orthop. 2014 Jul 19;11(3):142-4. doi: 10.1016/j.jor.2014.06.008. eCollection 2014 Sep.
INTRODUCTION
Classification systems guide surgical planning. We reviewed the accuracy of interpreting plain radiographs to classify distal radius fractures.
METHODS
Pre-operative radiographs of 24 consecutive distal radius fractures were classified using Frykman and AO methods. Classification was repeated intra-operatively under direct vision for comparison.
RESULTS
Mean age of the patients was 51 years. Pre-operative Frykman scores and AO grades were underestimated, compared with intra-operative visual classification (p < 0.001). One over-estimate occurred, while only 3 of 24 cases were classified correctly pre-operatively.
CONCLUSION
Sensitivity of radiographs to classify Frykman or AO grades was 12.5%, indicating interpretation using plain radiographs alone is often inadequate.
引言
分类系统指导手术规划。我们回顾了通过解读X线平片对桡骨远端骨折进行分类的准确性。
方法
对连续24例桡骨远端骨折的术前X线片采用弗赖克曼（Frykman）和AO方法进行分类。术中在直视下重复分类以作比较。
结果
患者的平均年龄为51岁。与术中视觉分类相比，术前弗赖克曼评分和AO分级被低估（p < 0.001）。出现1例假阳性，术前24例中仅3例分类正确。
结论
X线片对弗赖克曼或AO分级进行分类的敏感度为12.5%，表明仅使用X线平片进行解读往往是不够的。
Zotero 插件