Dalinka M K, Boorstein J M, Zlatkin M B
University of Pennsylvania School of Medicine, Philadelphia.
Radiol Clin North Am. 1989 Sep;27(5):933-44.
Radiology plays a crucial role in the evaluation of the acutely traumatized patient by providing information that allows timely and appropriate management to be instituted. With few exceptions, notably the skull, plain films remain the primary imaging technique for the diagnosis of skeletal trauma. Computed tomography (CT) has become an important adjunctive procedure in the evaluation and diagnosis of trauma, particularly in complex anatomic areas, including the sternoclavicular joint, the pelvis, and the spine, and in many hospitals has virtually replaced conventional tomography. It may be combined with arthrography or enhanced by intravenous or intrathecal contrast material. This article reviews the uses of CT in the diagnosis and evaluation of musculoskeletal trauma and its complications.
放射学在评估急性创伤患者方面发挥着关键作用，它能提供信息，使及时且恰当的治疗得以开展。除了少数例外情况，尤其是颅骨，普通X线平片仍是诊断骨骼创伤的主要成像技术。计算机断层扫描（CT）已成为创伤评估和诊断中的一项重要辅助检查，特别是在复杂解剖区域，包括胸锁关节、骨盆和脊柱，并且在许多医院实际上已取代了传统断层扫描。它可以与关节造影相结合，或通过静脉内或鞘内造影剂增强。本文综述了CT在肌肉骨骼创伤及其并发症的诊断和评估中的应用。
