胫后肌腱功能不全的术前MRI与术中发现的比较。
Comparison of preoperative MRI and intraoperative findings of posterior tibial tendon insufficiency.
作者信息
Braito Matthias, Wöß Martina, Henninger Benjamin, Schocke Michael, Liebensteiner Michael, Huber Dennis, Krismer Martin, Biedermann Rainer
机构信息
Department of Orthopedics, Medical University of Innsbruck, Anichstrasse 35, Innsbruck, Austria.
Department of Radiology, Medical University of Innsbruck, Anichstrasse 35, Innsbruck, Austria.
出版信息
Springerplus. 2016 Aug 24;5(1):1414. doi: 10.1186/s40064-016-3114-4. eCollection 2016.
BACKGROUND
The purpose of this study was to investigate the radiological and surgical correlation between preoperative magnetic resonance images (MRI) and the intraoperative findings in patients with acquired adult flatfoot.
RESULTS
The overall radiological-surgical correlation between preoperative MRI and the intraoperative findings for posterior tibial tendon insufficiency was only slight to fair in our patient's series. Comparing the most commonly used posterior tibial tendon classification systems, the classification of Rosenberg et al. and Kong et al. showed higher interobserver agreement than our modified classification system and the classification system of Conti et al.
CONCLUSION
Further prospective studies are needed to evaluate the importance of preoperative MRI before surgical repair of posterior tibial tendon dysfunction.
背景
本研究的目的是调查获得性成人扁平足患者术前磁共振成像（MRI）与术中发现之间的影像学和手术相关性。
结果
在我们的患者系列中，术前MRI与胫后肌腱功能不全术中发现之间的总体影像学与手术相关性仅为轻度至中度。比较最常用的胫后肌腱分类系统，罗森伯格等人和孔等人的分类系统显示出比我们的改良分类系统和孔蒂等人的分类系统更高的观察者间一致性。
结论
需要进一步的前瞻性研究来评估术前MRI在胫后肌腱功能障碍手术修复前的重要性。
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