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跟骨的影像学研究:正常解剖结构及临床应用

Scanographic study of the calcaneus: normal anatomy and clinical applications.

作者信息

Cronier P, Pillet J C, Talha A, Ghestem P, Liebault B, Rieux D, Mercier P, Lescalie F, Pillet J

机构信息

Laboratoire d'Anatomie, CHRU, Angers, France.

出版信息

Surg Radiol Anat. 1988;10(4):303-10. doi: 10.1007/BF02107903.

DOI:10.1007/BF02107903
PMID:3145572
Abstract

To facilitate the interpretation of the scanographic findings in fractures of the calcaneus, the authors have achieved an anatomo-radiologic correlation in terms of the classical coronal, sagittal and horizontal planes. Clinically, the sagittal plane can be obtained only by reconstruction. The 2 other planes permit study of the sustentaculum tali and posterior talar surface only in different sections, without their respective relationships. The authors therefore suggest a new double-oblique view, practicable in the injured patient, with a forward tilt of 20 degrees and medial rotation of 35 degrees, perpendicular to the sinus tarsi. This serves for anatomo-radiologic correlation and shows both anatomic structures together. By itself, it provides as much information as the three classical views and appears adequate for the assessment of fractures.

摘要

为便于解读跟骨骨折的影像学检查结果,作者通过经典的冠状面、矢状面和水平面实现了解剖学与放射学的关联。临床上,矢状面只能通过重建获得。另外两个平面仅能在不同层面研究载距突和距骨后表面,无法显示它们之间的相互关系。因此,作者建议采用一种新的双斜位视图,适用于受伤患者,向前倾斜20度,向内旋转35度,垂直于跗骨窦。这有助于解剖学与放射学的关联,能同时显示两个解剖结构。其本身提供的信息与三个经典视图一样多,似乎足以用于评估骨折。

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本文引用的文献

1
Roentgen examination of the subtaloid joint in fractures of the calcaneus.跟骨骨折时距下关节的X线检查
Acta Radiol (Stockh). 1949 Jan 31;31(1):85-91. doi: 10.3109/00016924909136638.
2
Clinical application of computerized axial tomography (CAT) scanning of calcaneus fractures.跟骨骨折计算机断层扫描(CAT)的临床应用
Clin Orthop Relat Res. 1985 Oct(199):114-23.
3
Computed tomography of calcaneal fractures.
AJR Am J Roentgenol. 1985 Jul;145(1):131-7. doi: 10.2214/ajr.145.1.131.
4
Computed tomography of the calcaneus: normal anatomy.跟骨的计算机断层扫描:正常解剖结构
AJR Am J Roentgenol. 1985 Jul;145(1):123-9. doi: 10.2214/ajr.145.1.123.
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Intra-articular calcaneal fractures: computed tomographic analysis.
Skeletal Radiol. 1987;16(2):105-13. doi: 10.1007/BF00367756.
6
Peroneal tendon injury associated with calcaneal fractures: CT findings.
AJR Am J Roentgenol. 1987 Jul;149(1):125-9. doi: 10.2214/ajr.149.1.125.
7
Computerised tomographic assessment of the subtalar joint in calcaneal fractures.跟骨骨折中距下关节的计算机断层扫描评估
J Bone Joint Surg Br. 1988 Mar;70(2):247-50. doi: 10.1302/0301-620X.70B2.3346298.