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骨科创伤提供者调查:MRI 优于 CT 扫描评估和术前规划胫骨平台骨折?

Survey of Orthopaedic Trauma Providers: Is MRI Superior to CT Scan for Evaluating and Preoperative Planning for Tibial Plateau Fractures?

机构信息

Medical student at the University of Missouri School of Medicine, Columbia, Missouri.

Alabama Orthopaedic Clinic, Mobile, Alabama.

出版信息

Mo Med. 2022 May-Jun;119(3):261-265.

Abstract

A computerized tomography (CT) scan is the current advanced imaging standard of care for evaluation and preoperative planning for tibial plateau fractures, but magnetic resonance imaging (MRI) is emerging as a better method to identify soft tissue injuries. This study compares MRI and CT for fracture classification, associated soft tissue injuries, and preoperative planning for tibial plateau fractures. MRI offers lack of radiation and enhanced soft tissue evaluation, and as a result improved preoperative planning. MRI was favored among survey respondents for preoperative planning, Schatzker classification, and surgical approach planning.

摘要

计算机断层扫描(CT)是目前评估和术前规划胫骨平台骨折的先进影像学标准,但磁共振成像(MRI)作为一种更好的方法来识别软组织损伤正在兴起。本研究比较了 MRI 和 CT 对胫骨平台骨折的骨折分类、相关软组织损伤和术前规划的作用。MRI 具有无辐射和增强软组织评估的优势,从而可以改善术前规划。在术前规划、Schatzker 分类和手术入路规划方面,MRI 受到调查受访者的青睐。

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Comparison of CT and MRI in patients with tibial plateau fracture: can CT findings predict ligament tear or meniscal injury?
Skeletal Radiol. 2007 Feb;36(2):145-51. doi: 10.1007/s00256-006-0216-z. Epub 2006 Nov 30.

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