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计算机断层扫描在跟骨粉碎性骨折早期评估中的价值:三例病例回顾

The value of computed tomography in the early assessment of comminuted fractures of the calcaneus: a review of three patients.

作者信息

Pablot S M, Daneman A, Stringer D A, Carroll N

出版信息

J Pediatr Orthop. 1985 Jul-Aug;5(4):435-8. doi: 10.1097/01241398-198507000-00009.

DOI:10.1097/01241398-198507000-00009
PMID:4019756
Abstract

Computed tomography (CT) was performed within 4-8 days of injury in three patients with five fractures of the calcaneus. Three of the fractures were comminuted, and CT gave graphic additional information to the plain radiographs. Three fractures were undisplaced and were managed conservatively. In the other two, there was displacement of bony fragments, and these were treated operatively. In these, CT gave valuable preoperative information regarding the size and location of fracture fragments and helped the surgeon determine the site of incision and type of surgery required. The CT findings were confirmed at operation. CT therefore provides useful information for the management of these difficult fractures.

摘要

对3例跟骨骨折(共5处骨折)的患者在受伤后4至8天内进行了计算机断层扫描(CT)检查。其中3处骨折为粉碎性骨折,CT提供了X线平片之外的详细补充信息。另外3处骨折无移位,采取保守治疗。其余2例存在骨碎片移位,接受了手术治疗。对于这2例患者,CT提供了关于骨折碎片大小和位置的有价值的术前信息,有助于外科医生确定切口位置和所需的手术类型。手术结果证实了CT检查结果。因此,CT为这些复杂骨折的治疗提供了有用信息。

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