Vellet D
Department of Radiologic Science and Diagnostic Imaging, Foothills Hospital, Calgary, Alberta, Canada.
Magn Reson Imaging Clin N Am. 1994 Aug;2(3):413-23.
Posttraumatic occult subcortical fractures represent a heterogeneous group of lesions, with different subgroups associated with a high incidence of osteochondral sequelae. The role of MR imaging must be to determine the significance of the different subgroups of occult fractures in the pathogenesis of posttraumatic osteoarthritis. The ultimate goal is to minimize the eventual effects of impactive forces on the osteochondral complex at the time of detection. Modifications in immediate and rehabilitative management of such patients will ensure maintenance of the best possible chondral integrity.
创伤后隐匿性皮质下骨折是一组异质性病变，不同亚组与骨软骨后遗症的高发生率相关。磁共振成像的作用必须是确定隐匿性骨折不同亚组在创伤后骨关节炎发病机制中的意义。最终目标是在检测时将冲击力对骨软骨复合体的最终影响降至最低。对此类患者的即时和康复管理进行调整将确保维持尽可能好的软骨完整性。
