Ebraheim N A, Skie M C, Podeszwa D A, Jackson W T
Department of Orthopaedic Surgery, Medical College of Ohio, Toledo 43699.
J Orthop Trauma. 1994 Aug;8(4):332-7. doi: 10.1097/00005131-199408000-00010.
Coronal computed tomography (CT) scan was used in the evaluation of a fractured process of the talus in 10 patients. Because routine radiographs failed to determine either the size or comminution of the fractured process, CT imaging was used to accurately assess the size, displacement, and comminution of the fractured process. CT scans also showed the extent of subtalar joint involvement, any associated tendon pathology, or additional fractures. In two patients the nature of the injury was initially missed, and CT scan diagnosed a nonunion of the lateral process. In all patients, CT scan altered the management of the fracture or helped in selecting the surgical approach. The authors recommend that coronal CT scans be used in the evaluation of a fractured process of the talus.
对10例距骨骨折患者采用冠状位计算机断层扫描（CT）评估骨折情况。由于常规X线片无法确定骨折的大小或粉碎程度，因此使用CT成像来准确评估骨折的大小、移位和粉碎情况。CT扫描还显示了距下关节受累的程度、任何相关的肌腱病变或其他骨折。有2例患者最初漏诊了损伤性质，CT扫描诊断为外侧突骨不连。在所有患者中，CT扫描改变了骨折的治疗方案或有助于选择手术入路。作者建议采用冠状位CT扫描评估距骨骨折情况。
