Rose P L, Seeherman H, O'Callaghan M
Tufts New England Veterinary Medical Center, North Grafton, MA 01536, USA.
Vet Radiol Ultrasound. 1997 Nov-Dec;38(6):424-9. doi: 10.1111/j.1740-8261.1997.tb00865.x.
Comminuted fractures of the middle phalanx have been well described in the horse. Choice of treatment, surgical planning and prognosis have traditionally been based upon evaluation of radiographs. However, the complex nature of comminuted fractures makes radiographic interpretation difficult. Computed tomography (CT) allows the production of cross-sectional images with spatial separation of structures which are superimposed on survey radiographs. This allows accurate assessment of the number and direction of fracture lines within the bone. In this paper we report the use of CT in the evaluation of 6 comminuted middle phalangeal fractures. Computed tomography is potentially useful in deciding the type of treatment, surgical planning and determining the prognosis.
马的中指骨粉碎性骨折已有详尽描述。传统上,治疗方案的选择、手术规划及预后评估均基于X光片的评估。然而,粉碎性骨折的复杂性使得X光片解读困难。计算机断层扫描(CT)能够生成横断面图像,可将重叠于普通X光片上的结构进行空间分离。这有助于准确评估骨内骨折线的数量和方向。本文报告了CT在评估6例中指骨粉碎性骨折中的应用。CT在确定治疗类型、手术规划及判断预后方面可能具有重要价值。