MRI IN THE MANAGEMENT OF TIBIAL PLATEAU FRACTURES

被引：50

作者：

HOLT, MD

WILLIAMS, LA

DENT, CM

机构：

[1] Department of Trauma and Orthopaedic Surgery, Cardiff Royal Infirmary, Cardiff, Wales

[2] Department of Radiology, Cardiff Royal Infirmary, Cardiff, Wales

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1995年 / 26卷 / 09期

关键词：

D O I：

10.1016/0020-1383(95)00109-M

中图分类号：

R4 [临床医学];

学科分类号：

1002 [临床医学]; 100602 [中西医结合临床];

摘要：

Twenty-one consecutive patients with fractures of the tibial plateau were investigated by standard radiography and magnetic resonance imaging (MRI) before treatment. It was found that MRI was more accurate in determining the classification Of the fracture, in the identification of previously 'occult' fracture lines, and in accurate measurement of displacement and depression of fragments. This resulted in a change in the classification of to fractures (47.6 per cent) and so a change in the management of four patients (19 per cent). In addition, MRI permits the reliable identification of associated intra- and periarticular soft tissue injuries pre-operatively for the first lime in this group of injuries, seen to be present in 47.6 per cent Of this series. This is higher than previously reported. No problems were encountered with the imaging technique, and in view of the significant effect on patient management, the authors now consider if to be the imaging method of choice.

引用

页码：595 / 599

页数：5

共 12 条

[1]

Schatzker, McBroom, Bruce, The tibial plateau fracture: the Toronto experience, Clin Orthop Rel Res, 138, (1979)

[2]

Moore, Harvey, Roentgenographic measurement of tibial plateau depression due to fracture, J Bone Joint Surg [Am], 56 A, (1974)

[3]

Schioler, Tibial condylar fractures with a particular view to the value of tomography, Acta Orthop Scand, 42, (1977)

[4]

Elstrom, Pankovich, Sassoon, Rodriquez, The use of tomography in the assessment of fractures of the tibial plateau, J Bone Surg [Am], 58 A, (1976)

[5]

Dias, Stirling, Finlay, Gregg, Computerised axial tomography for tibial plateau fractures, J Bone Joint Surg [Br], 69 B, (1987)

[6]

Delamarter, Hohl, Hopp, Ligament injuries associated with tibial plateau fractures, Clin Orthop Rel Res, 250, (1990)

[7]

Martin, The pathomechanics of the knee joint. I: The medial collateral ligament and lateral tibial plateau fractures, J Bone Joint Surg [Am], 42 A, (1960)

[8]

Muller, Nazarian, Koch, Schatzker, The Comprehensive Classification of Fractures of Long Bones, (1990)

[9]

Mink, Deutsch, Occult cartilage and bone injuries of the knee: detection, classification and assessment with MR imaging, Radiology, 170, (1989)

[10]

Blokker, Rorabeck, Bourne, Tibial plateau fractures: an analysis of the results of treatment in 60 patients, Clin Orthop Rel Res, 182, (1984)

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