PLAIN RADIOGRAPHIC INTERPRETATION IN TRIMALLEOLAR ANKLE FRACTURES POORLY ASSESSES POSTERIOR FRAGMENT SIZE

被引：152

作者：

FERRIES, JS ^{[1
]}

DECOSTER, TA ^{[1
]}

FIROOZBAKHSH, KK ^{[1
]}

GARCIA, JF ^{[1
]}

MILLER, RA ^{[1
]}

机构：

[1] UNIV NEW MEXICO,SCH MED,DEPT ORTHOPAED & REHABIL,ALBUQUERQUE,NM 87131

来源：

JOURNAL OF ORTHOPAEDIC TRAUMA | 1994年 / 8卷 / 04期

关键词：

ANKLE INJURIES; FRACTURE; DISTAL TIBIA; RADIOGRAPHY; RELIABILITY AND VALIDITY;

D O I：

10.1097/00005131-199408000-00009

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Twenty-five patients with trimalleolar ankle fractures were evaluated using both conventional radiography and computed tomography (CT) to determine the size of the posterior fragment along with other fracture characteristics. Plain radiograph measurements indicated very poor inter- and intraexaminer reliability. When compared to the CT scan measurement, 54% of the plain radiographic readings revealed >25% error. Plain radiographic interpretations erred in most cases by overrating the size of the fragment, but major underestimations also occurred. The larger size fragments showed more error than the smaller ones. This information confirms our clinical suspicion that the lateral radiograph is unreliable in assessing the posterior fragment size.

引用

页码：328 / 331

页数：4

共 21 条

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