Comparative analysis of possibilities of radiological methods in diagnosis and characterization of osseous structures damages of the knee joint in patients with tibial condyles fractures
- Authors: Fyodorova N.S1, Pchelin I.G1, Fokin V.A1, Trufanov G.E1
-
Affiliations:
- Issue: Vol 334, No 4 (2013)
- Pages: 21-26
- Section: Articles
- URL: https://journals.eco-vector.com/0026-9050/article/view/74375
- DOI: https://doi.org/10.17816/RMMJ74375
- ID: 74375
Cite item
Abstract
Computer tomography was prescribed for 56 patients. The most frequent fractures were — Schatzker II (n=23; 31,5%) and III (n=18; 24,7%) types of fractures. A comparative expert analysis of the results of radiographic, MRI and CT was performed in 56 patients. CT was «the golden standart». X-ray sensitivity in identifying the type of fracture was 80,3%, specificity — 66,7%, accuracy — 79,6%. In identifying the displacement of bone fragments X-ray sensitivity was 70,4%, specificity — 81,2%, accuracy — 73,3%. Sensitivity of radiography in detecting depth of impressions was 72,3%, specificity — 80%, accuracy — 74,1%. CT and MRI have the same results.
Full Text
About the authors
N. S Fyodorova
Email: fedorova.n.s@ya.ru
I. G Pchelin
V. A Fokin
G. E Trufanov
Email: rentgenvma@mail.ru
References
- Гладков Р.В. Совершенствование хирургической тактики при лечении больных с переломами мыщелков большеберцовой кости: Автореф. дис.. канд. мед. наук. - СПб, 2009. - 34 с.
- Каримов М.Ю., Янгуразова Д.Р., Каримбердиев М.К. Оценка клинической и лучевой диагностики внутрисуставных переломов коленного сустава // Укр. мед. часопис. - 2009. -Вып. 5, № 73. - C. 76-83.
- Рикун О.В., Шаповалов В.М. Повреждения коленного сустава у военнослужащих. -СПб, 2000. - 96 с.
- Antti O.T., Mustonen М., Koivikko P. Mika et al. MRI of acute meniscal injury associated with tibial plateau fractures: prevalence, type, and location musculoskeletal imaging // AJR. - 2008. - Vol. 191. - P. 23-25.
- Chang C.Y., Wu H.T., Huang T.F. Imaging evaluation of meniscal injury of the knee joint: a comparative MR imaging and arthroscopic study // Clin. Imaging. - 2004. - Vol. 28. - P. 372-376.
- Gardner M.J., Yacoubian S., Geller D. The incidence of soft tissue injury in operative tibial plateau fractures. A magnetic resonance imaging analysis of 103 patients // Orthop. Trauma. - 2005. - Vol. 19. - P. 79-84.
- Gill T.J., Moezzi D.M., Oates K.M. et al. Arthroscopic reduction and internal fixation of tibial plateau fractures in skiing // Clin. Orthop. Rel. Res. - 2001. - Vol. 383. - P. 243-249.
- Maeseneer M., Shahabpour M., Roy P. Van et al. MRI of cartilage and subchondral bone injury. А pictorial review // JBR-BTR. - 2008. - Vol. 91. - P. 6-13.
- Mui W.L., Engelsohn E., Umans H. Comparison of CT and MRI in patients with tibial plateau fracture: can CT findings predict ligament tear or meniscal injury? // Skeletal Radiol. - 2007. - Vol. 36. - P. 145-151.
- Mustonen A. Imaging of knee injuries with special focus on tibial plateau fractures. - Helsinki, 2009. - P. 24-27.
- Mustonen A., Koivikko M., Lindahl J. et al. MRI of acute meniscal injury associated with tibial plateau fractures: prevalence, type, and location // AJR Am. J. Roentgenol. - 2008. -Vol. 191, N 4 - P. 1002-1009.
- Nirmal C., Tejwani M.D., Pramod Achan. Staged management of high-energy proximal tibia fractures // Bulletin, Hospital for Joint Diseases. - 2004. - Vol. 62, N 1. - P. 62.
- O’Donnell M., Stephen A., Campbell D. et al. The skiers knee without swelling or instability, a difficult diagnosis: a case report // Journal of Medical Case Repor. - 2007. - P. 156-161.
- Simone S.B., Dammis V., Bart W. et al. MRI follow-up of posttraumatic bone bruises of the knee in general practice // American Roentgen Ray Society. - 2007. - P. 324.
- Stoller D.W. Magnetic rezonance imaging in orthopaedics and sports medicine, 3rd Edition. - 2007. - Chapter 4.65.