目的:比较数字化摄影(DR)与多层螺旋CT(MSCT)在诊断足踝部骨折及关节脱位的应用价值。方法:分析2010年8月至2012年8月收治的52例足踝部骨折及脱位患者(男37例,女15例,年龄15～49岁)的DR及MSCT资料,并与手术或出院诊断对比,比较两者诊断...目的:比较数字化摄影(DR)与多层螺旋CT(MSCT)在诊断足踝部骨折及关节脱位的应用价值。方法:分析2010年8月至2012年8月收治的52例足踝部骨折及脱位患者(男37例,女15例,年龄15～49岁)的DR及MSCT资料,并与手术或出院诊断对比,比较两者诊断骨折数量、关节脱位的区别,采用R统计软件Wilcoxon符号秩检验(Wilcoxon signed rank test)进行统计学分析。结果:52例MSCT结果与术后或出院诊断结果完全相符。MSCT诊断骨折172处,DR诊断骨折98处,两者在骨折诊断中差异有统计学意义(V=1081,P<0.05);MSCT诊断关节脱位24例,DR诊断关节脱位16例,两者在关节脱位诊断中差异有统计学意义(V=21,P<0.05)。MSCT纠正DR骨折诊断定位6例。结论:MSCT对足踝部骨折及关节脱位的诊断优于DR。DR应首选2个部位的检查。当DR诊断结果不明确或与临床症状不相符时应选择MSCT及多平面重建(MPR)检查,可避免漏诊及误诊。展开更多
Background:Injuries around the foot and ankle are challenging.There is a paucity of literature,outside that of specialist orthopedic journals,that focuses on this subject in the pediatric population.Data sources:In th...Background:Injuries around the foot and ankle are challenging.There is a paucity of literature,outside that of specialist orthopedic journals,that focuses on this subject in the pediatric population.Data sources:In this review,we outline pediatric foot and ankle fractures in an anatomically oriented manner from the current literature.Our aim is to aid the emergency department doctor to manage these challenging injuries more efectively in the acute setting.Results:These injuries require a detailed history and examination to aid the diagnosis.Often,plain radiographs are suficient,but more complex injuries require the use of magnetic resonance imaging.Treatment is dependent on the proximity to skeletal maturity and the degree of displacement of fracture.Children have a marked ability to remodel after fractures and therefore mainstay treatment is immobilization by a cast or splint.Operative fxation,although uncommon in this population,may be necessary with adolescents,certain unstable injuries or in cases with displaced articular surface.In the setting of severe foot trauma,skin compromise and compartment syndrome of the foot must be excluded.Conclusion:The integrity of the physis,articular surface and soft tissues are all equally important in treating these injuries.展开更多
文摘目的:比较数字化摄影(DR)与多层螺旋CT(MSCT)在诊断足踝部骨折及关节脱位的应用价值。方法:分析2010年8月至2012年8月收治的52例足踝部骨折及脱位患者(男37例,女15例,年龄15～49岁)的DR及MSCT资料,并与手术或出院诊断对比,比较两者诊断骨折数量、关节脱位的区别,采用R统计软件Wilcoxon符号秩检验(Wilcoxon signed rank test)进行统计学分析。结果:52例MSCT结果与术后或出院诊断结果完全相符。MSCT诊断骨折172处,DR诊断骨折98处,两者在骨折诊断中差异有统计学意义(V=1081,P<0.05);MSCT诊断关节脱位24例,DR诊断关节脱位16例,两者在关节脱位诊断中差异有统计学意义(V=21,P<0.05)。MSCT纠正DR骨折诊断定位6例。结论:MSCT对足踝部骨折及关节脱位的诊断优于DR。DR应首选2个部位的检查。当DR诊断结果不明确或与临床症状不相符时应选择MSCT及多平面重建(MPR)检查,可避免漏诊及误诊。
文摘Background:Injuries around the foot and ankle are challenging.There is a paucity of literature,outside that of specialist orthopedic journals,that focuses on this subject in the pediatric population.Data sources:In this review,we outline pediatric foot and ankle fractures in an anatomically oriented manner from the current literature.Our aim is to aid the emergency department doctor to manage these challenging injuries more efectively in the acute setting.Results:These injuries require a detailed history and examination to aid the diagnosis.Often,plain radiographs are suficient,but more complex injuries require the use of magnetic resonance imaging.Treatment is dependent on the proximity to skeletal maturity and the degree of displacement of fracture.Children have a marked ability to remodel after fractures and therefore mainstay treatment is immobilization by a cast or splint.Operative fxation,although uncommon in this population,may be necessary with adolescents,certain unstable injuries or in cases with displaced articular surface.In the setting of severe foot trauma,skin compromise and compartment syndrome of the foot must be excluded.Conclusion:The integrity of the physis,articular surface and soft tissues are all equally important in treating these injuries.
