压力X射线图的指示和解释在 Supination 外部旋转 脚骨折 脚骨折
Ferras Zeni1, Daniel R Cavazos2,3, José A Bouffard2
1Orthopedics, Allina Health, St. Paul, USA.
Cureus
|May 30, 2023
概括
在位外旋 (SER) 脚骨折中,评估带带的完整性至关重要. 没有中间疼痛和胀表明没有完全撕裂,否定了压力放射的需要.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 运动医学 运动医学
背景情况:
- 脚骨折的稳定性,特别是在有完好无损的中间骨的外侧旋转 (SER) 损伤中,取决于三角形带.
- 精确评估三角形带完整性对于适当的治疗和管理至关重要.
研究的目的:
- 在SER脚骨折中定义应力放射的指示.
- 为了建立一个积极的压力X射线的标准,在评估三角形带能力.
主要方法:
- 对27个孤立的SER侧侧骨折的前性研究,减少了脚死骨.
- 进行了超声波和静态/压力射线图的骨折和逆侧脚.
- 疼痛和胀被评估为中部脚疼痛.
主要成果:
- 超声波显示了14个正常的,8个部分的,和5个全厚的三角形裂.
- 完全和部分撕裂之间疼痛的显著差异 (p < .001).
- 中部胀和疼痛的负预测值分别为93%和100%;压力放射学标准显示高灵敏度和特异性.
结论:
- 没有显著的中间疼痛/胀表明没有完全的骨裂,避免了压力放射.
- 伤害的中部迹象是暗示性的,但对于完整的眼而言并非确定的.
- 与相反侧面相比,应力射线图中中间空隙的变化为2.5毫米或更大,表明完全的三角形撕裂.
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