一个多学科的MRI评估可能会优化评估在急性关骨折中冠状腺损伤:一项前性研究
Ali Darwich1, Dominik Nörenberg2, Julia Adam1
1Department of Orthopedic and Trauma Surgery, University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany.
Diagnostics (Basel, Switzerland)
|October 28, 2023
概括
脚骨折中的冠状体病变 (CLs) 经常被忽视,影响手术结果. 这项研究发现,骨科外科医生和放射科医生在诊断和分类这些CL时存在显著的差异,这凸显了跨学科评估的必要性.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 运动医学 运动医学
背景情况:
- 脚骨折中的冠状腺病变 (CLs) 通常是晚期诊断的,导致持续的症状.
- 现有的文献显示,在急性脚骨折中报告的CL发病率存在差异.
研究的目的:
- 为了精确评估急性脚骨折中CLs的发生,使用直接的手术前MRI.
- 为了突显放射科医生和骨科外科医生之间的CL大小和范围的解释差异.
- 通过跨学科评估,改善脚CL的手术规划.
主要方法:
- 对65名患有不稳定的脚骨折的患者进行前性研究,这些患者正在接受手术.
- 在创伤后10天内获得的手术前MRI.
- 创伤外科医生和肌肉骨放射科医生对MRI进行盲目评估,记录位置,大小和ICRS分类.
主要成果:
- 整形外科医生评估:52.3%的CLs,主要是 (70.6%),ICRS等级4.
- 放射科医生评估:69.2%的CLs,主要是塔拉尔圆顶 (48.9%),ICRS等级3a.
- 对CL检测/分类的观察者之间存在弱/公平的相关性;大小中等.
结论:
- 在诊断和分类脚冠状损伤方面存在显著的观察者间变异性.
- 建议对MRI扫描进行跨学科的术前评估,以实现最佳的手术规划.
- 协作评估可以改善脚CL的管理和外科手术的结果.
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