지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 112 - 119 (8page)
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초록· 키워드
오류제보하기
Purpose: Occult intertrochanteric fractures are misdiagnosed as isolated greater trochanteric fractures in some cases. We investigated the utility of three-dimensional computed tomography (3D-CT) and magnetic resonance imaging (MRI) in the diagnosis and outcome management of occult intertrochanteric fractures.
Materials and Methods: This study involved 23 cases of greater trochanteric fractures as diagnosed using plain radiographs from January 2004 to July 2013. Until January 2008, 9 cases were examined with 3D-CT only, while 14 cases were screened with both 3D-CT and MRI scans. We analyzed diagnostic accuracy and treatment results following 3D-CT and MRI scanning.
Results: Nine cases that underwent 3D-CT only were diagnosed with isolated greater trochanteric fractures without occult intertrochanteric fractures. Of these, a patient with displacement received surgical treatment. Of the 14 patients screened using both CT and MRI, 13 were diagnosed with occult intertrochanteric fractures. Of these, 11 were treated with surgical intervention and 2 with conservative management.
Conclusion: Three-dimensional CT has very low diagnostic accuracy in diagnosing occult intertrochanteric fractures. For this reason, MRI is recommended to confirm a suspected occult intertrochanteric fracture and to determine the most appropriate mode of treatment
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Chatha H / 2011 / Review article : Magnetic resonance imaging and computed tomography in the diagnosis of occult proximal femur fractures / J Orthop Surg(Hong Kong) 19:99~103
Iwata T / 2012 / The value of T1-weighted coronal MRI scans in diagnosing occult fracture of the hip / J Bone Joint Surg Br 94:969~973
Reiter M / 2013 / Greater trochanteric fracture with occult intertrochanteric extension / Emerg Radiol 20:469~472
Lee KH / 2010 / Isolated fractures of the greater trochanter with occult intertrochanteric extension / Arch Orthop Trauma Surg 130:1275~1280
Holder LE / 1990 / Radionuclide bone imaging in the early detection of fractures of the proximal femur(hip) : multifactorial analysis / Radiology 174:509~515
Iwata T / 2012 / The value of T1-weighted coronal MRI scans in diagnosing occult fracture of the hip / J Bone Joint Surg Br 94:969~973
Reiter M / 2013 / Greater trochanteric fracture with occult intertrochanteric extension / Emerg Radiol 20:469~472
Lee KH / 2010 / Isolated fractures of the greater trochanter with occult intertrochanteric extension / Arch Orthop Trauma Surg 130:1275~1280
Holder LE / 1990 / Radionuclide bone imaging in the early detection of fractures of the proximal femur(hip) : multifactorial analysis / Radiology 174:509~515
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