개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
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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
- 2019.1
- 수록면
- 183 - 188 (6page)
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초록· 키워드
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Purpose: Bone contusion is usually treated with conservative therapy for 3 months. Bone contusion around knee and hip joints has been extensively reported on, but there are scant reports on this condition in foot and ankle joints. This study evaluated the nature, characteristics and location of bone contusion around foot and ankle joints to enlighten clinicians on how to better treat this disease entity. Materials and Methods: We classified bone contusion of the 76 patients into three types (102 sites; 47 ankle sprains, 18 traffic accidents, 11 falls) according to the Costa-Paz system with employing magnetic resonance imaging (MRI), and the study then analyzed the common sites and areas of occurrence according to the mechanism of injury and duration of pain after first conducting conservative therapy. Results: Of the 76 patients (102 sites) on the MRI, 43 case (42.2%) for talus, 19 cases for distal tibia, and 12 cases for calcaneus were involved. The classification, according to the Costa-Paz system, was Type I, 51 cases; Type II, 32 cases; and Type III, 19 cases. The duration of pain after conservative treatment was 12.15±2.17 weeks for Type I, 14.5±2.15 weeks for Type II, and 21.0±3.8 weeks for Type III. Conclusion: The most common location of post-traumatic bone contusion around both the foot and ankle is the talus, distal tibia, and calcaneus. The most common type of injury noted on MRI is a diffuse signal with change of the medullary component (Type I), In cases of bone contusion extending to a subjacent articular surface or disruption or depression of the normal contour of the cortical surface (Types II, III), the patients’ pain appears to last longer. Thus, it is necessary to consider a longer period of conservative treatment in cases of Types II and III bone contusion because the patients’ pain may last longer than 3 months.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Kessler R / 2012 / Magnetic resonance imaging of bone marrow: a review-part II / J Am Osteopath Coll Radiol 1:13~24
Kaplan PA / 1999 / Bone contusions of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee at MR imaging / Radiology 211:747~753
Bloem JL / 1988 / Transient osteoporosis of the hip: MR imaging / Radiology 167:753~755
Vande Berg BC / 1999 / Idiopathic bone marrow edema lesions of the femoral head: predictive value of MR imaging findings / Radiology 212:527~535
Costa-Paz M / 2001 / Magnetic resonance imaging follow-up study of bone bruises associated with anterior cruciate ligament ruptures / Arthroscopy 17:445~449
Kaplan PA / 1999 / Bone contusions of the posterior lip of the medial tibial plateau (contrecoup injury) and associated internal derangements of the knee at MR imaging / Radiology 211:747~753
Bloem JL / 1988 / Transient osteoporosis of the hip: MR imaging / Radiology 167:753~755
Vande Berg BC / 1999 / Idiopathic bone marrow edema lesions of the femoral head: predictive value of MR imaging findings / Radiology 212:527~535
Costa-Paz M / 2001 / Magnetic resonance imaging follow-up study of bone bruises associated with anterior cruciate ligament ruptures / Arthroscopy 17:445~449
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