Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT
CT is often used after plain films to evaluate fractures of the tibial plateau. Because MR imaging can show associated soft-tissue injuries as well as fractures, we hypothesize that MR is superior to CT for imaging these injuries. Accordingly, we compared the efficacy of MR imaging and CT in 22 pati...
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| Veröffentlicht in: | American journal of roentgenology (1976) 1994-07, Vol.163 (1), p.141-147 |
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| creator | Kode, L Lieberman, JM Motta, AO Wilber, JH Vasen, A Yagan, R |
| description | CT is often used after plain films to evaluate fractures of the tibial plateau. Because MR imaging can show associated soft-tissue injuries as well as fractures, we hypothesize that MR is superior to CT for imaging these injuries. Accordingly, we compared the efficacy of MR imaging and CT in 22 patients with tibial plateau fractures.
CT with two-dimensional reconstruction and MR examinations were performed in 22 patients with tibial plateau fractures. The images were interpreted by four radiologists and two orthopedic surgeons. Findings on CT scans and plain films were used to determine the configuration of the fractures and to classify them according to the Schatzker system. This was done with findings on MR images and plain films at a separate session. The MR images were also evaluated for ligamentous and meniscal injuries. A qualitative side-by-side comparison of two-dimensional CT scans and MR images for depiction of fracture configuration was done. Imaging results were correlated with observations from physical examinations in all patients and with surgical findings in 12 patients.
All of the six types of fractures of the Schatzker classification were observed in this series. Comparison of two-dimensional CT reconstructions and MR images for depiction of fracture configuration revealed that the two techniques were equal in 14 patients, MR imaging was superior to CT in five patients, and CT was superior to MR imaging in three patients (who had very complex and comminuted fractures). In addition, MR imaging showed 12 complete ligamentous tears and 15 partial ligamentous tears in 15 (68%) of the 22 patients. MR showed meniscal injuries in 12 (55%) of the 22 patients.
MR imaging was equivalent or superior to two-dimensional CT reconstruction for depiction of fracture configuration in most patients. In addition, MR showed significant soft-tissue injuries. We believe that MR imaging is the preferable imaging technique for most patients with fractures of the tibial plateau. |
| doi_str_mv | 10.2214/ajr.163.1.8010201 |
| format | Article |
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CT with two-dimensional reconstruction and MR examinations were performed in 22 patients with tibial plateau fractures. The images were interpreted by four radiologists and two orthopedic surgeons. Findings on CT scans and plain films were used to determine the configuration of the fractures and to classify them according to the Schatzker system. This was done with findings on MR images and plain films at a separate session. The MR images were also evaluated for ligamentous and meniscal injuries. A qualitative side-by-side comparison of two-dimensional CT scans and MR images for depiction of fracture configuration was done. Imaging results were correlated with observations from physical examinations in all patients and with surgical findings in 12 patients.
All of the six types of fractures of the Schatzker classification were observed in this series. Comparison of two-dimensional CT reconstructions and MR images for depiction of fracture configuration revealed that the two techniques were equal in 14 patients, MR imaging was superior to CT in five patients, and CT was superior to MR imaging in three patients (who had very complex and comminuted fractures). In addition, MR imaging showed 12 complete ligamentous tears and 15 partial ligamentous tears in 15 (68%) of the 22 patients. MR showed meniscal injuries in 12 (55%) of the 22 patients.
MR imaging was equivalent or superior to two-dimensional CT reconstruction for depiction of fracture configuration in most patients. In addition, MR showed significant soft-tissue injuries. We believe that MR imaging is the preferable imaging technique for most patients with fractures of the tibial plateau.</description><identifier>ISSN: 0361-803X</identifier><identifier>EISSN: 1546-3141</identifier><identifier>DOI: 10.2214/ajr.163.1.8010201</identifier><identifier>PMID: 8010201</identifier><identifier>CODEN: AAJRDX</identifier><language>eng</language><publisher>Leesburg, VA: Am Roentgen Ray Soc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anterior Cruciate Ligament Injuries ; Biological and medical sciences ; Female ; Humans ; Image Processing, Computer-Assisted ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic Resonance Imaging ; Male ; Medial Collateral Ligament, Knee - injuries ; Medical sciences ; Middle Aged ; Osteoarticular system. Muscles ; Posterior Cruciate Ligament - injuries ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Tibial Fractures - classification ; Tibial Fractures - diagnosis ; Tibial Fractures - diagnostic imaging ; Tibial Meniscus Injuries ; Tomography, X-Ray Computed</subject><ispartof>American journal of roentgenology (1976), 1994-07, Vol.163 (1), p.141-147</ispartof><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-5057827fbd4ef20598daba5b712530364e465738d44328990cd2d3a8c760fef73</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,4117,23928,23929,25138,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4165869$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8010201$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kode, L</creatorcontrib><creatorcontrib>Lieberman, JM</creatorcontrib><creatorcontrib>Motta, AO</creatorcontrib><creatorcontrib>Wilber, JH</creatorcontrib><creatorcontrib>Vasen, A</creatorcontrib><creatorcontrib>Yagan, R</creatorcontrib><title>Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT</title><title>American journal of roentgenology (1976)</title><addtitle>AJR Am J Roentgenol</addtitle><description>CT is often used after plain films to evaluate fractures of the tibial plateau. Because MR imaging can show associated soft-tissue injuries as well as fractures, we hypothesize that MR is superior to CT for imaging these injuries. Accordingly, we compared the efficacy of MR imaging and CT in 22 patients with tibial plateau fractures.
CT with two-dimensional reconstruction and MR examinations were performed in 22 patients with tibial plateau fractures. The images were interpreted by four radiologists and two orthopedic surgeons. Findings on CT scans and plain films were used to determine the configuration of the fractures and to classify them according to the Schatzker system. This was done with findings on MR images and plain films at a separate session. The MR images were also evaluated for ligamentous and meniscal injuries. A qualitative side-by-side comparison of two-dimensional CT scans and MR images for depiction of fracture configuration was done. Imaging results were correlated with observations from physical examinations in all patients and with surgical findings in 12 patients.
All of the six types of fractures of the Schatzker classification were observed in this series. Comparison of two-dimensional CT reconstructions and MR images for depiction of fracture configuration revealed that the two techniques were equal in 14 patients, MR imaging was superior to CT in five patients, and CT was superior to MR imaging in three patients (who had very complex and comminuted fractures). In addition, MR imaging showed 12 complete ligamentous tears and 15 partial ligamentous tears in 15 (68%) of the 22 patients. MR showed meniscal injuries in 12 (55%) of the 22 patients.
MR imaging was equivalent or superior to two-dimensional CT reconstruction for depiction of fracture configuration in most patients. In addition, MR showed significant soft-tissue injuries. We believe that MR imaging is the preferable imaging technique for most patients with fractures of the tibial plateau.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medial Collateral Ligament, Knee - injuries</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Osteoarticular system. Muscles</subject><subject>Posterior Cruciate Ligament - injuries</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Tibial Fractures - classification</subject><subject>Tibial Fractures - diagnosis</subject><subject>Tibial Fractures - diagnostic imaging</subject><subject>Tibial Meniscus Injuries</subject><subject>Tomography, X-Ray Computed</subject><issn>0361-803X</issn><issn>1546-3141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkc1q3DAUhUVpSadpH6CLghalO0_1L7m7MqQ_kBIoKXQnrmVpRkEeTyU7Jm9fhTHJSov73aPDdxF6T8mWMSo-w13eUsW3dGsIJYzQF2hDpVANp4K-RBvCFW0M4X9fozel3BFCtGn1BbpY8Q26ubqHNMMUxyMeA55iFyHhU4LJw4xDBjfN2Zcv2IcQHbiHR-rXbxwH2MfjHrtxOEH2PV7idMC727foVYBU_Lv1vUR_vl3d7n401zfff-6-XjeOSzU1kkhtmA5dL3xgRLamhw5kpymTvLYWXiipuemF4My0LXE96zkYpxUJPmh-iT6dc095_Df7MtkhFudTgqMf52K1klIxTSpIz6DLYynZB3vKtXx-sJTYR4m2SrRVoqV2tVJ3Pqzhczf4_mnjef5xnUNxkKqlo4vlCRNUSaPa546HuD8sMXtbBkiphlK7LMv5z3oo_h-SEIX3</recordid><startdate>19940701</startdate><enddate>19940701</enddate><creator>Kode, L</creator><creator>Lieberman, JM</creator><creator>Motta, AO</creator><creator>Wilber, JH</creator><creator>Vasen, A</creator><creator>Yagan, R</creator><general>Am Roentgen Ray Soc</general><general>American Roentgen Ray Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19940701</creationdate><title>Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT</title><author>Kode, L ; Lieberman, JM ; Motta, AO ; Wilber, JH ; Vasen, A ; Yagan, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-5057827fbd4ef20598daba5b712530364e465738d44328990cd2d3a8c760fef73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medial Collateral Ligament, Knee - injuries</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Osteoarticular system. Muscles</topic><topic>Posterior Cruciate Ligament - injuries</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Tibial Fractures - classification</topic><topic>Tibial Fractures - diagnosis</topic><topic>Tibial Fractures - diagnostic imaging</topic><topic>Tibial Meniscus Injuries</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kode, L</creatorcontrib><creatorcontrib>Lieberman, JM</creatorcontrib><creatorcontrib>Motta, AO</creatorcontrib><creatorcontrib>Wilber, JH</creatorcontrib><creatorcontrib>Vasen, A</creatorcontrib><creatorcontrib>Yagan, R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of roentgenology (1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kode, L</au><au>Lieberman, JM</au><au>Motta, AO</au><au>Wilber, JH</au><au>Vasen, A</au><au>Yagan, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT</atitle><jtitle>American journal of roentgenology (1976)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>1994-07-01</date><risdate>1994</risdate><volume>163</volume><issue>1</issue><spage>141</spage><epage>147</epage><pages>141-147</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><coden>AAJRDX</coden><abstract>CT is often used after plain films to evaluate fractures of the tibial plateau. Because MR imaging can show associated soft-tissue injuries as well as fractures, we hypothesize that MR is superior to CT for imaging these injuries. Accordingly, we compared the efficacy of MR imaging and CT in 22 patients with tibial plateau fractures.
CT with two-dimensional reconstruction and MR examinations were performed in 22 patients with tibial plateau fractures. The images were interpreted by four radiologists and two orthopedic surgeons. Findings on CT scans and plain films were used to determine the configuration of the fractures and to classify them according to the Schatzker system. This was done with findings on MR images and plain films at a separate session. The MR images were also evaluated for ligamentous and meniscal injuries. A qualitative side-by-side comparison of two-dimensional CT scans and MR images for depiction of fracture configuration was done. Imaging results were correlated with observations from physical examinations in all patients and with surgical findings in 12 patients.
All of the six types of fractures of the Schatzker classification were observed in this series. Comparison of two-dimensional CT reconstructions and MR images for depiction of fracture configuration revealed that the two techniques were equal in 14 patients, MR imaging was superior to CT in five patients, and CT was superior to MR imaging in three patients (who had very complex and comminuted fractures). In addition, MR imaging showed 12 complete ligamentous tears and 15 partial ligamentous tears in 15 (68%) of the 22 patients. MR showed meniscal injuries in 12 (55%) of the 22 patients.
MR imaging was equivalent or superior to two-dimensional CT reconstruction for depiction of fracture configuration in most patients. In addition, MR showed significant soft-tissue injuries. We believe that MR imaging is the preferable imaging technique for most patients with fractures of the tibial plateau.</abstract><cop>Leesburg, VA</cop><pub>Am Roentgen Ray Soc</pub><pmid>8010201</pmid><doi>10.2214/ajr.163.1.8010201</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Anterior Cruciate Ligament Injuries Biological and medical sciences Female Humans Image Processing, Computer-Assisted Investigative techniques, diagnostic techniques (general aspects) Magnetic Resonance Imaging Male Medial Collateral Ligament, Knee - injuries Medical sciences Middle Aged Osteoarticular system. Muscles Posterior Cruciate Ligament - injuries Radiodiagnosis. Nmr imagery. Nmr spectrometry Tibial Fractures - classification Tibial Fractures - diagnosis Tibial Fractures - diagnostic imaging Tibial Meniscus Injuries Tomography, X-Ray Computed |
| title | Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT |
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