Radiologic Evaluation of Juvenile Tillaux Fractures of the Distal Tibia

This study evaluated the accuracy of plain radiographs and computerized tomography (CT) in assessing juvenile Tillaux fractures of the distal tibia. A simulated Tillaux fracture was made in four cadaver specimens and displaced 0, 1, 2, 3, and 5 mm. Plain radiographs and CT were performed on each spe...

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Veröffentlicht in:Journal of pediatric orthopaedics 2001-03, Vol.21 (2), p.162-164
Hauptverfasser: Horn, B David, Crisci, Kristin, Krug, Matthew, Pizzutillo, Peter D, MacEwen, G Dean
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container_end_page 164
container_issue 2
container_start_page 162
container_title Journal of pediatric orthopaedics
container_volume 21
creator Horn, B David
Crisci, Kristin
Krug, Matthew
Pizzutillo, Peter D
MacEwen, G Dean
description This study evaluated the accuracy of plain radiographs and computerized tomography (CT) in assessing juvenile Tillaux fractures of the distal tibia. A simulated Tillaux fracture was made in four cadaver specimens and displaced 0, 1, 2, 3, and 5 mm. Plain radiographs and CT were performed on each specimen at each amount of displacement, and the results were compared with the actual amount of displacement present. Plain radiographs and CT were accurate within 1 mm in depicting the actual fracture displacement about 50% of the time. CT was more sensitive than plain radiographs in detecting fractures with >2 mm of displacement. Fracture displacement of >2 mm is generally considered an indication for fracture reduction. Because of its sensitivity in detecting fractures displaced >2 mm, CT is the preferred imaging modality in the assessment of juvenile Tillaux fractures.
doi_str_mv 10.1097/00004694-200103000-00005
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A simulated Tillaux fracture was made in four cadaver specimens and displaced 0, 1, 2, 3, and 5 mm. Plain radiographs and CT were performed on each specimen at each amount of displacement, and the results were compared with the actual amount of displacement present. Plain radiographs and CT were accurate within 1 mm in depicting the actual fracture displacement about 50% of the time. CT was more sensitive than plain radiographs in detecting fractures with &gt;2 mm of displacement. Fracture displacement of &gt;2 mm is generally considered an indication for fracture reduction. 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source MEDLINE; Journals@Ovid Complete
subjects Biological and medical sciences
Cadaver
Child
Humans
In Vitro Techniques
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Osteoarticular system. Muscles
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Tibial Fractures - diagnostic imaging
Tomography, X-Ray Computed
title Radiologic Evaluation of Juvenile Tillaux Fractures of the Distal Tibia
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