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 |
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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 >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.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/00004694-200103000-00005</identifier><identifier>PMID: 11242242</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Biological and medical sciences ; Cadaver ; Child ; Humans ; In Vitro Techniques ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Osteoarticular system. Muscles ; Radiodiagnosis. Nmr imagery. 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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 >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.</description><subject>Biological and medical sciences</subject><subject>Cadaver</subject><subject>Child</subject><subject>Humans</subject><subject>In Vitro Techniques</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Osteoarticular system. Muscles</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Tibial Fractures - diagnostic imaging</subject><subject>Tomography, X-Ray Computed</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkW9LwzAQxoMobk6_ghQE31Xzr0nzUuY2lYEg83VJ06uLZu1smk2_vRmbvvA4OO6eHw93HEIJwTcEK3mLY3CheEoxJpjFLt2NsiM0JBlTKc0kPkZDTCVJhVT5AJ15_x5ZyTg7RQNCKKcxh2j2oivbuvbNmmSy0S7o3rZN0tbJU9hAYx0kC-ucDl_JtNOmDx34ndovIbm3vtcu6qXV5-ik1s7DxaGO0Ot0shg_pPPn2eP4bp4axrIslWVFBKlzyjmVUAIowSgR2hCickINBqASlxWUWU4Fz3hlAOeKAtEAhlI2Qtd733XXfgbwfbGy3kDcsIE2-EIKJQTlOIKXBzCUK6iKdWdXuvsufk-PwNUB0N5oV3e6Mdb_cbkSROwovqe2reuh8x8ubKErlqBdvyxwNCNM5f__wH4ATY93VA</recordid><startdate>200103</startdate><enddate>200103</enddate><creator>Horn, B David</creator><creator>Crisci, Kristin</creator><creator>Krug, Matthew</creator><creator>Pizzutillo, Peter D</creator><creator>MacEwen, G Dean</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200103</creationdate><title>Radiologic Evaluation of Juvenile Tillaux Fractures of the Distal Tibia</title><author>Horn, B David ; Crisci, Kristin ; Krug, Matthew ; Pizzutillo, Peter D ; MacEwen, G Dean</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3355-7bd161f824427ebee963216ac119812c0ee270bdeb5826454dce0892e1aeec223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Biological and medical sciences</topic><topic>Cadaver</topic><topic>Child</topic><topic>Humans</topic><topic>In Vitro Techniques</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><topic>Osteoarticular system. Muscles</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Tibial Fractures - diagnostic imaging</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Horn, B David</creatorcontrib><creatorcontrib>Crisci, Kristin</creatorcontrib><creatorcontrib>Krug, Matthew</creatorcontrib><creatorcontrib>Pizzutillo, Peter D</creatorcontrib><creatorcontrib>MacEwen, G Dean</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>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Horn, B David</au><au>Crisci, Kristin</au><au>Krug, Matthew</au><au>Pizzutillo, Peter D</au><au>MacEwen, G Dean</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiologic Evaluation of Juvenile Tillaux Fractures of the Distal Tibia</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>2001-03</date><risdate>2001</risdate><volume>21</volume><issue>2</issue><spage>162</spage><epage>164</epage><pages>162-164</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>11242242</pmid><doi>10.1097/00004694-200103000-00005</doi><tpages>3</tpages></addata></record> |
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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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