MULTISPIRAL COMPUTER TOMOGRAPHY IN DIAGNOSTICS OF ACUTE SKELETAL INJURIES IN CHILDREN


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Abstract

Multi-sliced computed tomography (MSCT) is widely used to study patients with polytrauma, especially when assessing skeletal and spinal injuries as it has provided possible volume visualization. MSCT has long been used to diagnose injuries of pelvic bones and the spine. For the examination of limb injuries, it is used rarely until now. Although traditionally used radiography often underestimates degree and severity of damages, especially in the complex body parts such as shoulder, elbow, wrist, knee and ankle joints. The role of MSCT is extremely important to identify complex and small fractures, their nature and evaluation, planning of treatment. Multiplanar reconstruction clearly visualizes structural features, and three-dimensional images help to understand spatial relationships, which is important for pre-operative planning and classification of fractures. In addition, modern technologies for suppressing metal artifacts in MSCT allow monitoring postoperative results even in the presence of metal implants.

About the authors

I. A. Korneev

Research Institute of Emergency Pediatric Surgery and Traumatology

Author for correspondence.
Email: noemail@neicon.ru
Russian Federation

T. A. Akhadov

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

N. A. Semenova

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

I. A. Melnikov

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

S. O. Nikishov

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

N. Yu. Serova

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

P. E. Menshchikov

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

A. V. Manzhurtsev

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

D. M. Dmitrenko

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
Russian Federation

L. M. Roshal

Research Institute of Emergency Pediatric Surgery and Traumatology; «National medical research center of health of children»

Email: noemail@neicon.ru
Russian Federation

M. V. Ublinsky

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: maxublinsk@mail.ru
Russian Federation

References

  1. Hedström E.M., Svensson O., Bergström U., MichnoР. Epidemiology of fractures in children and adolescents. Acta Orthopaedica. 2010; 81(1): 148-53
  2. Синица Н.С., Агаджанян В.В. Политравма у детей. Лечение повреждений опорно-двигательного аппарата. Политравма. 2009; 2: 13-7
  3. Rydberg J, Buckwalter K.A., Caldemeyer K.S. et al. Multisection CT: scanning techniques and clinical applications. Radiographics. 2000; 20: 1787-806.
  4. Buckwalter K.A., Rydberg J., Kopecky K.K., Crow K., Yang E.L. Musculoskeletal imaging with multislice CT. AJR Am J. Roentgenol. 2001; 176: 979-86.
  5. Watura R., Cobby M., Taylor J. Multislice CT in imaging of trauma of the spine, pelvis and complex foot injuries. Br J. Radiol. 2004; 77(1): 46-63.
  6. Ахадов Т.А., Панов В.О., Айххофф У. Магнитно-резонансная томография спинного мозга и позвоночника. М: 2000
  7. Wintermark M., Mouhsine E. Theumann N. et al. Thoracolumbar spine fractures in patients who have sustained severe trauma: depiction with multi-detector row CT. Radiology. 2003; 227: 681-9.
  8. Guillamondegui O.D., Pryor J.P., Gracias V.H., Gupta R., Reilly P.M., Schwab C.W. Pelvic radiography in blunt trauma resuscitation: a diminishing role. J. Trauma. 2002; 53: 1043-7/
  9. Wedegartner U., Gatzka C., Rueger J.M., Adam G. Multislice CT (MSCT) in the detection and classification of pelvic and acetabular fractures. Rofo. 2003; 175: 105-11.
  10. Groves A.M., Kayani I., Syed R., et al. An international survey of hospital practice in the imaging of acute scaphoid trauma. AJR Am J. Roentgenol. 2006; 187: 1453-6.
  11. Vallier H.A., Ahmadinia K., Forde F.A., EksteinC., Nash C.L. Trends in musculoskeletal imaging in trauma patients: how has our practice changed over time? J.Orthop Trauma. 2014; 10: 236-41.
  12. Elliot K., Fishman M.D., Brooke R.J. Multidetector Computed Tomography: Principles, Techniques, and Clinical Applications. Phil: 2003.
  13. De Filippo M., Bertellini A., Sverzellati N., et al. Multidetector computed tomography arthrography of the shoulder: diagnostic accuracy and indications. Acta Radiol. 2008; 49: 540-9.
  14. Oh J.H., Kim J.Y., Choi J.A., Kim W.S. Effectiveness of multidetector computed tomography arthrography for the diagnosis of shoulder pathology: comparison with magnetic resonance imaging with arthroscopic correlation. J. Shoulder Elbow Surg. 2010; 19: 14-2.
  15. Fritz J., Elliot K., Carl S., et al. MDCT Arthrography of the Shoulder With Datasets of Isotropic Resolution: Indications, Technique, and Applications. AJR. 2012; 198(3): 635-46.
  16. Markhardt B., Gross J., Monu J. Classification of Tibial Plateau Fractures: Use of CT and MR Imaging Improves Assessment1. Radiographics. 2009; 29(2): 585-97.
  17. Macarini L., Murrone M., Marini S., et al. Tibial plateau fractures: evaluation with multidetector-CT. Radiol Med. 2005; 108 (5-6): 503-14.

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