MULTISPIRAL COMPUTER TOMOGRAPHY IN DIAGNOSTICS OF ACUTE SKELETAL INJURIES IN CHILDREN



如何引用文章

全文:

详细

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.

作者简介

I. Korneev

Research Institute of Emergency Pediatric Surgery and Traumatology

编辑信件的主要联系方式.
Email: noemail@neicon.ru
俄罗斯联邦

T. Akhadov

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

N. Semenova

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

I. Melnikov

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

S. Nikishov

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

N. Serova

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

P. Menshchikov

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

A. Manzhurtsev

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

D. Dmitrenko

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: noemail@neicon.ru
俄罗斯联邦

L. Roshal

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

Email: noemail@neicon.ru
俄罗斯联邦

M. Ublinsky

Research Institute of Emergency Pediatric Surgery and Traumatology

Email: maxublinsk@mail.ru
俄罗斯联邦

参考

  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.

补充文件

附件文件
动作
1. JATS XML

版权所有 © , 2018

##common.cookie##