다평면 재구성 전산화단층촬영으로 진단한 대퇴골 전자간 불완전 골절
Incomplete Intertrochanteric Fractures Based on Multiplanar Reconstruction Computerized Tomography - A Report of Three Cases -
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
다평면 재구성 전산화단층촬영(multiplanar reconstruction computerized tomography)으로 확인한 3례의 대퇴골 전자간 불완 전 골절을 경험하였다. 단순방사선사진상, 2례에서는 대전자 단독골절만이, 1례는 전자간부 일부에 국한된 골절선이 관찰되었 다. 3례 모두 골주사 소견에서 대전자로부터 소전자에 이르는 횡선상의 흡수증가가 있었다. 다평면 재구성 전산화단층촬영상 공통적으로 전자간부 전방부에 국한된 골절선이 관찰되었고 내측, 외측 및 후방 피질골은 온전하였다. 2례는 압박고나사를 이 용하여 내고정하였으며, 1례는 전신상태가 나빠 보존적으로 치료하였다. 이들의 다평면 재구성 전산화단층촬영 소견은 기존에 보고된 대퇴골 전자간 불완전 골절의 자기공명영상 소견과 전혀 달랐다.
Abstract
We experienced 3 cases of incomplete intertrochanteric fracture that were detected by multiplanar reconstruction computerized tomography (MPR CT). On the plain radiographs, two cases had only greater trochanteric fracture and the other case had a localized intertrochanteric fracture. There were linear hot uptakes in the intertrochanteric area in all cases on the bone scintigrams. On MPR CT, cortical breakage was found only in the anterior cortex, and the medial, lateral and posterior cortices were intact in all cases. Two cases were treated surgically with using compression hip screws and the other case was managed conservatively because of the patient’s poor general condition. The findings of MPR CT were definitely different from those MRI findings of the previously reported incomplete intertrochanteric fractures.
참고문헌 (10)
- Alam A, "The MRI diagnosis and management of incomplete intertrochanteric fractures of the femur", J Bone Joint Surg, 87-B, pp.1253~1255 (2005)
- Craig JG, "Fractures of the greater trochanter: intertrochanteric extension shown by MR imaging", Skeletal Radiol, 29, pp.572~576 (2000)
- Feldman F, "MR imaging: its role in detecting occult fractures", Skeletal Radiol, 23, pp.439~444 (1994)
- Feldman F, "MRI of seemingly isolated greater trochanteric fractures", AJR Am J Roentgenol, 183, pp.323~329 (2004)
- Frihagen F, "MRI diagnosis of occult hip fractures", Acta Orthopaedica, 76, pp.524~530 (2005)
- Kaufer H, "Mechanics of the treatment of hip injuries", Clin Orthop Relat Res, 146, pp.53~61 (1980)
- Levy RN, "Intertrochanteric hip fractures. In: Skeletal trauma. 1st ed", pp.1446~1481 (1992), Saunders
- Omura T, "Evaluation of isolated fractures of the greater trochanter with magnetic resonance imaging", Arch Orthop Trauma Surg, 120, pp.195~197 (2000)
- Rizzo PF, "Diagnosis of occult fractures about the hip. Magnetic resonance imaging compared with bone-scanning", J Bone Joint Surg, 75-A, pp.395~401 (1993)
- Schultz E, "Incomplete intertrochanteric fractures: imaging features and clinical management", Radiology, 211, pp.237~240 (1999)