多层螺旋CT足踝部隐匿性骨折的诊断价值
吕冬亮;金晶;谷水君;祝莹;徐斌;邵华;韩琦
【期刊名称】《中国骨伤》 【年(卷),期】2011(024)006
【摘要】Objective:To investigate the value of spiral CT examination for diagnosis occult fracture of the patients with negative result of X-ray examination and with high suspicion of fractures, so as to reduce misdiagnosis. Methods: From January 2007 to June 2010,31 patients with ankle trauma performed spiral CT examination,including 18 males and 13 females, ranging in age from 21 to 67 years, with a mean of 35 years. The main symptoms of the patients included ankle pain, local swelling, obvious tenderness and activity limitation. All the patients had negative results of X-ray examination. Results: The spiral CT examination revealed 11 patients with fractures,involving a total of 17 points. Single fracture were found in 6 cases, and multiple fractures were found in 5 cases. Among single fractures,the lateral malleolus fracture was found in 1 case,talus fracture was found in 1 case,scaphoid fracture was found in 1 case,the fracture of the base of 5th metatarsal base was found in 1 case and calcaneal fractures were found in 2 cases. Within multiple fractures,internal and lateral malleolus fracture were found in 1 case; medial malleolus, calcaneus and talus fractures were found in 1 case; talus and scaphoid fractures were found in 1 case;the fractures of 1st