Tibial plateau fracture CT scan: Difference between revisions

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==Overview==
==Overview==
computed tomography (CT) with two-dimensional reconstruction in the sagittal and coronal planes provides more detailed information than radiographs. CT is important to identify articular depression and comminution. CT also helps in fracture fragment orientation and surgical planning.
[[Computed tomography]] (CT) with two-dimensional reconstruction in the sagittal and coronal planes provides more detailed information than [[Radiography|radiographs]]. [[CT-scans|CT]] is important to identify [[articular]] depression and [[comminution]]. [[CT]] also helps in [[fracture]] fragment orientation and [[Surgery|surgical]] planning.


==CT scan==
==CT scan==
*computed tomography (CT) with two-dimensional reconstruction in the sagittal and coronal planes provides more detailed information than radiographs.<ref name="pmid8010201">{{cite journal| author=Kode L, Lieberman JM, Motta AO, Wilber JH, Vasen A, Yagan R| title=Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT. | journal=AJR Am J Roentgenol | year= 1994 | volume= 163 | issue= 1 | pages= 141-7 | pmid=8010201 | doi=10.2214/ajr.163.1.8010201 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8010201  }} </ref><ref>{{cite book | last = Rockwood | first = Charles | title = Rockwood and Green's fractures in adults | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia, PA | year = 2010 | isbn = 9781605476773 }}</ref><ref name="pmid8010201">{{cite journal| author=Kode L, Lieberman JM, Motta AO, Wilber JH, Vasen A, Yagan R| title=Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT. | journal=AJR Am J Roentgenol | year= 1994 | volume= 163 | issue= 1 | pages= 141-7 | pmid=8010201 | doi=10.2214/ajr.163.1.8010201 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8010201  }} </ref><ref name="pmid19325067">{{cite journal| author=Markhardt BK, Gross JM, Monu JU| title=Schatzker classification of tibial plateau fractures: use of CT and MR imaging improves assessment. | journal=Radiographics | year= 2009 | volume= 29 | issue= 2 | pages= 585-97 | pmid=19325067 | doi=10.1148/rg.292085078 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19325067  }} </ref>
*[[Computed tomography]] (CT) with two-dimensional reconstruction in the sagittal and coronal planes provides more detailed information than [[Radiography|radiographs]].<ref name="pmid8010201">{{cite journal| author=Kode L, Lieberman JM, Motta AO, Wilber JH, Vasen A, Yagan R| title=Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT. | journal=AJR Am J Roentgenol | year= 1994 | volume= 163 | issue= 1 | pages= 141-7 | pmid=8010201 | doi=10.2214/ajr.163.1.8010201 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8010201  }} </ref><ref>{{cite book | last = Rockwood | first = Charles | title = Rockwood and Green's fractures in adults | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia, PA | year = 2010 | isbn = 9781605476773 }}</ref><ref name="pmid8010201">{{cite journal| author=Kode L, Lieberman JM, Motta AO, Wilber JH, Vasen A, Yagan R| title=Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT. | journal=AJR Am J Roentgenol | year= 1994 | volume= 163 | issue= 1 | pages= 141-7 | pmid=8010201 | doi=10.2214/ajr.163.1.8010201 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8010201  }} </ref><ref name="pmid19325067">{{cite journal| author=Markhardt BK, Gross JM, Monu JU| title=Schatzker classification of tibial plateau fractures: use of CT and MR imaging improves assessment. | journal=Radiographics | year= 2009 | volume= 29 | issue= 2 | pages= 585-97 | pmid=19325067 | doi=10.1148/rg.292085078 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19325067  }} </ref>
*CT confirms x ray findings.
*[[CT-scans|CT]] confirms [[X-rays|x ray]] findings.
*CT is important to identify articular depression and comminution.
*[[CT-scans|CT]] is important to identify [[articular]] depression and [[comminution]].
*Presence of lipohemarthrosis indicates an occult fracture.
*Presence of lipohemarthrosis indicates an occult [[fracture]].
*In addition, CT also helps in fracture fragment orientation and surgical planning.  
*In addition, [[CT-scans|CT]] also helps in [[fracture]] fragment orientation and [[Surgery|surgical]] planning.  
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]

Overview

Computed tomography (CT) with two-dimensional reconstruction in the sagittal and coronal planes provides more detailed information than radiographs. CT is important to identify articular depression and comminution. CT also helps in fracture fragment orientation and surgical planning.

CT scan

CT scan coronal Tibia coronal view with intra articular commintuin. Source: Case courtesy by: Dr. Rohan A. Bhimani
CT scan Tibia AP view. Source: Case courtesy by: Dr. Rohan A. Bhimani

References

  1. 1.0 1.1 Kode L, Lieberman JM, Motta AO, Wilber JH, Vasen A, Yagan R (1994). "Evaluation of tibial plateau fractures: efficacy of MR imaging compared with CT". AJR Am J Roentgenol. 163 (1): 141–7. doi:10.2214/ajr.163.1.8010201. PMID 8010201.
  2. Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.
  3. Markhardt BK, Gross JM, Monu JU (2009). "Schatzker classification of tibial plateau fractures: use of CT and MR imaging improves assessment". Radiographics. 29 (2): 585–97. doi:10.1148/rg.292085078. PMID 19325067.

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