国际病理科学与临床杂志2016，Vol.36Issue(11)：1784-1788,5.DOI:10.3978/j.issn.2095-6959.2016.11.019
跟骨关节内骨折合并腓骨肌腱脱位的多层螺旋CT诊断
MSCT in diagnosis of peroneal tendon dislocation accompanying intra-articular calcaneal fractures
张宏蕊 1李建强 2孙永 1王娟 3李春匣1
作者信息
- 1. 新乐市中医医院CT室，河北 新乐 050700
- 2. 新乐市中医医院外科，河北 新乐 050700
- 3. 新乐市中医医院放射科，河北 新乐 050700
- 折叠
摘要
Abstract
Objective:To explore the clinical value of multi-slice CT (MSCT) in the diagnosis of peroneal tendon dislocation accompanying intra-articular calcaneal fractures.Methods:One hundred and forty-two patients with intra-articular calcaneal fractures, a total of 154 feet in patients admitted to Traditional Chinese Medicine Hospital of Xinle from January, 2013 to June, 2013 underwent MSCT scanning, carried out the volume virtual reality (VR) and multi planar reconstruction (MPR) of supplementary tendons, and the calcaneal width of posterior edge of sustentaculum and the width of the tuberosity posterior to the sustentaculum in calcaneal fractures were measured.Results:One hundred and twenty-eight feet without peroneal tendons dislocation (group without dislocation), axial position and coronal position in MPR and VR diagram showed that the peroneal tendons were located in the peroneal tendons groove; Peroneal tendons displacement was in 26 cases (dislocation group), MSCT showed that peroneal tendons were out of peroneal tendons groove, and lateral displacement. hTe width of posterior edge of sustentaculum and tuberosity posterior to the sustentaculum in calcaneal fractures of the dislocation group was greater than that of the group without dislocation [(5.08±0.61) vs. (4.78±0.59) cm, (4.18±0.47) vs. (3.83±0.50) cm,P<0.05]. hTe dislocation group underwent open reduction and steel plate internal ifxation, and peroneal tendons dislocation was not to deal with. Fitfeen feet were followed up for 12 months atfer operation, three feet with dislocated peroneal tendons were back to the normal location, and 12 feet were still in dislocation.Conclusion:hTe multi-angle peroneal tendons and the location of the peroneal tendons ditch can be observed by MSCT, and it has an accurate judgment in the intra-articular calcaneal fractures ifbula tendon dislocation or not, so it has a great signiifcance in clinical diagnosis and treatment of dislocation of the peroneal tendons.关键词
跟骨关节内骨折/腓骨肌腱脱位/体层摄影术/X线计算机Key words
intra-articular calcaneal fractures/peroneal tendons dislocation/tomography/X-ray computer引用本文复制引用
张宏蕊,李建强,孙永,王娟,李春匣..跟骨关节内骨折合并腓骨肌腱脱位的多层螺旋CT诊断[J].国际病理科学与临床杂志,2016,36(11):1784-1788,5.
