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Segond骨折影像特征在膝关节外侧不稳中的应用价值

何伟红 符熙 方挺松 王桂宁 王娟

CT理论与应用研究2023,Vol.32Issue(6):771-776,6.
CT理论与应用研究2023,Vol.32Issue(6):771-776,6.DOI:10.15953/j.ctta.2022.112

Segond骨折影像特征在膝关节外侧不稳中的应用价值

Application Value of Segond Fracture Imaging Features in Lateral Knee Instability

何伟红 1符熙 1方挺松 1王桂宁 1王娟1

作者信息

  • 1. 广州中医药大学附属佛山中医院放射科,广东 佛山 528000
  • 折叠

摘要

Abstract

Objective:To evaluate the imaging features of the Segond fracture and explore its clinical value in lateral instability of the knee joint.Methods:We retrospectively analyzed 45 cases of the Segond fracture.This involved the analysis of the characteristics of the fracture,including the relationship between the fracture and the ligaments around the knee joint,meniscus injury,and the size and location of the fracture block.Moreover,the significance of the Segond fracture in clinical treatment was discussed.Results:Among 45 cases of the Segond fracture,41(91.11%)had anterior cruciate ligament(ACL)injury,31(68.89%)had anterolateral ligament(ALL)injury,and 12(26.67%)had iliotibial bundle(ITB)injury.The ALL were all attached to the fracture block,and 25 cases(55.55%)were attached to the ITB.The larger the size of the fracture block and the smaller the distance from the center of Gerdy's nodule,the more likely that the fracture block was attached to the ITB.Conclusion:The Segond fracture is often associated with ACL injury,involving the ALL and ITB.The larger the fracture block and the closer to the center of Gerdy's nodule,the greater the possibility of ITB involvement.Therefore,patients with Segond fractures should be alert to lateral instability of the knee joint.

关键词

磁共振成像/膝关节/前外侧韧带/损伤

Key words

magnetic resonance imaging/knee joint/anterolateral ligament/injury

分类

医药卫生

引用本文复制引用

何伟红,符熙,方挺松,王桂宁,王娟..Segond骨折影像特征在膝关节外侧不稳中的应用价值[J].CT理论与应用研究,2023,32(6):771-776,6.

CT理论与应用研究

OACSTPCD

1004-4140

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