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The degree of articular depression as a predictor of soft-tissue injuries in tibial plateau fracture.

Standard

The degree of articular depression as a predictor of soft-tissue injuries in tibial plateau fracture. / Spiro, Alexander S; Regier, Marc; Novo de Oliveira, Alexander; Vettorazzi, Eik; Hoffmann, Michael; Petersen, Jan Philipp; Henes, Frank Oliver; Demuth, Thomas; Rueger, Johannes M; Lehmann, Wolfgang.

in: KNEE SURG SPORT TR A, Jahrgang 21, Nr. 3, 3, 2013, S. 564-570.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Spiro, AS, Regier, M, Novo de Oliveira, A, Vettorazzi, E, Hoffmann, M, Petersen, JP, Henes, FO, Demuth, T, Rueger, JM & Lehmann, W 2013, 'The degree of articular depression as a predictor of soft-tissue injuries in tibial plateau fracture.', KNEE SURG SPORT TR A, Jg. 21, Nr. 3, 3, S. 564-570. https://doi.org/10.1007/s00167-012-2201-5

APA

Spiro, A. S., Regier, M., Novo de Oliveira, A., Vettorazzi, E., Hoffmann, M., Petersen, J. P., Henes, F. O., Demuth, T., Rueger, J. M., & Lehmann, W. (2013). The degree of articular depression as a predictor of soft-tissue injuries in tibial plateau fracture. KNEE SURG SPORT TR A, 21(3), 564-570. [3]. https://doi.org/10.1007/s00167-012-2201-5

Vancouver

Spiro AS, Regier M, Novo de Oliveira A, Vettorazzi E, Hoffmann M, Petersen JP et al. The degree of articular depression as a predictor of soft-tissue injuries in tibial plateau fracture. KNEE SURG SPORT TR A. 2013;21(3):564-570. 3. https://doi.org/10.1007/s00167-012-2201-5

Bibtex

@article{ce2876fced2244149c4b06efe56c20ef,
title = "The degree of articular depression as a predictor of soft-tissue injuries in tibial plateau fracture.",
abstract = "PURPOSE: Magnetic resonance imaging (MRI) provides sufficient information with regard to specific soft-tissue injuries in the knee, but it is not generally used to evaluate acute tibial plateau fractures. The aim of the present study was to determine whether the amount of tibial plateau fracture depression on multi-detector computed tomography (MDCT) scans correlates with the incidence of associated soft-tissue injuries on MRI.METHODS: A total of 54 consecutive patients with a mean age of 51.2 years (SD = 18.3) were included in this retrospective study. All patients were admitted to the emergency department of a university clinic with acute tibial plateau fracture. The amount of articular depression was assessed from MDCT scans. Magnetic resonance images were evaluated for crucial and collateral ligament injury, meniscal tears, and patellar retinaculum lesions.RESULTS: Logistic regression revealed a significant impact of increasing tibial plateau fracture depression on the incidence of meniscus lateralis tears (P = 0.025) and anterior cruciate ligament lesions (P = 0.018). Analysis of covariance demonstrated a significant correlation between the amount of articular depression and absolute number of soft-tissue injuries (P = 0.001).CONCLUSIONS: Articular depression is a potential predictor of specific meniscal and ligamentous injuries in acute tibial plateau fracture. Magnetic resonance imaging is generally recommended with respect to associated soft-tissue injuries, especially in cases with distinct tibial plateau fracture depression on multi-detector computed tomography scans.LEVEL OF EVIDENCE: Case series, Level IV.",
keywords = "Humans, Male, Female, Middle Aged, Retrospective Studies, Magnetic Resonance Imaging, Multidetector Computed Tomography, Soft Tissue Injuries/*diagnosis, Tibial Fractures/*diagnosis, Humans, Male, Female, Middle Aged, Retrospective Studies, Magnetic Resonance Imaging, Multidetector Computed Tomography, Soft Tissue Injuries/*diagnosis, Tibial Fractures/*diagnosis",
author = "Spiro, {Alexander S} and Marc Regier and {Novo de Oliveira}, Alexander and Eik Vettorazzi and Michael Hoffmann and Petersen, {Jan Philipp} and Henes, {Frank Oliver} and Thomas Demuth and Rueger, {Johannes M} and Wolfgang Lehmann",
year = "2013",
doi = "10.1007/s00167-012-2201-5",
language = "English",
volume = "21",
pages = "564--570",
journal = "KNEE SURG SPORT TR A",
issn = "0942-2056",
publisher = "Springer",
number = "3",

}

RIS

TY - JOUR

T1 - The degree of articular depression as a predictor of soft-tissue injuries in tibial plateau fracture.

AU - Spiro, Alexander S

AU - Regier, Marc

AU - Novo de Oliveira, Alexander

AU - Vettorazzi, Eik

AU - Hoffmann, Michael

AU - Petersen, Jan Philipp

AU - Henes, Frank Oliver

AU - Demuth, Thomas

AU - Rueger, Johannes M

AU - Lehmann, Wolfgang

PY - 2013

Y1 - 2013

N2 - PURPOSE: Magnetic resonance imaging (MRI) provides sufficient information with regard to specific soft-tissue injuries in the knee, but it is not generally used to evaluate acute tibial plateau fractures. The aim of the present study was to determine whether the amount of tibial plateau fracture depression on multi-detector computed tomography (MDCT) scans correlates with the incidence of associated soft-tissue injuries on MRI.METHODS: A total of 54 consecutive patients with a mean age of 51.2 years (SD = 18.3) were included in this retrospective study. All patients were admitted to the emergency department of a university clinic with acute tibial plateau fracture. The amount of articular depression was assessed from MDCT scans. Magnetic resonance images were evaluated for crucial and collateral ligament injury, meniscal tears, and patellar retinaculum lesions.RESULTS: Logistic regression revealed a significant impact of increasing tibial plateau fracture depression on the incidence of meniscus lateralis tears (P = 0.025) and anterior cruciate ligament lesions (P = 0.018). Analysis of covariance demonstrated a significant correlation between the amount of articular depression and absolute number of soft-tissue injuries (P = 0.001).CONCLUSIONS: Articular depression is a potential predictor of specific meniscal and ligamentous injuries in acute tibial plateau fracture. Magnetic resonance imaging is generally recommended with respect to associated soft-tissue injuries, especially in cases with distinct tibial plateau fracture depression on multi-detector computed tomography scans.LEVEL OF EVIDENCE: Case series, Level IV.

AB - PURPOSE: Magnetic resonance imaging (MRI) provides sufficient information with regard to specific soft-tissue injuries in the knee, but it is not generally used to evaluate acute tibial plateau fractures. The aim of the present study was to determine whether the amount of tibial plateau fracture depression on multi-detector computed tomography (MDCT) scans correlates with the incidence of associated soft-tissue injuries on MRI.METHODS: A total of 54 consecutive patients with a mean age of 51.2 years (SD = 18.3) were included in this retrospective study. All patients were admitted to the emergency department of a university clinic with acute tibial plateau fracture. The amount of articular depression was assessed from MDCT scans. Magnetic resonance images were evaluated for crucial and collateral ligament injury, meniscal tears, and patellar retinaculum lesions.RESULTS: Logistic regression revealed a significant impact of increasing tibial plateau fracture depression on the incidence of meniscus lateralis tears (P = 0.025) and anterior cruciate ligament lesions (P = 0.018). Analysis of covariance demonstrated a significant correlation between the amount of articular depression and absolute number of soft-tissue injuries (P = 0.001).CONCLUSIONS: Articular depression is a potential predictor of specific meniscal and ligamentous injuries in acute tibial plateau fracture. Magnetic resonance imaging is generally recommended with respect to associated soft-tissue injuries, especially in cases with distinct tibial plateau fracture depression on multi-detector computed tomography scans.LEVEL OF EVIDENCE: Case series, Level IV.

KW - Humans

KW - Male

KW - Female

KW - Middle Aged

KW - Retrospective Studies

KW - Magnetic Resonance Imaging

KW - Multidetector Computed Tomography

KW - Soft Tissue Injuries/diagnosis

KW - Tibial Fractures/diagnosis

KW - Humans

KW - Male

KW - Female

KW - Middle Aged

KW - Retrospective Studies

KW - Magnetic Resonance Imaging

KW - Multidetector Computed Tomography

KW - Soft Tissue Injuries/diagnosis

KW - Tibial Fractures/diagnosis

U2 - 10.1007/s00167-012-2201-5

DO - 10.1007/s00167-012-2201-5

M3 - SCORING: Journal article

C2 - 22965381

VL - 21

SP - 564

EP - 570

JO - KNEE SURG SPORT TR A

JF - KNEE SURG SPORT TR A

SN - 0942-2056

IS - 3

M1 - 3

ER -