The degree of articular depression as a predictor of soft-tissue injuries in tibial plateau fracture.
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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, Vol. 21, No. 3, 3, 2013, p. 564-570.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -