[Meniscuses and ligaments injuries in tibial plateau fractures in comparative evaluation of clinical, intraoperative and MR examination].
The diagnosis of the meniscal and ligament injuries accompanying the tibial plateau fractures is difficult and unconvincing. Thus the capsular, ligament and meniscal injuries coexisting with this kind of fractures were questioned for many years. Introducing of MR afforded for the precise evaluation of the bone as well as the soft tissue injury. This article demonstrates the results of MR images of 112 patients with the acute proximal tibia fractures. The number and the degree of the meniscal and ligament injury were estimated and intraoperative verification of MR was made in 66 patients qualified for an operative procedure. The attempt to find the correlation between the type of the fracture and the meniscal and ligament injury was made according to Schatzker classification. MR images revealed that the bone injury was accompanied by the ligament or meniscal injury in 88%. Most commonly the partial tears (77% considering ligament injuries and 70% considering meniscal injuries) occurred. The most frequent extracapsular and intracapsular injury was MCL tear (70%) and LM tear (56%) respectively. No correlation between the type of the fracture and the soft tissue injury was found.
Zakrzewski
Piotr
P
Klinika Chirurgii Urazowej Narzadu Ruchu w Otwocku, Centrum Medyczne Kształcenia Podyplonzowego w Warszawie.
Orłowski
Jan
J
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008023:Ligaments, Articular / Q000000981:diagnostic imaging* / Q000293:injuries*; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D008592:Menisci, Tibial / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D011237:Predictive Value of Tests; D011859:Radiography; D012680:Sensitivity and Specificity; D013978:Tibial Fractures / Q000000981:diagnostic imaging* / Q000628:therapy; D000070600:Tibial Meniscus Injuries