Clinical value of MRI in evaluating and diagnosing of humeral lateral condyle fracture in children

Autor: Yang Qi, Lin Guo, Man Sun, Zhi Wang
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Orthopaedic Surgery and Research, Vol 16, Iss 1, Pp 1-11 (2021)
Druh dokumentu: article
ISSN: 1749-799X
DOI: 10.1186/s13018-021-02726-6
Popis: Abstract Background Humeral lateral condyle fractures (HLCFs) are common paediatric fractures. Radiographs are hard to accurately evaluate and diagnose the damage of articular epiphyseal cartilage in HLCFs. Methods 60 children who should be suspected to be HLCFs in clinical practice from Dec 2015 to Nov 2017 were continuously included as the first part patients. Subsequently, 35 HLCFs patients with complete follow-up information who had no obvious displacement on radiograph were the second part patients. The sensitivity and specificity of radiograph and MRI in diagnosing of HLCFs and their stability were calculated respectively. Calculated the sensitivity and specificity of each scan sequence of MRI in diagnosing of HLCFs osteochondral fractures. The degree of fracture displacement was measured respectively. Compared the ratio of surgical treatment, secondary fracture displacement and complications between the stable fracture group and the unstable fracture group on MRI in part 2 patients. Results Sensitivity of diagnosing HLCFs by MRI was significantly higher than radiograph (100.00% vs. 89.09%, P = 0.03). Sensitivity of diagnosing integrity of trochlear cartilage chain by MRI was 96.30%, which was significantly higher than that by radiograph (62.96%, P
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