THE ROLE OF RADIOGRAPHY AND COMPUTED-TOMOGRAPHY IN THE DIAGNOSIS OF ACUTE DISLOCATION OF THE PROXIMAL TIBIOFIBULAR JOINT

被引:31
|
作者
KEOGH, P
MASTERSON, E
MURPHY, B
MCCOY, CT
GIBNEY, RG
KELLY, E
机构
[1] ST VINCENTS HOSP, DEPT ORTHOPAED SURG, DUBLIN 4, IRELAND
[2] ST VINCENTS HOSP, DEPT RADIOL, DUBLIN 4, IRELAND
来源
BRITISH JOURNAL OF RADIOLOGY | 1993年 / 66卷 / 782期
关键词
PROXIMAL TIBIO-FIBULAR JOINT DISLOCATION; COMPUTED TOMOGRAPHY;
D O I
10.1259/0007-1285-66-782-108
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A cadaveric study was undertaken to determine the best radiographic method of diagnosing dislocation of the proximal tibio-fibular (PTFJ) joint. Three pairs of cadaver knees were used, the right side serving as a control in each case. Plain radiographs, antero-posterior (AP) lateral and 45-degrees oblique films, and axial computed tomography (CT) scans were obtained with the joints in each of three positions: (1) anatomical, (2) dislocated anteriorly and (3) dislocated posteriorly. Similar views were obtained in the control joints with the PTFJ undisturbed. The radiographs were assessed by eight independent observers and the results were analysed. The diagnostic accuracy with plain AP and lateral radiographs was 72.5%. This was unchanged with the addition of oblique views, but improved to 82% with the control films and 86% with the axial CT scans. The authors conclude that in the diagnosis of suspected dislocation of the PTFJ, axial CT scanning is the investigation of choice. Plain AP, lateral and comparison views are useful but less accurate, while oblique views are unhelpful and unnecessary.
引用
收藏
页码:108 / 111
页数:4
相关论文
共 50 条
  • [1] PROXIMAL TIBIOFIBULAR JOINT - A RADIOGRAPHIC AND COMPUTED TOMOGRAPHIC STUDY
    SUGITA, T
    MATSUMURA, Y
    UMEHARA, J
    SAKURAI, M
    TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE, 1995, 176 (01): : 35 - 44
  • [2] Dislocation of the Proximal Tibiofibular Joint: a Rare Sports-Related Injury
    Goldstein, Yariv
    Gold, Aviram
    Chechik, Ofir
    Drexler, Michael
    ISRAEL MEDICAL ASSOCIATION JOURNAL, 2011, 13 (01): : 62 - 63
  • [3] COMPUTED-TOMOGRAPHY IN DIFFERENTIAL-DIAGNOSIS OF TEMPOROMANDIBULAR-JOINT DISORDERS
    DEBONT, LGM
    VANDERKUIJL, B
    STEGENGA, B
    VENCKEN, LM
    BOERING, G
    INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1993, 22 (04) : 200 - 209
  • [4] Posterior sternoclavicular joint dislocation in children - Role of spiral computed tomography
    Doss, A
    Lang, IM
    Roberts, I
    Bell, MJ
    Smith, TWD
    PEDIATRIC EMERGENCY CARE, 2005, 21 (05) : 325 - 326
  • [5] A new technique of reduction for isolated proximal tibiofibular joint dislocation: a case report
    Calabro, T.
    Cevolani, L.
    Chehrassan, M.
    Gasbarrini, A. L.
    EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES, 2014, 18 : 93 - 95
  • [6] COMPUTED-TOMOGRAPHY OF THE UPPER AND LOWER ANKLE JOINT
    FRAHM, R
    WIMMER, B
    BONNAIRE, F
    RADIOLOGE, 1991, 31 (12): : 609 - 615
  • [7] COMPUTED-TOMOGRAPHY MANIFESTATIONS OF BRUCELLOSIS OF THE STERNOCLAVICULAR JOINT
    DENATH, FM
    JOURNAL OF THE CANADIAN ASSOCIATION OF RADIOLOGISTS-JOURNAL DE L ASSOCIATION CANADIENNE DES RADIOLOGISTES, 1991, 42 (04): : 253 - 256
  • [8] TRAUMATIC PNEUMOPERITONEUM - IMPLICATIONS OF COMPUTED-TOMOGRAPHY DIAGNOSIS
    KANE, NM
    FRANCIS, IR
    BURNEY, RE
    WHEATLEY, MJ
    ELLIS, JH
    KOROBKIN, M
    INVESTIGATIVE RADIOLOGY, 1991, 26 (06) : 574 - 578
  • [9] A COMPARISON OF RADIOGRAPHY, COMPUTED-TOMOGRAPHY, AND MAGNETIC-RESONANCE-IMAGING FOR THE DIAGNOSIS OF PALMAR PROCESS FRACTURES IN FOALS
    KANEPS, AJ
    KOBLIK, PD
    FREEMAN, DM
    POOL, RR
    OBRIEN, TR
    VETERINARY RADIOLOGY & ULTRASOUND, 1995, 36 (06) : 467 - 477
  • [10] THE VALUE OF COMPUTED-TOMOGRAPHY IN THE DIAGNOSIS OF GRATING SCAPULA
    DEHAART, M
    VANDERLINDEN, ES
    DEVET, HCW
    ARENS, H
    SNOEP, G
    SKELETAL RADIOLOGY, 1994, 23 (05) : 357 - 359