影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (6): 1555-1559.DOI: 10.7517/issn.1674-0475.220618

• 综述与论文 • 上一篇    下一篇

MRI评估运动致胫骨平台骨折形态的影像学特点及与半月板撕裂关联性

陈娟1, 黄春香2   

  1. 1. 南京工业职业技术大学体育部, 江苏 南京 210014;
    2. 南京体育学院运动康复医院, 江苏 南京 210000
  • 收稿日期:2022-06-25 出版日期:2022-11-23 发布日期:2022-11-15
  • 通讯作者: 陈娟

MRI Evaluation of the Morphological Characteristics of Exercise-induced Tibial Plateau Fracture and Its Correlation with Meniscus Tear

CHEN Juan1, HUANG Chunxiang2   

  1. 1. Sports Department, Nanjing Vocational University of Industry Technology, Nanjing 210014, Jiangsu, P. R. China;
    2. Sports Rehabilitation Hospital, Nanjing Sport Institute, Nanjing 210000, Jiangsu, P. R. China
  • Received:2022-06-25 Online:2022-11-23 Published:2022-11-15

摘要: 本文研究磁共振成像(MRI)评估运动致胫骨平台骨折形态的影像学特点及与半月板撕裂的关联性。选取102例胫骨平台骨折患者,分析不同胫骨平台骨折类型半月板撕裂发生率差异,比较伴和不伴半月板撕裂患者临床资料、MRI影像参数差异。Schatzker分型Ⅱ型胫骨平台骨折半月板撕裂发生率明显高于Ⅳ型(P<0.05)。伴半月板撕裂患者胫骨平台骨折塌陷位于前外侧比例、塌陷相对面积明显高于不伴半月板撕裂患者(P<0.05),胫骨平台骨折塌陷位于前外侧比例、塌陷相对面积预测半月板撕裂的ROC曲线下面积分别为0.630和0.765(P<0.05)。不同Schatzker分型胫骨平台骨折半月板撕裂发生有所差异,MRI在预测半月板撕裂方面有一定应用价值。

关键词: 磁共振成像, 胫骨平台骨折, 半月板撕裂, Schatzker分型

Abstract: The purpose of this study was to evaluate the imaging characteristics of exercise-induced tibial plateau fracture by magnetic resonance imaging (MRI) and its correlation with meniscus tear. 102 patients with tibial plateau fracture were selected to analyze the difference of the incidence of meniscus tear in different types of tibial plateau fracture, and to compare the difference of clinical data and MRI parameters between patients with and without meniscus tear. The incidence of meniscus tear in Schatzker type Ⅱ tibial plateau fracture was significantly higher than that in type Ⅳ (P<0.05). The proportion of tibial plateau fracture collapse in the anterolateral part and the relative area in patients with meniscus tear were significantly higher than those without meniscus tear (P<0.05), and the area under the ROC curve for predicting meniscus tear was 0.630 and 0.765, respectively (P<0.05). Different Schatzker types of tibial plateau fractures have different meniscus tears, MRI has a certain application value in predicting meniscus tears.

Key words: magnetic resonance imaging, tibial plateau fracture, tear of meniscus, Schatzker typing