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

doi:10.7517/issn.1674-0475.220618

Abstract

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

CHEN Juan, HUANG Chunxiang. MRI Evaluation of the Morphological Characteristics of Exercise-induced Tibial Plateau Fracture and Its Correlation with Meniscus Tear[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(6): 1555-1559.

References

[1] 范宁, 藏磊, 郑永辰, 等. 髁间窝形态及胫骨平台倾斜角与后十字韧带胫骨止点撕脱骨折的相关性[J]. 中华骨科杂志, 2020, 40(17):1197-1205.
[2] 张宇, 胡军, 宋李军, 等. Schatzker Ⅳ型胫骨平台骨折韧带损伤的MRI观察及对膝关节稳定性的影响[J]. 中华创伤骨科杂志, 2020, 22(11):927-932.
[3] 刘智鹏, 左之良, 张庆伟. 创伤骨科学[M]. 北京:科学技术文献出版社, 2012.
[4] 蔡华琦, Aabesh Koiral, 张继扬, 等. X线数字断层融合成像在胫骨平台骨折Schatzker分型诊断中的价值[J]. 中华骨科杂志, 2018, 38(11):675-682.
[5] Suthar A, Yukata K, Suetomi Y, et al. Bisphosphonate-related atypical insufficiency fracture of the tibial plateau:A case report[J]. The Journal of Medical Investigation, 2021, 68(1.2):186-188.
[6] 王君. X线片联合MRI诊断脊柱骨折的临床价值[J]. 医疗装备, 2022, 35(10):31-32.
[7] 李磊, 朱建华, 江松. 评估MRI对诊断胸腰椎骨折患者后部韧带复合体损伤的可靠性[J]. 中国CT和MRI杂志, 2022, 20(6):167-169.
[8] Hiranaka T, Yoshikawa R, Yoshida K, et al. Tibial shape and size predicts the risk of tibial plateau fracture after cementless unicompartmental knee arthroplasty in Japanese patients[J].Bone and Joint Journal, 2020, 102-B(7):861-867.
[9] Mansour O, Raad R B, Hellani A A, et al. Reconstruction of tibial plateau fracture malunion in the setting of a large cartilage defect in an adolescent:A case report[J]. JBJS Case Connector, 2021, 11(3):e2000868.
[10] Chou H P, Chiu Y C, Wu C H, et al. A modified technique for managing bicondylar tibial plateau fractures with posterolateral quadrant involvement[J]. Formosan Journal of Musculoskeletal Disorders, 2020, 11(1):1-9.
[11] Park J P, Laverdière C, Corban J, et al. An arthroscopic procedure for restoration of posterolateral tibial plateau slope in tibial plateau fracture associated with anterior cruciate ligament injuries[J]. Arthroscopy Techniques, 2020, 9(9):e1249-e1258.
[12] 许岩, 段德宇, 刘国辉, 等. 关节镜辅助复位内固定与切开复位内固定治疗胫骨平台骨折的疗效比较[J]. 中华创伤骨科杂志, 2021, 23(2):116-120.
[13] 轩中勋, 曹玉净. 转化生长因子-β对兔胫骨平台骨折愈合的影响及机制[J]. 中华实验外科杂志, 2021, 38(7):1308-1310.
[14] 邓翔天, 胡宏志, 张祎然, 等. 基于术前CT预测Schatzker Ⅱ型胫骨平台骨折合并外侧半月板撕裂的影像学研究[J]. 中华创伤骨科杂志, 2021, 23(2):106-110.
[15] 翁能源, 张弢, 李开南, 等. 3D打印辅助治疗Schatzker Ⅳ-Ⅵ型胫骨平台骨折疗效及并发症的荟萃分析[J]. 中国组织工程研究, 2020, 24(30):4889-4897.