The Evaluation Value of MSCT Quantitative Technique in the Rehabilitation of Distal Radius Fractures in Gymnasts and Its Correlation with Bone Metabolism

doi:10.7517/issn.1674-0475.220803

Abstract

Abstract: The objective of this paper was to explore the evaluation value of multi-slice spiral CT (MSCT) quantitative technology in the rehabilitation effect of distal radius fractures in gymnasts and its correlation with bone metabolism. Eighty-six patients with distal radius fractures of gymnasts were selected, all of them underwent conservative treatment. The rehabilitation effect of wrist joint was evaluated 3 months after treatment. The results showed that the levels of serum alkaline phosphatase (ALP), osteocalcin (BGP), and osteoprotegerin (OPG) in patients with poor recovery were lower than those in patients with good recovery 3 months after treatment (P<0.05). Before treatment and 3 months after treatment, MSCT quantitative parameters of fracture end mechanical strength index (BSI), cortical bone mineral density (cBMD), ΔBSI and ΔcBMD in patients with poor recovery were lower than those in patients with good recovery (P＜0.05). Three months after treatment, BSI and cBMD were positively correlated with serum ALP, BGP and OPG levels (P＜0.05). ΔBSI and ΔcBMD were positively correlated with rehabilitation effect (P＜0.05). The area under the curve (AUC) of poor rehabilitation effect assessed by ΔBSI and ΔcBMD was 0.934. It can be seen that the quantitative parameters of MSCT are closely related to the level of bone metabolism in patients with distal radius fractures in gymnasts, and have a good value in evaluating the rehabilitation effect.

Key words: gymnast, distal radius fracture, multi-slice spiral CT, rehabilitation effect, bone metabolism

GAO Yan, CHEN Xiaolei. The Evaluation Value of MSCT Quantitative Technique in the Rehabilitation of Distal Radius Fractures in Gymnasts and Its Correlation with Bone Metabolism[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(6): 1519-1523.

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