Incidence of Vacuum Phenomenon Related Intra-articular or Subfascial Gas Found on Computer-Assisted Tomography (CT) Scans of Closed Lower Extremity Fractures.
Journal of orthopaedic trauma(2017)
摘要
OBJECTIVES:To determine the incidence of vacuum phenomenon related intra-articular or subfascial gas found on computer-assisted tomography (CT) scans of closed lower extremity fractures.
DESIGN:Retrospective Review.
SETTING:Level I Trauma Center.
PATIENTS/PARTICIPANTS:A total of 153 patients with closed lower extremity fractures.
INTERVENTION:CT scans of identified individuals were reviewed for the presence or absence of gaseous accumulations.
MAIN OUTCOME MEASUREMENTS:The presence or absence of gas on CT.
RESULTS:Twenty seven (17.6%) of the 153 fractures were found to have intra-articular or subfascial gas on CT despite clear documentation, indicating a closed injury with no significant skin compromise. Of the intra-articular fractures (OTA/AO 33B/C, 41B/C and 43B/C), 20% (23 of 113) were found to have gas on CT. All cases were associated with fracture of the tibia (P = 0.002).
CONCLUSIONS:Computed tomography demonstrated the presence of intra-articular or subfascial gas in 17.6% (27/153) of closed lower extremity fractures and in 20% (23/113) of closed intra-articular fractures. The possibility of vacuum phenomenon must be considered when using this imaging modality as the confirmatory test for open intra-articular fracture or traumatic arthrotomy.
LEVEL OF EVIDENCE:Level IV.
更多查看译文
AI 理解论文
溯源树
样例
![](https://originalfileserver.aminer.cn/sys/aminer/pubs/mrt_preview.jpeg)
生成溯源树,研究论文发展脉络
Chat Paper
正在生成论文摘要