J Korean Fract Soc.  2002 Apr;15(2):146-151. 10.12671/jksf.2002.15.2.146.

Comparison of degrees of Depression Between Simple X-ray and MRI in Tibial Plateau Fracture

• Suh SW
• Lim HC
• Huh CY
• Moon WN
• Park D
• Hong MP

• KMID: 1999393
• DOI: http://doi.org/10.12671/jksf.2002.15.2.146

Abstract

PURPOSE: The purpose is to analyze the efficacy of the MR images in the diagnosis and the treatment of the tibial plateau fracture, by comparing the amount of depression in the plain radiograph and in the MR images.
MATERIALS AND METHODS
Both the MRI and the plain radiograph were performed in 14 patients from 1997 to March 2001. The Schatzker-fracture type and the amount of joint depression were measured and compared in the plain radiograph and the MR images. RESULT: In the Schatzker's classification, both type I and II were largest in number. The average amount of joint depression was measured as 1.8 mm by plain radiograph and 5.5 mm by MRI, so the difference was measured as 3.7 mm.
CONCLUSION
In some cases the joint depressions were more than 3 mm by measuring in the MRI, even though the amount of joint depressions were much less by measuring in the plain radiograph. After measuring with MRI, the indication of the surgery may be expanded. In conclusion, as MRI in the tibial palteau fractures can give precise information of the amount and the position, it may help the prediction of the surgical indication and prognosis.

Keyword

Tibia; Plateau fracture; MRI

MeSH Terms

Classification
Depression*
Diagnosis
Humans
Joints
Magnetic Resonance Imaging*
Prognosis
Tibia