J Korean Radiol Soc.  1994 Apr;30(4):743-748.

Role of IVIR in Limb Fracture

• Seo GS
• Bae SH
• Namkung S
• Yun KS
• Lim HK
• Lee KB

Abstract

PURPOSE
In evaluation of the limb fracture, MR scan has been used in limited roles as evaluating the associated soft tissue injury not the fracture itself. This study aims at understanding the possible role of MR in fracture.
METHODS
AND MATERIALS: thirty three sets of MR scans in twenty nine patients were retrospectively analyzed. They included twelve tibial plateau fractures, four pateliar fractures, four distal femur fractures, five epiphyseal fractures and four others.
RESULTS
All MRs except two showed better image and more information about the extent of the injury (93.9%). Evaluation of cartilage (which was impossible on other modalities) was possible in 28 MR scans (84.8%). Surrounding marrow change associated with fracture was also able to be evaluated. Associated soft tissue injury or other abnormality could be evaluated-cruciate or collateral ligament injury, meniscus tear, chodromalacia or osteonecrosis. In epiphyseal injury, direct demonstrability of premature bony fusion on MR took a critical role in making a management plan.
CONCLUSION
MR scan in fracture has its value in evaluating the extent and degree of the injury and it is especially advantageous in detecting cartilage injury and early complication of growth plate injury.

MeSH Terms

Bone Marrow
Cartilage
Collateral Ligaments
Extremities*
Femur
Growth Plate
Humans
Osteonecrosis
Retrospective Studies
Soft Tissue Injuries