The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures: a systematic literature review.
Purpose: The outcome of a tibial plateau fracture (TPF) depends on the fracture reduction achieved and the extent of soft-tissue lesions, including lesions in the ligaments, cartilage, and menisci. Sub-optimal treatment can result in poor knee function and osteoarthritis. Preoperative planning is pr...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 49; no. 2; pp. 661 - 680 |
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| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163721474&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163721474 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Apr2023 vid: 49 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 163721474 159891305 163721474 163721474 10.1007/s00068-022-02127-2 163721474 ppf: 661 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures: a systematic literature review. aug: au: Thürig, Gregoire Korthaus, Alexander Frosch, Karl-Heinz Krause, Matthias affil: Department of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, 20251, Hamburg, Germany sug: subj: Magnetic Resonance Imaging Methods Tibial Plateau Fracture Diagnosis Soft Tissue Injuries Pathology Preoperative Care Injury Pattern Human Systematic Review PubMed Medline Cochrane Library Record Review Medial Collateral Ligament Sprain Collateral Ligaments Anterior Cruciate Ligament Posterior Cruciate Ligament Menisci, Tibial Comparative Studies Knee Radiography Funding Source ab: Purpose: The outcome of a tibial plateau fracture (TPF) depends on the fracture reduction achieved and the extent of soft-tissue lesions, including lesions in the ligaments, cartilage, and menisci. Sub-optimal treatment can result in poor knee function and osteoarthritis. Preoperative planning is primarily based on conventional X-ray and computed tomography (CT), which are unsuitable for diagnosing soft-tissue lesions. Magnetic resonance imaging (MRI) is not routinely performed. To date, no literature exists that clearly states the indications for preoperative MRI. This systematic review aimed to determine the frequency of soft-tissue lesions in TPFs, the association between fracture type and soft-tissue lesions, and the types of cases for which MRI is indicated. Methods: A systematic review of the literature was based on articles located in PubMed/MEDLINE and the Cochrane Central Register of Controlled Trials (CENTRAL), supplemented by searching the included articles' reference lists and the ePublication lists of leading orthopedic and trauma journals. Results: A total of 1138 studies were retrieved. Of these, 18 met the eligibility criteria and included a total of 877 patients. The proportion of total soft-tissue lesions was 93.0%. The proportions of soft-tissue lesions were as follows: medial collateral ligament 20.7%, lateral collateral ligament 22.9%, anterior cruciate ligament 36.8%, posterior cruciate ligament 14.8%, lateral meniscus 48.9%, and medial meniscus 24.5%. A weak association was found between increasing frequency of LCL and ACL lesions and an increase in fracture type according to Schatzker's classification. No standard algorithm for MRI scans of TPFs was found. Conclusion: At least one ligament or meniscal lesion is present in 93.0% of TPF cases. More studies with higher levels of evidence are needed to find out in which particular cases MRI adds value. However, MRI is recommended, at least in young patients and cases of high-energy trauma. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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