Retrospective Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2020; 8(18): 4067-4074
Published online Sep 26, 2020. doi: 10.12998/wjcc.v8.i18.4067
Comparison between computed tomography and magnetic resonance imaging in clinical diagnosis and treatment of tibial platform fractures
Xin-Ding Liu, Hai-Bo Wang, Tie-Cheng Zhang, Yong Wan, Chu-Zhen Zhang
Xin-Ding Liu, Hai-Bo Wang, Tie-Cheng Zhang, Yong Wan, Chu-Zhen Zhang, Department of CT, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China
Author contributions: Liu XD and Wang HB designed this retrospective study; Zhang TC and Wan Y wrote this paper; Zhang CZ was responsible for sorting the data.
Institutional review board statement: The study was reviewed and approved by the Medical Ethics Review Committee of the Second Affiliated Hospital of Harbin Medical University Institutional Review Board (Approval No.KY 2018-289).
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Xin-Ding Liu, BHMS, Attending Doctor, Department of CT, The Second Affiliated Hospital of Harbin Medical University, No. 246 Xuefu Road, Harbin 150086, Heilongjiang Province, China. liuxinding123@163.com
Received: June 16, 2020
Peer-review started: June 16, 2020
First decision: July 25, 2020
Revised: August 3, 2020
Accepted: August 20, 2020
Article in press: August 20, 2020
Published online: September 26, 2020
Processing time: 97 Days and 16.1 Hours
Abstract
BACKGROUND

Tibial plateau fracture is one of the common fracture types. It occurs mainly in teenagers and is usually caused by a fall. After the occurrence of fracture, knee swelling, pain, limited activity, etc. greatly affect the patient’s exercise habits and lifestyle. X-ray, computed tomography (CT) and magnetic resonance imaging (MRI) were used in this examination. X-rays are relatively new and easy to operate. However, there are some errors in the observation of fracture collapse and fracture displacement. In recent years, CT and MRI have been actively used to diagnose various types of clinical fractures. They have more diagnostic power than X-ray film. However, some scholars believe that CT is also prone to errors in clinical application. The volume effect leads to missed diagnosis and misdiagnosis in some cases, while the multidirection scanning of MRI technology can effectively overcome the shortcomings of CT. To facilitate the selection of clinical examination regimens, this study further observed the diagnostic ability of these two regimens in the diagnosis of tibial plateau fractures.

AIM

To explore the value of nuclear MRI and CT in the clinical diagnosis of tibial plateau fractures.

METHODS

A total of 120 patients with tibial plateau fractures admitted from September 2017 to August 2019 were included. All patients were examined by nuclear MRI and CT scanning. The results were sent to senior physicians in our hospital to complete the diagnosis.

RESULTS

Nuclear magnetic resonance showed the same effects as CT in four aspects: fracture displacement, bone defect, fracture site and fracture comminution. There was no significant difference in the score data (P > 0.05). Nuclear magnetic resonance and CT tended to be consistent in the B3, C2 and C3 fracture diagnosis coincidence rate, combined injury detection rate and fracture detection rate. The diagnostic coincidence rate of type B1, B2 and C1 fractures and the accuracy rate of overall fracture classification indicated that the MRI technique was significantly better than that of CT (P > 0.05).

CONCLUSION

MRI and CT have good diagnostic typing in the diagnosis of tibial plateau fractures, but MRI is more accurate and may be preferred.

Keywords: Nuclear magnetic resonance technology; Tibial plateau fracture; Diagnostic compliance; Comparative study; Fracture classification; Diagnostic compliance

Core Tip: This study observed the diagnostic efficacy of computed tomography and magnetic resonance imaging examination schemes in the diagnosis of tibial plateau fractures.