Abstract
Objective-To study comparisons of diagnosis for occult fractures with nuclear magnetic resonance imaging and computerized tomography. Methods-Seventy six cases of patients with bone fracture including 45 males and 31 females were recruited in this study. And the data of X-ray, nuclear magnetic resonance Imaging (MRI) and computerized tomography (CT) were collected. Results-CT examination revealed 61 cases of patients with occult fractures and the accuracy rate was 80.26 %. MRI examination revealed 70 cases of patients with occult fractures and the accuracy rate of diagnosis was 92.11 %. There was no statistically significant difference between two methods in accuracy rates of fractures around the knee and recessive traumatic fracture (P > 0.05). For vertebral fractures and recessive bone fracture, the diagnosis rate of CT were 72.22 and 73.68 %, respectively the diagnosis rate of MRI were 91.67 and 94.74 %, respectively, there was statistically significant difference(P < 0.05). Conclusion-While both computerized tomography and MRI can easily detect the bone fractures that are not recognized from X-ray film and whose clinical signs and symptoms are not clear, MRI can easily detect the occult fractures that are not shown by x-ray film and computerized tomography imaging and it can clarify many types of injuries and thus has high value and clinical applications.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ahn JM, El-Khoury GY (2007) Occult fractures of extremities. Radiol Clin North Am 45(3):561–579, ix
Gumina S, Carbone S, Postacchini F (2009) Occult fractures of the greater tuberosity of the humerus. Int Orthop 33(1):171–174
Hakkarinen DK, Banh KV, Hendey GW (2012) Magnetic resonance imaging identifies occult hip fractures missed by 64-slice computed tomography. J Emerg Med 43(2):303–307
Hayter CL, Gold SL, Potter HG (2013) Magnetic resonance imaging of the wrist: bone and cartilage injury. J Magn Reson Imaging 37(5):1005–1019
Imerci A, Canbek U, Kaya A et al (2013) Distribution of occult fractures detected in emergency orthopedic patient trauma with computerized tomography. Ulus Travma Acil Cerrahi Derg 19(2):157–163
Kim KC, Ha YC, Kim TY et al (2010) Initially missed occult fractures of the proximal femur in elderly patients: implications for need of operation and their morbidity. Arch Orthop Trauma Surg 130(7):915–920
Nachtrab O, Cassar-Pullicino VN, Lalam R et al (2012) Role of MRI in hip fractures, including stress fractures, occult fractures, avulsion fractures. Eur J Radiol 81(12):3813–3823
Oka M, Monu JU (2004) Prevalence and patterns of occult hip fractures and mimics revealed by MRI. AJR Am J Roentgenol 182(2):283–288
Rennie WJ, Finlay DB (2003) Posttraumatic cystlike defects of the scaphoid: late sign of occult microfracture and useful indicator of delayed union. AJR Am J Roentgenol 180(3):655–658
Sankey RA, Turner J, Lee J et al (2009) The use of MRI to detect occult fractures of the proximal femur: a study of 102 consecutive cases over a ten-year period. J Bone Joint Surg Br 91(8):1064–1068
Stevenson JD, Morley D, Srivastava S, et al (2012) Early CT for suspected occult scaphoid fractures. J Hand Surg Eur vol 37(5):447–451
Vellet AD, Marks PH, Fowler PJ et al (1991) Occult posttraumatic osteochondral lesions of the knee: prevalence, classification, and short-term sequelae evaluated with MR imaging. Radiology 178(1):271–276
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media Dordrecht
About this paper
Cite this paper
Li, Y., Wu, HY., Jiang, ZQ., Ou, ZS. (2014). Comparisons of Diagnosis for Occult Fractures with Nuclear Magnetic Resonance Imaging and Computerized Tomography. In: Li, S., Jin, Q., Jiang, X., Park, J. (eds) Frontier and Future Development of Information Technology in Medicine and Education. Lecture Notes in Electrical Engineering, vol 269. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7618-0_441
Download citation
DOI: https://doi.org/10.1007/978-94-007-7618-0_441
Published:
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-007-7617-3
Online ISBN: 978-94-007-7618-0
eBook Packages: EngineeringEngineering (R0)