Head and Neck Imaging

Application of Spiral CT Xcanning and Multiplanar Reconstruction in the Diagnosis of Carpal Scaphoid Fracture*

Author:HUANG Cheng-xiao, YU Hua-long

affiliation:Affiliated Dongfeng Hospital, Hubei University of Medicine, Shiyan 442008, Hubei Province, China

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Abstract

Objective To explore the application value of spiral CT scanning and multiplanar reconstruction (MPR) in the diagnosis of carpal scaphoid fracture. Methods The CT and X-ray imaging data of 59 patients with carpal scaphoid fracture were analyzed retrospectively. The accuracy in the diagnosis of carpal scaphoid fracture was compared between the two methods. The status of spiral CT and MPR in the diagnosis of carpal scaphoid fracture type was analyzed. Results The accuracy of spiral CT and MPR in the diagnosis of carpal scaphoid fracture (98.31%) was significantly higher than that of X-ray plain film (71.19%) (P<0.05). Spiral CT and MPR in the diagnosis of carpal scaphoid joint type showed that there were 5.17% A1 type, 13.79% A2 type, 5.17% B1 type, 43.11% B2 type, 20.69%B3 type and 12.07% B4 type. Conclusion Spiral CT and MPR can improve the accuracy in the diagnosis of carpal scaphoid fracture. They can determine the type of fracture and provide objective data for the determination of treatment regimen.

【Keyword】Caroal Scaphoid Fracture; X-ray Computed; Tomography; Multiplanar Reconstruction; Type of Fracture

【Chart number】R683.4;R445.3

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2018.02.031