La Radiologia medica
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La Radiologia medica · Nov 1997
Comparative Study["Occult" posttraumatic lesions of the knee: can magnetic resonance substitute for diagnostic arthroscopy?].
We investigated the actual role of MRI versus arthroscopy in the detection and characterization of occult bone and/or cartilage injuries in patients with previous musculoskeletal trauma of the knee, pain and severe functional impairment. Occult post-traumatic osteochondral injuries of the knee are trauma-related bone and/or cartilage damage missed at plain radiography. ⋯ After comparing MR with arthroscopic findings and reviewing the available literature, we conclude that arthroscopy permits the direct visualization of even fine articular surface changes but does not depict the subchondral bone, the most frequent site of injury detected with MRI. MRI was a very useful tool in the detection and characterization of the different types of occult bone and/or cartilage injuries and showed a statistically significant correlation between site and distribution of bone and cartilage injuries and between internal damage and trauma mechanisms. Therefore, we believe that MRI can help avoid diagnostic arthroscopy in the patients with a history of post-traumatic pain, acute articular blocks and negative radiographic findings.
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La Radiologia medica · Nov 1997
Review Case Reports[A lung hernia secondary to a minithoracotomy. A case].
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La Radiologia medica · Nov 1997
Review Case Reports[Apropos 4 cases of diaphragmatic rupture due to closed trauma].
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La Radiologia medica · Nov 1997
[Computed tomography in injuries to the respiratory system in children. The correlation with adults].
Diagnostic imaging in emergency rooms may be inadequate and delayed, which makes chest traumas in children more severe and difficult to treat. We carried out a retrospective study on adults and children who had survived major chest traumas involving the respiratory tract to assess the differences between the two age groups and the role of emergency CT. ⋯ Traumatic injuries are more severe in pediatric patients due to their build and to biomechanical, clinical and management factors. Spiral CT should be considered the examination of choice to be performed in the emergency department equipped also for pediatric re-animation.