Occult fractures of tibial plateau detected employing magnetic resonance imaging

2000 ◽  
Vol 120 (5-6) ◽  
pp. 355-357 ◽  
Author(s):  
P. Cabitza ◽  
Hassan Tamim
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Tibial Plateau ◽  
Resonance Imaging ◽  
Occult Fractures

scholarly journals Late-onset isolated cerebral fat embolism syndrome after a simple tibial plateau fracture: a rare case report

2021 ◽  
Vol 49 (7) ◽  
pp. 030006052110284
Author(s):  
Ta-Li Hsu ◽  
Tien-Chi Li ◽  
Fei-Pi Lai ◽  
Ming Ouhyoung ◽  
Chih-Hung Chang ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Rare Case ◽  
Tibial Plateau ◽  
Tibial Plateau Fracture ◽  
Fat Embolism ◽  
Resonance Imaging ◽  
Fat Embolism Syndrome ◽  
Embolism Syndrome ◽  
Plateau Fracture

Fat embolism syndrome (FES) is a complication of long bone fractures that often occurs within 72 hours of injury. Early-onset isolated cerebral fat embolism is catastrophic and rarely reported. We herein present a rare case of delayed-onset isolated cerebral FES that developed 10 days after definite fixation of a left tibial plateau fracture. A 70-year-old woman was injured in a traffic accident and diagnosed with a left tibial plateau fracture. However, she developed sudden loss of consciousness (E4V1M1) and quadriplegia 10 days after fracture fixation. Her vital signs showed no respiratory distress. Diagnosis of isolated cerebral FES was made based on magnetic resonance imaging of the brain, the findings of which were compatible with the clinical neurological findings. After supportive care and rehabilitation, her consciousness became clear on the second day of admission, and her consciousness changed to E4V5M6. She gradually regained strength in her right limbs but had residual left limb paraplegia. Isolated cerebral FES should always be considered for patients who develop a change in consciousness, even beyond 72 hours after injury. Imaging may not initially show definitive abnormalities. Repeated magnetic resonance imaging should be considered if the initial clinical presentation does not fully meet Gurd’s criteria.

Magnetic resonance imaging in the evaluation of sequelae after tibial plateau fractures

1990 ◽  
Vol 14 (3) ◽  
pp. 267
Author(s):  
D.B. Jensen ◽  
T.P. Johansen ◽  
A. Bjerg-Nielsen ◽  
O. Henriksen
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
Resonance Imaging

Magnetic resonance imaging of occult fractures of the proximal femur

1994 ◽  
Vol 23 (1) ◽  
Author(s):  
Nogah Haramati ◽  
RonaldB. Staron ◽  
Charles Barax ◽  
Frieda Feldman
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Proximal Femur ◽  
Resonance Imaging ◽  
Occult Fractures

Analysis of the management of occult fractures of the scaphoid through early magnetic resonance imaging

2013 ◽  
Vol 55 (3) ◽  
pp. 247-252
Author(s):  
M.D. Moreno-Ramos ◽  
M. Martínez-Hervás ◽  
P. Sanz-Rupp ◽  
J. Ramos-Medrano
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Occult Fractures

Magnetic resonance imaging in pediatric elbow fractures

2005 ◽  
Vol 46 (6) ◽  
pp. 636-644 ◽  
Author(s):  
T. Pudas ◽  
T. Hurme ◽  
K. Mattila ◽  
E. Svedström
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Articular Surface ◽  
Lateral Condyle ◽  
Resonance Imaging ◽  
Elbow Injury ◽  
Lateral Condyle Fracture ◽  
Elbow Fractures ◽  
Occult Fractures ◽  
Condyle Fracture

Purpose: Magnetic resonance imaging (MRI) evaluation of pediatric elbow trauma with or without a visible fracture on radiography. Material and Methods: MRI was performed in the acute phase in 25 children with an elbow injury. Nine patients with an elbow effusion only on radiographs and 16 with a fracture or luxation seen on radiographs underwent subsequent MRI. No sedation was used. Results: MRI revealed eight occult fractures (89%) in seven out of nine patients who had only an effusion on radiographs. Based on MRI findings, septic arthritis was suspected in one patient. Two patients out of five with a supracondylar fracture on the radiograph had a cartilage lesion in the humerus. MRI depicted a 3-mm gap on the articular surface in two patients with a lateral condyle fracture, a more accurate fracture location in two patients than the radiographs, and an additional occult fracture in two patients. MRI showed a fracture not seen on radiographs in two of three patients with prior luxation. Conclusion: MRI is a sensitive and accurate method in the diagnosis of pediatric elbow injuries, especially when only an effusion is present on radiographs. Occult fractures are more common in pediatric patients with elbow injury than reported earlier.

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