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Verfasst von:Darwich, Ali [VerfasserIn]   i
 Nörenberg, Dominik [VerfasserIn]   i
 Adam, Julia [VerfasserIn]   i
 Hetjens, Svetlana [VerfasserIn]   i
 Schilder, Andreas [VerfasserIn]   i
 Obertacke, Udo [VerfasserIn]   i
 Gravius, Sascha [VerfasserIn]   i
 Jawhar, Ahmed [VerfasserIn]   i
Titel:A multi-disciplinary MRI assessment may optimize the evaluation of chondral lesions in acute ankle fractures
Titelzusatz:a prospective study
Verf.angabe:Ali Darwich, Dominik Nörenberg, Julia Adam, Svetlana Hetjens, Andreas Schilder, Udo Obertacke, Sascha Gravius and Ahmed Jawhar
E-Jahr:2023
Jahr:16 October 2023
Umfang:11 S.
Illustrationen:Illustrationen
Fussnoten:Gesehen am 17.07.2024
Titel Quelle:Enthalten in: Diagnostics
Ort Quelle:Basel : MDPI, 2011
Jahr Quelle:2023
Band/Heft Quelle:13(2023), 20, Artikel-ID 3220, Seite 1-11
ISSN Quelle:2075-4418
Abstract:Chondral lesions (CL) in the ankle following acute fractures are frequently overlooked immediately after the injury or diagnosed at a later stage, leading to persistent symptoms despite successful surgery. The literature presents a wide range of discrepancies in the reported incidence of CLs in acute ankle fractures. The objective of this prospective study is to provide a precise assessment of the occurrence of chondral lesions (CLs) in acute ankle fractures through MRI scans conducted immediately after the trauma and prior to scheduled surgery. Furthermore, the study aims to highlight the disparities in the interpretation of these MRI scans, particularly concerning the size and extent of chondral damage, between radiologists and orthopedic surgeons. Over the period of three years, all patients presenting with an unstable ankle fracture that underwent operative treatment were consecutively included in this single-center prospective study. Preoperative MRIs were obtained for all included patients within 10 days of the trauma and were evaluated by a trauma surgeon and a radiologist specialized in musculoskeletal MRI blinded to each other’s results. The location of the lesions was documented, as well as their size and ICRS classification. Correlations and kappa coefficients as well as the p-values were calculated. A total of 65 patients were included, with a mean age of 41 years. The evaluation of the orthopedic surgeon showed CLs in 52.3% of patients. CLs occurred mainly on the tibial articular surface (70.6%). Most talar lesions were located laterally (11.2%). The observed CLs were mainly ICRS grade 4. According to the radiologist, 69.2% of the patients presented with CLs. The most common location was the talar dome (48.9%), especially laterally. Most detected CLs were graded ICRS 3a. The correlation between the two observers was weak/fair regarding the detection and classification of CLs and moderate regarding the size of the detected CLs. To enhance the planning of surgical treatment for ankle chondral lesions (CLs), it may be beneficial to conduct an interdisciplinary preoperative assessment of the performed scans. This collaborative approach can optimize the evaluation of ankle CLs and improve overall treatment strategies.
DOI:doi:10.3390/diagnostics13203220
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.3390/diagnostics13203220
 kostenfrei: Volltext: https://www.mdpi.com/2075-4418/13/20/3220
 DOI: https://doi.org/10.3390/diagnostics13203220
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:ankle fracture
 chondral lesions
 ICRS
 MRI
 orthopedic surgeon
 radiologist
K10plus-PPN:1895670357
Verknüpfungen:→ Zeitschrift

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