The added value of cross-sectional imaging in the detection of additional radiographically occult fractures in the setting of a Chopart fracture

The added value of cross-sectional imaging in the detection of additional radiographically occult... Purpose Radiography has a low sensitivity for the detection of fractures related to the talonavicular and calcaneocuboid artic- ulations, also known as Chopart fractures. The purpose of this study is to determine the sensitivity of radiographs for detecting additional foot and ankle fractures related to Chopart fracture using CT or MRI as the reference standard. Method We performed an IRB-approved, retrospective review of radiology reports between 2010 and 2014. Inclusion criteria were (1) diagnosis of a Chopart fracture and (2) at least one radiograph and subsequent cross-sectional imaging (CT or MR). CT or MRI was considered the diagnostic reference standard. Results were stratified by the energy of trauma and by type of radiograph performed (weight-bearing (WB) versus non-WB). Results One hundred eight patients met the inclusion criteria. The calcaneocuboid articulation was the most commonly involved type of Chopart fracture, seen in 75% of cases (81/108). Chopart fractures were detected on the initial radiographs in 67.6% of cases (73/108). Additional fractures of the ankle and midfoot were diagnosed in 34.2% of cases (37/108), with 56.7% (21/37) of these cases having at least one additional fracture seen on CTor MRI that was not seen on the initial radiographs, with fractures of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Emergency Radiology Springer Journals

The added value of cross-sectional imaging in the detection of additional radiographically occult fractures in the setting of a Chopart fracture

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Publisher
Springer Journals
Copyright
Copyright © 2018 by American Society of Emergency Radiology
Subject
Medicine & Public Health; Imaging / Radiology; Emergency Medicine
ISSN
1070-3004
eISSN
1438-1435
D.O.I.
10.1007/s10140-018-1615-x
Publisher site
See Article on Publisher Site

Abstract

Purpose Radiography has a low sensitivity for the detection of fractures related to the talonavicular and calcaneocuboid artic- ulations, also known as Chopart fractures. The purpose of this study is to determine the sensitivity of radiographs for detecting additional foot and ankle fractures related to Chopart fracture using CT or MRI as the reference standard. Method We performed an IRB-approved, retrospective review of radiology reports between 2010 and 2014. Inclusion criteria were (1) diagnosis of a Chopart fracture and (2) at least one radiograph and subsequent cross-sectional imaging (CT or MR). CT or MRI was considered the diagnostic reference standard. Results were stratified by the energy of trauma and by type of radiograph performed (weight-bearing (WB) versus non-WB). Results One hundred eight patients met the inclusion criteria. The calcaneocuboid articulation was the most commonly involved type of Chopart fracture, seen in 75% of cases (81/108). Chopart fractures were detected on the initial radiographs in 67.6% of cases (73/108). Additional fractures of the ankle and midfoot were diagnosed in 34.2% of cases (37/108), with 56.7% (21/37) of these cases having at least one additional fracture seen on CTor MRI that was not seen on the initial radiographs, with fractures of

Journal

Emergency RadiologySpringer Journals

Published: Jun 6, 2018

References

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