Incomplete Intertrochanteric Fractures Based on Multiplanar Reconstruction Computerized Tomography : A Report of Three Cases.

Author: Yeong Gon NA ¹ ; Young Sam KWON ; Young Kyun LEE ; Jeong Joon YOO ; Hee Joong KIM
Author Information

1. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, Korea. oskim@snu.ac.kr
Publication Type:Case Report
Keywords: Femur; Incomplete intertrochanteric fracture; Multiplanar reconstruction (MPR) CT
MeSH: Femur; Hip; Hip Fractures
From:Journal of the Korean Hip Society 2009;21(1):73-77
CountryRepublic of Korea
Language:Korean
Abstract: We experienced 3 cases of incomplete intertrochanteric fracture that were detected by multiplanar reconstruction computerized tomography (MPR CT). On the plain radiographs, two cases had only greater trochanteric fracture and the other case had a localized intertrochanteric fracture. There were linear hot uptakes in the intertrochanteric area in all cases on the bone scintigrams. On MPR CT, cortical breakage was found only in the anterior cortex, and the medial, lateral and posterior cortices were intact in all cases. Two cases were treated surgically with using compression hip screws and the other case was managed conservatively because of the patient's poor general condition. The findings of MPR CT were definitely different from those MRI findings of the previously reported incomplete intertrochanteric fractures.