Occult fractures of the knee: tomographic evaluation.

Journal Article (Journal Article)

Seven adults with painful effusions of the knee were examined for occult fractures using pluridirectional tomography in the coronal and lateral planes. Six patients (ages 50-82 years) were osteopenic and gave histories ranging from none to mild trauma; one 26-year-old man was not osteopenic and had severe trauma. In all cases, routine radiographs were interpreted as negative, but tomography demonstrated a fracture. Five fractures were subchondral. Bone scans in 2 patients were positive. The authors conclude that osteopenic patients with a painful effusion of the knee should be considered to have an occult fracture. While bone scans may be helpful, tomography is recommended as the procedure of choice to define the location and extent of the fracture.

Full Text

Duke Authors

Cited Authors

  • Apple, JS; Martinez, S; Allen, NB; Caldwell, DS; Rice, JR

Published Date

  • August 1983

Published In

Volume / Issue

  • 148 / 2

Start / End Page

  • 383 - 387

PubMed ID

  • 6867329

International Standard Serial Number (ISSN)

  • 0033-8419

Digital Object Identifier (DOI)

  • 10.1148/radiology.148.2.6867329


  • eng

Conference Location

  • United States