New radiation techniques in controlling bone regeneration in fractures
https://doi.org/10.24835/1607-0763-1029
Abstract
Objective: comparative study of the possibilities of radiation methods in control of bone regeneration in fractures.
Materials and methods. A study of bone calluse formation was conducted in 116 patients with broken tubular bones of the upper and lower limbs from the first day of the fracture to the complete consolidation of the fractures. In X-rays and CT determined the mineral density of bone calluses, with ultrasonic elastography shear wave and compression elastography determined the rigidity of bone calluses in kPa.
Results. X-ray bone corn was determined at the end of the second – the beginning of the third stage of bone calluse formation. On CT bone corn density (in the HU), its structure and the condition of bone breaks were determined in some patients in all stages of bone regenerate formation. In ultrasound examination in the multiparametric mode studied the rigidity, structure and vascularization of bone calluses, the correct comparison of bone breaks from the first day of the fracture to their complete fusion.
Conclusions. Ultrasonic studies in multiparametric mode can be used to control bone regeneration in fractures. Ultrasonic elastography shear wave, in determining the rigidity of bone calluse, in sensitivity and specificity exceeds the indicators of ultrasonic compression elastography at all stages of bone regenerate formation.
About the Authors
M. G. Tukhbatullin
Kazan State Medical Academy – Branch of the Russian Medical Academy of Continuing Professional Education, Department of Ultrasound Diagnosis
Russian Federation
Russian Federation
Munir G. Tukhbatullin – Doct. of Sci. (Med.), Professor, Head of the Department of Ultrasound Diagnosis
138, Orenburgsky Tract str., Kazan 420064
Phone: +7-987-290-42-42
A. R. Kormilina
Republican Clinical Hospital of Ministry Healt of Tatarstan Republic
Russian Federation
Russian Federation
Alsu R. Kormilina – Ultrasound doctor
138, Orenburgsky Tract str., Kazan 420064
D. V. Pasynkov
Oncology Dispensary of Mari El Republic, Ministry of Health of Mari El Republic
Russian Federation
Russian Federation
Dmitry V. Pasynkov – Cand. of Sci. (Med.), Head of the Department of Radiology
22, Osipenko str., Yoshkar-Ola 424037
S. V. Kurotchkin
City Clinical Hospital No. 7 of Kazan
Russian Federation
Russian Federation
Sergey V. Kurotchkin – Cand. of Sci. (Med.), Head of the Department of Radiology
54, Marshal Chuikov str., Kazan 420103
References
1. Shteynle A.V. Post-traumatic regeneration of bone tissue. Part 1. Sibirskij Medicinskij Žurnal = Siberian Medical Journal. 2009; 24 (4): 101–108. (In Russian)
2. Diyachkova G.V., Stepanov R.V., Sukhodulova L.V. et al. Analysis of reparative bone formation in the treatment of patients with fractures of long bones according to computed tomography and dual-energy X-ray absorptiometry. Vestnik Novykh Meditsinskikh Tekhnologiy. 2007; 10 (1): 127–132. (In Russian)
3. Bahl A., Bagan M., Joseph S., Brackney A. Comparison of ultrasound and plain radiography for the detection of long-bone fractures. J. Emerg. Trauma. Shock. 2018; 11: 115–118.
4. Mentchikova T.I., Aranovich A.M. Evaluation of reparative osteogenesis activity of tibial distraction regenerated bone using modern ultrasound scanners. Geniy ortopedii. 2011; 4: 101–105. (In Russian)
5. Botar Jid C., Vasilescu D., Damian L., Dumitriu D., Ciurea A., Dudea S.M. Musculoskeletal sonoelastography. Pictorial essay. Med. Ultrason. 2012; 14: 239–245.
6. Saltykova V.G., Burmakova G.M., Mitkov V.V. Ultrasound shear wave elastography in diagnosis of supraspinatus tendon calcification. Ultrasound & Functional Diagnostics. 2013; 6: 78–92. (In Russian)
7. Eby S.F., Song P., Chen S., Chen Q., Greenleaf J.F., An K.N. Validation of shear wave elastography in skeletal muscle. J. Biomech. 2013; 46: 2381–2387.
8. Miyamoto H., Halpern E.J., Kastlunger M., Gabl M., Arora R., Bellmann-Weiler R., Feuchtner G.M., Jaschke W.R., Klauser A.S. Carpal tunnel syndrome: diagnosis by means of median nerve elasticity-improved diagnostic accuracy of US with sonoelastography. Radiology. 2014; 270: 481–486.
9. Nath A.K., Bouras R. Dynamic ultrasonography in evaluation of muscular trauma. Eur. Radiol. 2002; 12: 279.
10. Seo J.-B., Yoo J.-S., Ryu J.-W. Sonoelastography findings of supraspinatus tendon in rotator cuff tendinopathy without tear: comparison with magnetic resonance images and conventional ultrasonography. J. Ultrasound. 2015; 18: 143–149.
11. Gazhonova V.E., Abelcev V.P. Possibilities of ultrasound examination in the diagnosis of postoperative complications in hip arthroplasty. Radiologia–Praktika. 2007; 4: 37-41. (In Russian)
12. Winn N., Lalam R., Cassar-Pullicno V. Sonoelastography in the musculoskeletal system: Current role and future directions. Wld J. Radiol. 2016; 8 (11): 868–879.
13. Tang S., Sabonghy E.P., Chaudhry A., Shajudeen P.S., Islam M.T., Kim N., Cabrera F.J., Reddy J.N., Tasciotti E., Righetti R. A Model-Based approach to investigate the effect of a long bone fracture on Ultrasound Strain elastography. IEEE Trans. Med. Imaging. 2018; 37 (12): 2704–2717. https://doi.org/10.1109/TMI.2018.2849996.
14. Tukhbatullin M.G., Kormilina A.R., Garifullov G.G. A method for determining the stiffness of the callus by ultrasonic shear wave elastography. Patent No. 2732697 C1 Rossiyskaya Federatsia, MPC A61V 8/00. Bull. Izobreteniya. Poleznyue modeli. 2020; 27: 1–2. (In Russian)
15. Tukhbatullin M.G., Kormilina A.R., Burmistrov M.V. A method for determining the formation of bone callus by ultrasonic compression elastography. Patent No. 2732705 C1 Rossiyskaya Federatsia, MPC A61V 8/00. Bull. Izobreteniya. Poleznyue modeli. 2020; 27: 1–2. (In Russian)
Supplementary files
Review
For citations:
Tukhbatullin M.G., Kormilina A.R., Pasynkov D.V., Kurotchkin S.V. New radiation techniques in controlling bone regeneration in fractures. Medical Visualization. 2021;25(3):140-149. (In Russ.) https://doi.org/10.24835/1607-0763-1029
Views:
1055
Email this article 