Poster électronique

Bien-fondé de l'imagerie des luxations de rotule
PY. Savoye, C. Dubois, L. Pittet Barbier, D. Saragaglia, JN. Ravey - Grenoble - France
Congrès 2011
Poster primé par le jury
Résumé
Objectifs
Evaluer la pertinence du bilan radiologique standard initial et la valeur ajoutée de l'IRM en cas de luxation de rotule.
Matériels et méthodes
Cohorte de 39 patients ayant consulté au décours d'un épisode traumatique pour luxation de rotule avérée ou pour suspicion de luxation entre avril 2007 et mai 2010. Analyse rétrospective des dossiers constitués d'un bilan radiographique préalable standard comportant genou de face + profil et défilé fémoro-patellaire bilatéral à 30° et d'une IRM réalisée dans un délai moyen de 13,7 jours.
Résultats
Le bilan radiographique initial retrouve chez 38 patients des éléments morphologiques favorisant la luxation, et dans 8 cas des lésions ostéo-chondrales traumatiques. La sensibilité radio-clinique dans l'accident d'instabilité rotulienne est de 65 %. L'IRM a confirmé le diagnostic de luxation de rotule dans 37 cas, devant la présence de contusions osseuses en miroir et/ou de lésion du rétinaculum patellaire médial. 15 cas de lésions ostéo-chondrales (dont 3 chirurgicales) et 3 cas d'atteintes ligamentaires (1 LCA et 2 LLI) étaient associées.
Conclusion
L'IRM améliore la sensibilité diagnostique des luxations de rotule et est l'examen morpho-pronostique de référence.
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2018-05-13 09.10 :
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