Noerdlinger M A, Lifrak J T, Cole P A
Division of Sports Medicine, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois, USA.
Am J Orthop (Belle Mead NJ). 2000 Nov;29(11):891-5.
A fracture to the proximal tibia physis is a relatively rare injury, possibly because of the relatively protected position of the physis in the knee. Rarer yet is a displaced, apex-anterior, growth plate fracture. This injury should be regarded as a knee dislocation and evaluated for the potentially catastrophic outcome of a thrombosed popliteal artery. The risk of vasospasm in children from an invasive procedure (e.g., angiogram), however, must be taken into account. This article presents an unusual case of an anteriorly displaced proximal tibia physis fracture in a 14-year-old boy. A noninvasive solution for evaluation of the potential vascular injury is proposed.
胫骨近端骨骺骨折是一种相对罕见的损伤，可能是因为骨骺在膝关节处的位置相对受到保护。更罕见的是移位的、顶点向前的生长板骨折。这种损伤应被视为膝关节脱位，并评估腘动脉血栓形成的潜在灾难性后果。然而，必须考虑到儿童因侵入性操作（如血管造影）而发生血管痉挛的风险。本文介绍了一名14岁男孩胫骨近端骨骺骨折向前移位的罕见病例。提出了一种评估潜在血管损伤的非侵入性解决方案。
