Thompson G H, Bachner E J, Ballock R T
Division of Pediatric Orthopaedics, Rainbow Babies and Children's Hospital, University Hospitals of Cleveland, Case Western Reserve University, Ohio 44106, USA.
J Orthop Trauma. 2000 Sep-Oct;14(7):510-4. doi: 10.1097/00005131-200009000-00010.
Salter-Harris type II fractures of the capital femoral epiphysis have not been previously documented. The authors have treated three patients who sustained four such fractures. One child had a recurrent fracture two years after the first had healed satisfactorily. Two fractures were treated by spica cast immobilization, one fracture by closed reduction and internal fixation, and the other fracture healed without treatment. No patient developed avascular necrosis or other complications. Two of the children had an association with idiopathic slipped capital femoral epiphysis. An etiologic relationship with slipped capital femoral epiphysis, if any, is uncertain.
股骨近端骨骺Salter-Harris II型骨折此前未见文献记载。作者治疗了3例发生4处此类骨折的患者。1名儿童在首次骨折顺利愈合两年后发生复发性骨折。2处骨折采用髋人字石膏固定治疗,1处骨折采用闭合复位内固定治疗,另一处骨折未经治疗自行愈合。无患者发生股骨头缺血性坏死或其他并发症。其中2名儿童伴有特发性股骨头骨骺滑脱。与股骨头骨骺滑脱是否存在病因学关系尚不确定。