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儿童骑马所致骰骨胡桃夹骨折:病例系列报道及文献综述

Cuboid nutcracker fracture due to horseback riding in children: case series and review of the literature.

作者信息

Ceroni Dimitri, De Rosa Vicenzo, De Coulon Geraldo, Kaelin André

机构信息

Clinique d'Orthopédie et de Traumatologie Pédiatrique, Hôpital des Enfants, Geneva, Switzerland.

出版信息

J Pediatr Orthop. 2007 Jul-Aug;27(5):557-61. doi: 10.1097/01.bpb.0000279031.66774.c0.

Abstract

We report 4 cases of nutcracker fractures of the cuboid resulting from equestrian sport in pediatric population. These lesions are often consistent with a trauma in forced abduction of the forefoot. The particular mechanism of the cuboid fracture due to horseback riding in children is discussed. The methods used to radiographically evaluate the compression fracture of the cuboid and its associated injuries are presented. Left untreated, these fractures can lead to severe alterations in foot mechanics and function, such as to severe pain. In addition, the surgical treatment to correct the nutcracker fracture of the cuboid in our patients is presented.

摘要

我们报告了4例儿童因马术运动导致的骰骨胡桃夹样骨折。这些损伤通常与前足强迫外展时的创伤一致。讨论了儿童骑马导致骰骨骨折的特殊机制。介绍了用于X线评估骰骨压缩骨折及其相关损伤的方法。若不治疗,这些骨折可导致足部力学和功能严重改变,如剧痛。此外,还介绍了我们对患者骰骨胡桃夹样骨折进行矫正的手术治疗方法。

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