两例外侧股骨髁Salter-Harris III型冠状面骨折漏诊病例。

Two cases of missed Salter-Harris III coronal plane fracture of the lateral femoral condyle.

作者信息

Sabharwal Sanjeev, Henry Patrick, Behrens Fred

机构信息

Department of Orthopaedics, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, NJ 07103, USA.

出版信息

Am J Orthop (Belle Mead NJ). 2008 Feb;37(2):100-3.

PMID:18401487

Abstract

Coronal plane fractures of the lateral femoral condyle can be difficult to diagnose, especially in children with open physis. Two adolescents who sustained this uncommon Salter-Harris III fracture of the knee were misdiagnosed after initial clinical examination and standard x-rays. Oblique x-rays, computed tomography, and magnetic resonance imaging were valuable in arriving at the correct diagnosis and in decision making.

摘要

股骨外侧髁冠状面骨折可能难以诊断，尤其是在骨骺未闭的儿童中。两名青少年发生了这种罕见的膝关节Salter-Harris III型骨折，在初次临床检查和标准X线检查后被误诊。斜位X线、计算机断层扫描和磁共振成像对于做出正确诊断和决策很有价值。