青少年运动员的急性胫骨结节撕脱骨折
Acute tibial tubercle avulsion fractures in the sporting adolescent.
作者信息
Zrig Makram, Annabi Hedi, Ammari Taoufik, Trabelsi Mohsen, Mbarek Mondher, Ben Hassine Habib
机构信息
Department of Orthopaedic and Traumatic Surgery, Aziza Othmana Hospital, Tunis, Tunisia.
出版信息
Arch Orthop Trauma Surg. 2008 Dec;128(12):1437-42. doi: 10.1007/s00402-008-0628-4. Epub 2008 Apr 12.
INTRODUCTION
The authors report 7 cases of acute tibial tubercle avulsion fractures. The fracture occurred in 6 out of the 7, after an abrupt tension of the patellar tendon in male sporting adolescents (age 13-17 years). Two patients presented symptoms of homolateral Osgood-Schlatter's disease before the lesion.
METHOD
According to Ogden's classification, the tibial tubercle avulsion fracture was not displaced in 3 cases (stage IA) and was treated conservatively by immobilization for 6 weeks. In 4 cases, the fracture was displaced and necessitated an internal fixation with plaster for about 6 weeks. A torn patellar tendon was noted in one adolescent having a stage IIIB avulsion fracture.
RESULT
The mean follow-up was of 4.5 years (1.5-7.5 years). The results were satisfactory: complete functional recovery, resumption of sport at the previous level and absence of recurvatum.
引言
作者报告了7例急性胫骨结节撕脱骨折病例。在7例中，有6例骨折发生于男性青少年运动员（年龄13 - 17岁）髌腱突然紧张之后。两名患者在损伤前有同侧胫骨结节骨软骨炎的症状。
方法
根据奥格登分类法，3例胫骨结节撕脱骨折无移位（IA期），采用保守治疗，固定6周。4例骨折有移位，需要用石膏内固定约6周。在1例患有IIIB期撕脱骨折的青少年中发现髌腱撕裂。
结果
平均随访4.5年（1.5 - 7.5年）。结果令人满意：功能完全恢复，恢复到之前的运动水平且无膝反张。
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