Department of Orthopaedic Surgery, Naestved Hospital, Ringstedgade 61, DK-4700 Naestved, Denmark.
Scand J Med Sci Sports. 2011 Apr;21(2):330-2. doi: 10.1111/j.1600-0838.2009.01034.x.
We report an exceptional case of a tibial stress fracture combined with a large avulsion from the posterior facet of the tibia at the level where the tibialis posterior and soleus muscles insert. This type of injury has not been reported previously. A young healthy male runner experienced a sudden "snap" in the right lower leg 25 km into a marathon and had to leave the race due to increasing pain. The fracture was immediately apparent on plain radiographs. The injury was treated conservatively with 9 weeks in an ROM knee cast and no weight bearing on the affected leg, followed by full recovery. We propose that prolonged muscle tension at the site of tendinous attachment to the bone can cause the development of a stress fracture type of avulsion.
我们报告了一个特殊的病例，患者胫骨应力性骨折合并胫骨后关节面大块撕脱，撕脱位于胫骨后肌和比目鱼肌的止点处。这种类型的损伤以前尚未报道过。一位年轻健康的男性跑步者在马拉松比赛进行到 25 公里时突然感到右小腿“啪”的一声，由于疼痛加剧，他不得不退出比赛。骨折在普通 X 光片上立即显现出来。该损伤采用保守治疗，膝关节 ROM 石膏固定 9 周，患腿不负重，随后完全康复。我们认为，肌腱附着处骨的长期肌肉张力可能导致应力性骨折样撕脱的发生。
