儿童踝关节和腕关节应力性骨折：性质和频率。
Stress fractures of ankle and wrist in childhood: nature and frequency.
机构信息
Department of Radiology, Cincinnati Children's Hospital Medical Center, MLC 5031, 3333 Burnet Ave, Cincinnati, OH 45229-3039, USA.
出版信息
Pediatr Radiol. 2010 Aug;40(8):1387-9. doi: 10.1007/s00247-010-1577-y. Epub 2010 Feb 24.
BACKGROUND
Stress fractures of many etiologies are found not infrequently in various tarsal bones but are less commonly recognized in carpal bones.
OBJECTIVE
To assess the distribution of tarsal and carpal stress fractures.
MATERIALS AND METHODS
During the last three decades, the senior author collected locations of tarsal and carpal bone stress fracture callus seen on plain radiographs.
RESULTS
527 children with tarsal and carpal stress fractures were identified (88 children had multiple bones involved). The totals were: calcaneus 244, cuboid 188, talus 121, navicular 24, cuneiforms 23, capitate 18, lunate 1, and scaphoid 1. Stress fractures were more frequently seen once we became aware each particular bone could be involved.
CONCLUSION
Tarsal and carpal stress fractures in children are not rare. Careful perusal of these bones is urged in all susceptible children with limping or wrist pain.
背景
许多病因引起的跗骨和腕骨应力性骨折并不少见，但在腕骨中较少被发现。
目的
评估跗骨和腕骨应力性骨折的分布。
材料和方法
在过去的三十年中，资深作者收集了在普通 X 光片上看到的跗骨和腕骨骨应力性骨折骨痂的位置。
结果
共发现 527 例儿童跗骨和腕骨应力性骨折（88 例患儿有多处骨骼受累）。总数为：跟骨 244 例，骰骨 188 例，距骨 121 例，足舟骨 24 例，楔骨 23 例，头状骨 18 例，月骨 1 例，舟状骨 1 例。一旦我们意识到每块特定的骨头都可能受累，就更频繁地看到了应力性骨折。
结论
儿童的跗骨和腕骨应力性骨折并不罕见。对于所有有跛行或腕痛的易感儿童，应仔细检查这些骨骼。
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