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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.

DOI:10.1007/s00247-010-1577-y
PMID:20180100
Abstract

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.

摘要

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。

相似文献

1
Stress fractures of ankle and wrist in childhood: nature and frequency.儿童踝关节和腕关节应力性骨折:性质和频率。
Pediatr Radiol. 2010 Aug;40(8):1387-9. doi: 10.1007/s00247-010-1577-y. Epub 2010 Feb 24.
2
Congenital fusion of carpal navicular and semilunar bones with fracture of the navicular bone; report of case.先天性舟状骨与月骨融合伴舟状骨骨折;病例报告
Proc Staff Meet Mayo Clin. 1947 Jun 11;22(12):236-40.
3
Fractures of the carpal navicular: analysis of ninety-one cases and review of the literature.舟状骨骨折:91 例分析及文献回顾。
J Bone Joint Surg Am. 1963 Jan;45-A:82-112.
4
Stress fractures of the foot and ankle, part 2: site-specific etiology, imaging, and treatment, and differential diagnosis.足踝应力性骨折,第2部分:特定部位的病因、影像学、治疗及鉴别诊断。
Skeletal Radiol. 2017 Sep;46(9):1165-1186. doi: 10.1007/s00256-017-2632-7. Epub 2017 Mar 25.
5
Radiographic study of fractures of the carpal navicular bone.腕舟骨骨折的影像学研究
U S Nav Med Bull. 1948 Jan-Feb;48(1):66-8.
6
Translation of 2-Dimensional Wrist Radiographic Measurements to 3-Dimensional CT Scans.二维腕部X线测量值向三维CT扫描的转换
J Hand Surg Asian Pac Vol. 2020 Sep;25(3):315-319. doi: 10.1142/S2424835520500344.
7
Challenging fractures of the foot and ankle.足踝部的复杂性骨折
Radiol Clin North Am. 1997 May;35(3):655-70.
8
[Diagnosis of unusual fractures of the wrist bones].[腕骨不寻常骨折的诊断]
Rontgenblatter. 1989 Feb;42(2):63-8.
9
[Mechanism of typical injuries of the wrist and ankle joints].[手腕和踝关节典型损伤的机制]
Khirurgiia (Mosk). 1983 Jun(6):16-21.
10
[Fractures of the carpal bones without the scaphoid bone].[不包括舟骨的腕骨骨折]
Unfallchirurg. 2021 Jan;124(1):59-73. doi: 10.1007/s00113-020-00929-w.

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Not all ankle injuries are ankle sprains - Case of an isolated cuboid stress fracture.并非所有的踝关节损伤都是踝关节扭伤——一例孤立的骰骨应力性骨折病例。

本文引用的文献

1
Bone scintigraphy in preschool children with lower extremity pain of unknown origin.不明原因下肢疼痛的学龄前儿童的骨闪烁扫描
J Nucl Med. 1992 Mar;33(3):351-4.
Clin Pract. 2018 Jul 10;8(3):1093. doi: 10.4081/cp.2018.1093.
4
Multifocal bone and bone marrow lesions in children - MRI findings.儿童多灶性骨骼和骨髓病变——MRI表现
Pediatr Radiol. 2017 Mar;47(3):342-360. doi: 10.1007/s00247-016-3737-1. Epub 2016 Dec 21.
5
Pediatric stress fractures: a pictorial essay.小儿应力性骨折:一篇图文并茂的文章。
Iowa Orthop J. 2016;36:138-46.
6
Stress fracture of tarsal cuboid bone in early childhood.幼儿期骰骨应力性骨折。
Eur J Orthop Surg Traumatol. 2015 Apr;25(3):595-9. doi: 10.1007/s00590-014-1543-8. Epub 2014 Sep 24.