Ganz R, Bamert P, Hausner P, Isler B, Vrevc F
Universitätsklinik für Orthopädische Chirurgie, Inselspital, Bern.
Unfallchirurg. 1991 Apr;94(4):172-5.
Six cases of femoral neck-acetabular impingement following fracture of the femoral neck are reported. To our knowledge, this complication has not previously been described in the literature. A bony prominence at the level of the former fracture site following primary or secondary valgus position of the femoral head showed a conflict with the acetabular rim causing pain and limited motion. In four patients this impingement was posterior, between the femoral neck and the acetabulum in extension with external rotation, and in two patients it was anterior in flexion with internal rotation. A detailed description of the symptoms, diagnostic procedures and treatment options is presented.
本文报告了6例股骨颈骨折后发生股骨颈-髋臼撞击的病例。据我们所知,此前文献中尚未描述过这种并发症。股骨头处于一期或二期外翻位时,原骨折部位出现骨隆起,与髋臼边缘发生冲突,导致疼痛和活动受限。4例患者的撞击发生在后方,即股骨颈与髋臼在伸展伴外旋时;2例患者的撞击发生在前方,即屈曲伴内旋时。文中还详细描述了症状、诊断方法和治疗选择。