El Hachmi Mohamed, Desmette Damien, Forthomme Jean-Paul
Centre Hospitalier Régional de Mons, Mons, Belgium.
Acta Orthop Belg. 2010 Jun;76(3):403-6.
Apophyseal fracture affecting the greater trochanter is a rare injury in children. We report a case of non traumatic avulsion of the greater trochanter in a 13-year-old boy who presented with a history of pain about his right hip over the past few months. Hip radiographs, radioisotope bone scan and CT scan confirmed the diagnosis of avulsion of the greater trochanter with minimal displacement. The symptoms resolved after percutaneous in situ lag screw fixation. Radiographs 18 months after treatment showed fusion of the trochanteric physis.
累及大转子的骨骺骨折在儿童中是一种罕见的损伤。我们报告一例13岁男孩大转子非创伤性撕脱伤的病例,该男孩在过去几个月里一直诉说右髋部疼痛。髋部X线片、放射性核素骨扫描和CT扫描确诊为大转子撕脱伤,移位极小。经皮原位拉力螺钉固定后症状缓解。治疗18个月后的X线片显示转子骨骺融合。