Potenza V, Caterini R, Maglione P, Bisicchia S, Farsetti P
Department of Orthopaedic Surgery, University of Rome Tor Vergata, Viale Oxford 81, 00133 Rome, Italy.
Open Orthop J. 2011;5:315-8. doi: 10.2174/1874325001105010315. Epub 2011 Aug 10.
A rare case is reported of bilateral physeal lesions of the proximal tibia classified as Salter-Harris type II, which occurred simultaneously after a "flexion type" injury in a 14-year-old boy. Treatment was conservative on the nondisplaced side and surgical, by closed reduction and internal fixation, on the displaced side. There was no previous diagnosis of Osgood-Schlatter disease. After reviewing all the cases described previously, which occurred either consecutively or simultaneously, we conclude that less resistance of the growth plate, typical of late adolescence, likely represents the cause of this type of lesion.
报告了一例罕见的双侧胫骨近端骨骺损伤病例，分类为Salter-Harris II型，发生在一名14岁男孩的“屈曲型”损伤后。未移位侧采用保守治疗，移位侧采用闭合复位内固定手术治疗。此前无奥斯古德-施拉特病的诊断。在回顾了所有先前描述的连续或同时发生的病例后，我们得出结论，青春期后期典型的生长板抵抗力较低可能是这类损伤的原因。
