Sułko Jerzy, Olipra Wojciech, Oberc Artur
Oddział Ortopedyczno-Urazowy, Uniwersytecki Szpital Dzieciecy w Krakowie.
Chir Narzadow Ruchu Ortop Pol. 2011 May-Jun;76(3):134-7.
Ischial tuberosity fractures in children are a form of avulsion fractures caused by the strong thigh muscles of the back group (ischiotibial muscles).
Presentation of observations covering the diagnostic difficulties, treatment and follow-up of ischial tuberosity fractures in children.
6 children (one girl and five boys), average age at the time of injury - 13.6 years (12-15.5 years). An analysis of medical and radiological documentation of patients.
Two patients with chronic pain were suspected of ischial bone tumor, one was suspected of Perthes disease, and only 3 were sent to the Traumatology Department immediately after the football injury. All patients were treated conservatively. Complete healing of fractures was finally achieved in all patients - (fibrous union in two cases) and finally, after an average period of 9 months, the pain subsided.
There is a discussion in medical literature about the difficulties in the diagnosis of ischial tuberosity fractures, which were primarily unrecognized. Radiological picture of significant bone rebuilding may suggest neoplastic lesions. In the literature dominates the attitude of conservative treatment. Only in cases of large displacement of fracture and chronic ailments caused by pressure on the sciatic nerve, surgery should be considered.
儿童坐骨结节骨折是由后群大腿肌肉（坐骨胫肌）强力牵拉导致的一种撕脱性骨折。
介绍关于儿童坐骨结节骨折诊断困难、治疗及随访的观察结果。
6名儿童（1名女孩和5名男孩），受伤时平均年龄为13.6岁（12 - 15.5岁）。对患者的医学和放射学资料进行分析。
2例慢性疼痛患者被怀疑患有坐骨骨肿瘤，1例被怀疑患有佩特兹病，只有3例在足球受伤后立即被送往创伤科。所有患者均接受保守治疗。所有患者最终骨折完全愈合（2例为纤维性愈合），最终，平均9个月后疼痛缓解。
医学文献中存在关于坐骨结节骨折诊断困难的讨论，这些骨折最初主要未被识别。明显骨重建的放射学表现可能提示肿瘤性病变。文献中占主导的是保守治疗态度。仅在骨折明显移位以及坐骨神经受压导致慢性疾病的情况下，才应考虑手术治疗。
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