Satku K, Kumar V P, Chacha P B
Department of Orthopaedic Surgery, National University of Singapore.
J Bone Joint Surg Am. 1990 Jul;72(6):918-22.
A review of the cases of sixteen elderly patients who had eighteen stress fractures around the knee revealed that thirteen fractures had been misdiagnosed, which led to inappropriate management of six. The most frequent factor contributing to misdiagnosis was the presence of other abnormalities of the knee for which the patient had previously consulted the physician. Conservative treatment with rest, walking aids, and, for some patients, splinting of the extremity resulted in relief of pain and healing of the fracture. A careful clinical assessment that includes new radiographs and, if necessary, bone scans is essential for early diagnosis in patients who have acute, incapacitating pain in the knee.
对16名老年患者膝部周围18处应力性骨折病例的回顾显示，其中13处骨折被误诊，导致6例治疗不当。导致误诊的最常见因素是患者此前因膝部其他异常情况就医。采用休息、助行器以及对部分患者进行肢体夹板固定的保守治疗，可缓解疼痛并使骨折愈合。对于膝部有急性剧痛且行动受限的患者，进行包括新的X光片检查以及必要时的骨扫描在内的仔细临床评估，对早期诊断至关重要。
