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儿童股骨颈应力性骨折:一例报告、最新综述及诊断算法

Femoral neck stress fracture in children: a case report, up-to-date review, and diagnostic algorithm.

作者信息

Er Mehmet S, Eroglu Mehmet, Altinel Levent

机构信息

aDepartment of Orthopedics and Traumatology, School of Medicine, University of Afyon Kocatepe, Afyonkarahisar bDepartment of Orthopedics and Traumatology, School of Medicine, University of Akdeniz, Antalya, Turkey.

出版信息

J Pediatr Orthop B. 2014 Mar;23(2):117-21. doi: 10.1097/BPB.0000000000000003.

DOI:10.1097/BPB.0000000000000003
PMID:24080772
Abstract

Stress fracture of the femoral neck in skeletally immature individuals is a rare condition and generally seen as compressive type. Because the condition may lead to disastrous complications, femoral neck stress fracture must also be kept in mind in the differential diagnosis of pediatric hip pain. We present a case of compressive-type stress fracture of the femoral neck in a 10-year-old girl with left hip pain that was sustained for 4 weeks and emphasize the difficulty of early diagnosis with only a radiographic evaluation and put forward an algorithm for diagnosis and treatment.

摘要

骨骼未成熟个体的股骨颈应力性骨折是一种罕见情况,通常为压缩型。由于该情况可能导致灾难性并发症,因此在小儿髋关节疼痛的鉴别诊断中也必须考虑股骨颈应力性骨折。我们报告一例10岁左髋关节疼痛持续4周的女孩发生的压缩型股骨颈应力性骨折病例,强调仅通过影像学评估进行早期诊断的困难,并提出一种诊断和治疗方案。

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