Incedayi Mehmet, Ozyurek Selahattin, Aribal Serkan, Keklikci Kenan, Sonmez Guner
Department of Radiology, GATA Haydarpasa Teaching Hospital, 34668, Istanbul, Turkey.
Department of Orthopedics and Traumatology, Aksaz Military Hospital, 48700, Mugla, Turkey.
Oman Med J. 2014 May;29(3):220-2. doi: 10.5001/omj.2014.54.
This is a case of a 17-year-old boy who was admitted to the clinic suffering from right hip-inguinal region pain which began after a soccer match. He had an avulsion fracture in the anterior inferior iliac spine and CT/MR images showed similarities to a bone tumor. These fractures are especially seen in the apophyses which are within the ossification process. The radiological appearance of these fractures during the healing period may be involved with bone tumors. In the control MRI of the patient after one year, the fracture was almost healed completely. Treatment is generally conservative. Good results have been reported with rest, analgesic and anti-inflammatory drugs. Familiarity with radiological findings of these avulsion fractures in this region not only protects the patient from invasive procedures but also avoids the involvement of the practitioner in legal consequences resulting from a misdiagnosis of sarcoma.
这是一例17岁男孩的病例,他因足球比赛后出现右髋腹股沟区疼痛而入院。他有髂前下棘撕脱骨折,CT/MR图像显示与骨肿瘤相似。这些骨折尤其见于处于骨化过程中的骨骺。愈合期这些骨折的放射学表现可能与骨肿瘤有关。在患者一年后的对照MRI检查中,骨折几乎完全愈合。治疗一般采用保守治疗。据报道,休息、使用止痛和抗炎药物可取得良好效果。熟悉该区域这些撕脱骨折的放射学表现,不仅能使患者避免接受侵入性检查,还能避免医生因误诊肉瘤而面临法律后果。