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[儿童股骨头骨骺滑脱]

[Slipped capital femoral epiphysis in children].

作者信息

van Gorkom Martijn, Noordman Bo Jan, Westerhuis R J Dolf, van der Elst Maarten, van Ginhoven Tessa M

机构信息

Reinier de Graaf Gasthuis, afd. Chirurgie, Delft.

出版信息

Ned Tijdschr Geneeskd. 2015;159:A8238.

Abstract

BACKGROUND

Slipped capital femoral epiphysis (SCFE) is among the most common causes of hip problems in childhood and adolescence. Its incidence is increasing due to rising childhood obesity. There are three different types of SCFE, the rarest of which is the acute traumatic slip. Early identification and urgent surgical treatment are necessary to minimise the risk of complications such as avascular necrosis.

CASE DESCRIPTION

An overweight 12-year-old boy visited the emergency department complaining of pain in the left hip after falling from his scooter. The patient was unable to bear weight on his left leg and kept the hip in slight exorotation. An X-ray showed a slip of the femoral epiphysis, which was treated by emergency surgery. During short term follow-up there were no signs of complications such as avascular necrosis of the femoral head.

CONCLUSION

Acute traumatic slip of the femoral epiphysis is rare. Patients with this condition require urgent surgical treatment to minimise the risk of complications.

摘要

背景

股骨头骨骺滑脱(SCFE)是儿童和青少年髋部问题的最常见原因之一。由于儿童肥胖率上升,其发病率正在增加。SCFE有三种不同类型,其中最罕见的是急性创伤性滑脱。早期识别和紧急手术治疗对于将诸如缺血性坏死等并发症的风险降至最低是必要的。

病例描述

一名超重的12岁男孩因骑滑板车摔倒后左髋疼痛就诊于急诊科。患者无法用左腿负重,髋部保持轻度外旋。X线显示股骨头骨骺滑脱,通过急诊手术进行了治疗。在短期随访中,没有出现诸如股骨头缺血性坏死等并发症的迹象。

结论

急性创伤性股骨头骨骺滑脱很罕见。患有这种疾病的患者需要紧急手术治疗,以将并发症的风险降至最低。

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