Freitas Anderson, Macedo Sílvio Leite De
. Hospital Ortopédico e Medicina Especializada (HOME-DF), Hip Surgery Training Service, Brasília, DF, Brazil.
Acta Ortop Bras. 2016 May-Jun;24(3):164-6. doi: 10.1590/1413-785220162403155803.
The apophyseal fracture or avulsion of the greater trochanter occurs in skeletally immature patients. It has at etiological factors indirect mechanisms (avulsion) and direct mechanisms (trauma on the trochanter), the latter being the most common. The clinical presentation is easily identified and a simple X- ray can confirm the diagnosis. Regardless of the treatment chosen, this pathology has a high correlation with osteonecrosis of the femoral head, even as a rare fact, however with innocent appearance, on this pathology.
大转子的骨骺骨折或撕脱发生在骨骼未成熟的患者中。其病因有间接机制(撕脱)和直接机制(转子创伤),后者最为常见。临床表现易于识别,简单的X线检查即可确诊。无论选择何种治疗方法,这种病理情况与股骨头坏死高度相关,即使是罕见情况,然而就这种病理情况而言,外观并无异常。