Hresko M T, Kasser J R
Department of Orthopaedic Surgery, Children's Hospital Medical Center, Boston, Massachusetts 02115.
J Bone Joint Surg Am. 1989 Jun;71(5):698-703.
The cases of seven patients who had a physeal arrest about the knee in association with nonphyseal fractures in the lower extremity were reviewed. The patients were between ten and twelve and one-half years old at the time of injury, and the physeal arrest involved either the posterolateral part of the distal femoral physis or the anterior part of the proximal tibial physis. There was no evidence of iatrogenic trauma to the physis. Recognition of the physeal injury was delayed for an average of one year and ten months until a gross angular deformity appeared. Adolescents who have fractures of the lower extremities that do not appear to involve a physeal plate should nevertheless be evaluated and followed for possible physeal injury about the knee that can be detected only after additional growth has taken place.
回顾了7例膝关节周围生长板阻滞合并下肢非生长板骨折的患者病例。受伤时患者年龄在10岁至12岁半之间，生长板阻滞累及股骨远端生长板的后外侧部分或胫骨近端生长板的前部。没有生长板医源性创伤的证据。生长板损伤的识别平均延迟了1年零10个月，直到出现明显的角畸形。青少年下肢骨折看似未累及生长板时，仍应进行评估并随访，以观察膝关节周围可能出现的生长板损伤，这种损伤只有在进一步生长后才能被发现。
