Schwarz N, Leixnering M
Unfallkrankenhaus Wien-Meidling der Allgemeinen, Unfallversicherungsanstalt.
Aktuelle Traumatol. 1988 Dec;18(6):268-70.
Valgus fractures of the femoral neck during growth are a rarity. Four cases are reported, and, in addition, one patient from the literature. Three were treated by bed rest, two by primary screw fixation. Clinical results were good; there was no necrosis. In accordance with the experience with similar fractures in adults primary osteosynthesis is recommended in all cases to prevent secondary displacement. Decompression of the hip joint by aspiration should be done for diagnosis and for decompression of tension haemarthrosis.
生长期间股骨颈外翻骨折较为罕见。本文报告了4例，另外还有文献中的1例患者。3例采用卧床休息治疗，2例采用初次螺钉固定。临床结果良好；未发生坏死。根据成人类似骨折的经验，建议所有病例均采用一期骨固定术以防止继发移位。应通过穿刺对髋关节进行减压，用于诊断和缓解张力性关节积血。
