一名青少年足球运动员髂前下棘骨骺撕脱骨折不愈合的手术固定：病例报告
Operative Fixation of an Anterior Inferior Iliac Spine Apophyseal Avulsion Fracture Nonunion in an Adolescent Soccer Player: A Case Report.
作者信息
Carr James B, Conte Evan, Rajadhyaksha Evan A, Laroche Kevin A, Gwathmey F Winston, Carson Eric W
机构信息
Department of Orthopaedic Surgery, University of Virginia School of Medicine, Charlottesville, Virginia.
Trenton Orthopaedic Group, Mercerville, New Jersey.
出版信息
JBJS Case Connect. 2017 Apr-Jun;7(2):e29. doi: 10.2106/JBJS.CC.16.00167.
CASE
A 14-year-old male competitive soccer player presented with a history of recurrent right hip pain for 18 months. He was diagnosed with an anterior inferior iliac spine (AIIS) apophyseal avulsion fracture nonunion with subspinal impingement, which was confirmed by radiographs, computed tomography, and magnetic resonance imaging. The patient underwent surgical fixation and subspinal decompression. He returned to competitive soccer 5 months postoperatively.
CONCLUSION
AIIS apophyseal avulsion fractures occur in adolescent athletes and generally respond to nonoperative treatment. When such management is unsuccessful, surgical fixation can lead to resolution of pain with return of full function.
病例
一名14岁的男性足球运动员，有18个月反复右髋部疼痛病史。他被诊断为髂前下棘（AIIS）骨骺撕脱性骨折不愈合伴棘下撞击，X线片、计算机断层扫描和磁共振成像均证实了这一诊断。患者接受了手术固定和棘下减压。术后5个月他恢复了足球比赛。
结论
AIIS骨骺撕脱性骨折发生于青少年运动员，一般对非手术治疗有效。当这种治疗方法不成功时，手术固定可使疼痛缓解并恢复全部功能。
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