Huleatt Joel B, Nissen Carl W, Milewski Matthew D
Orthopedics and Sports Medicine, University of Connecticut School of Medicine, 263 Farmington Avenue, Farmington, CT 06030, USA.
Elite Sports Medicine, Connecticut Children's Medical Center, 399 Farmington Avenue, Farmington, CT 06032, USA.
Clin Sports Med. 2018 Apr;37(2):351-362. doi: 10.1016/j.csm.2017.12.012.
The treatment of sports injuries in the skeletally immature has a unique set of complications. Growth deformity may occur after anterior cruciate ligament reconstruction; therefore, skeletal age is used to help guide the choice between physeal sparing and transphyseal techniques. Arthrofibrosis after tibial spine fracture fixation can be reduced by initiating immediate range of motion, and should be treated early and cautiously to avoid iatrogenic fracture. Nonunions of medial epicondyle elbow fractures are more common with nonoperative treatment, but seldom lead to clinical problems outside of certain athletes. Risks of OCD fixation are specific to the material of screw used.
骨骼未成熟者的运动损伤治疗有一系列独特的并发症。前交叉韧带重建后可能会出现生长畸形；因此，骨骼年龄用于帮助指导在保留骺板技术和经骺板技术之间做出选择。胫骨棘骨折固定术后的关节纤维性变可通过立即开始活动范围训练来减轻，并且应尽早且谨慎地治疗以避免医源性骨折。内侧髁上髁骨折非手术治疗时骨不连更常见，但除了某些运动员外很少导致临床问题。骨软骨损伤固定的风险因所用螺钉材料而异。
