Ruffing Thomas, Suda Arnold J, Rückauer Tilmann, Muhm Markus
Klinik für Unfallchirurgie und Orthopädie 1, Westpfalz-Klinikum GmbH, Hellmut-Hartert-Str. 1, 67655, Kaiserslautern, Deutschland.
Orthopädisch-Unfallchirurgisches Zentrum, Medizinische Fakultät Mannheim, Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
Unfallchirurg. 2019 May;122(5):411-414. doi: 10.1007/s00113-018-0594-4.
Isolated fractures of the lesser trochanter are very rare injuries. This case report describes the age-related differences based on two cases. A 13-year-old girl suffered an avulsion fracture of the lesser trochanter while sprinting. The patient received conservative treatment with pain-adapted partial weight bearing as tolerated using crutches with the goal of full weight bearing after 6 weeks. After 3 months she could return to the preinjury functional level without impairments. A 55-year-old woman also suffered an isolated fracture of the lesser trochanter, which was a pathological fracture due to a breast cancer metastasis. The cause of an isolated fracture of the lesser trochanter in adults is assumed to be the sign of an underlying malignant disease, until this has been disproven.
小转子孤立性骨折是非常罕见的损伤。本病例报告基于两例病例描述了年龄相关差异。一名13岁女孩在短跑时发生小转子撕脱骨折。患者接受了保守治疗，使用拐杖根据疼痛情况进行适应性部分负重，目标是在6周后完全负重。3个月后，她能够恢复到伤前功能水平，无功能障碍。一名55岁女性也发生了小转子孤立性骨折，这是由乳腺癌转移导致的病理性骨折。在未被证伪之前，成人小转子孤立性骨折的原因被认为是潜在恶性疾病的迹象。
