Kayani Babar, Ayuob Atif, Onochie Elliot, Haddad Fares S
Department of Trauma and Orthopaedics, University College London Hospital, 235 Euston Road, Bloomsbury, London Nw1 2BU, United Kingdom.
Department of Trauma and Orthopaedics, Princess Grace Hospital, 42-52 Nottingham Pl, Marylebone, London W1U 5NY, United Kingdom.
J Orthop Case Rep. 2019;9(3):68-71. doi: 10.13107/jocr.2250-0685.1426.
Surgical excision of fat fractures is often reserved for patients with large chronic deformities to improve cosmetic appearance. To our knowledge, the acute surgical management of a traumatic fat fracture has not been previously reported.
This case report describes the management of a professional soccer player that developed a traumatic fat fracture over the lateral thigh. The patient presented with persistent pain, reduced range of movement, and inability to participate in sporting activity. Symptoms were refractory to non-operative treatment. Following acute surgical excision of the fat fracture, the patient was able to make an early return to sporting activity with no complications at short-term follow-up.
Acute surgical excision of a traumatic fat fracture may be used as an avenue for improving pain, enhancing functional rehabilitation, and facilitating early return to pre-injury level of function.
脂肪骨折的手术切除通常仅用于有严重慢性畸形的患者以改善外观。据我们所知,外伤性脂肪骨折的急性手术治疗此前尚未见报道。
本病例报告描述了一名职业足球运动员大腿外侧发生外伤性脂肪骨折的治疗情况。患者出现持续疼痛、活动范围减小且无法参加体育活动。非手术治疗对症状无效。在对脂肪骨折进行急性手术切除后,患者能够早日恢复体育活动,短期随访无并发症。
外伤性脂肪骨折的急性手术切除可作为缓解疼痛、加强功能康复并促进早日恢复伤前功能水平的一种方法。