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内收肌附着点撕脱综合征合并股骨近端应力性骨折:并非仅见于年轻运动员。

Adductor Insertion Avulsion Syndrome with Proximal Femoral Shaft Stress Fracture: Not Only Found in Young Athletes.

作者信息

Pauchet Anatole, Falticeanu Ana, Lebecque Olivier

机构信息

Université catholique de Louvain, CHU UCL Namur, Department of Radiology, Yvoir, BE.

出版信息

J Belg Soc Radiol. 2020 May 6;104(1):21. doi: 10.5334/jbsr.2014.

DOI:10.5334/jbsr.2014
PMID:32405612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7207251/
Abstract

The adductor insertion avulsion syndrome, also called "thigh splints," is usually considered a sports injury, causing thigh and groin pain. It is related to chronic traction stress of the adductor muscles at their insertion site along the posterior margin of the proximal and mid-femoral diaphysis, and it can get complicated by stress fracture. We report the case of a 64-year-old woman-significantly older than previously reported cases-with a history of complete functional loss of the right hip following intensive physiotherapy and a final diagnosis of adductor insertion avulsion syndrome.

摘要

内收肌止点撕脱综合征,也称为“大腿夹板”,通常被认为是一种运动损伤,会导致大腿和腹股沟疼痛。它与内收肌在股骨近端和中段骨干后缘的止点处受到的慢性牵张应力有关,并且可能并发应力性骨折。我们报告了一例64岁女性的病例——比先前报道的病例年龄大得多——该患者在接受强化物理治疗后出现右髋完全功能丧失,最终诊断为内收肌止点撕脱综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc0/7207251/5b8ca70af127/jbsr-104-1-2014-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc0/7207251/45e41dde3e35/jbsr-104-1-2014-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc0/7207251/96bf78f70d58/jbsr-104-1-2014-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc0/7207251/5b8ca70af127/jbsr-104-1-2014-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc0/7207251/45e41dde3e35/jbsr-104-1-2014-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc0/7207251/96bf78f70d58/jbsr-104-1-2014-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc0/7207251/5b8ca70af127/jbsr-104-1-2014-g3.jpg

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本文引用的文献

1
Bone scan findings in calcific tendinitis at the gluteus maximus insertion: some illustrative cases.臀大肌附着处钙化性肌腱炎的骨扫描表现:一些典型病例
Radiol Case Rep. 2017 Jan 17;12(1):168-174. doi: 10.1016/j.radcr.2016.11.009. eCollection 2017 Mar.
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Sports Injuries about the Hip: What the Radiologist Should Know.髋关节周围的运动损伤:放射科医生应了解的知识。
Radiographics. 2016 Oct;36(6):1717-1745. doi: 10.1148/rg.2016160012.
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Bone scanning in the adductor insertion avulsion syndrome.内收肌附着点撕脱综合征的骨扫描
World J Nucl Med. 2013 May;12(2):73-5. doi: 10.4103/1450-1147.136698.
4
Adductor insertion avulsion syndrome mimicking neoplastic processes in a 14-year-old long-distance runner.一名14岁长跑运动员中模仿肿瘤性病变的内收肌止点撕脱综合征
Orthopedics. 2012 Sep;35(9):e1442-5. doi: 10.3928/01477447-20120822-37.
5
Adductor insertion avulsion syndrome with stress fracture of femoral shaft: MRI findings.内收肌止点撕脱综合征合并股骨干应力性骨折:磁共振成像表现
Australas Radiol. 2007 Oct;51 Spec No.:B104-6. doi: 10.1111/j.1440-1673.2007.01799.x.
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Utility of sonography for the diagnosis of adductor avulsion injury ("thigh splints").超声检查在诊断内收肌撕脱伤(“大腿夹板”)中的应用价值。
J Ultrasound Med. 2006 Jul;25(7):913-6. doi: 10.7863/jum.2006.25.7.913.
7
Adductor insertion avulsion syndrome, "thigh splints": relevance of radiological follow-up.内收肌附着点撕脱综合征,“大腿夹板”:影像学随访的相关性
Skeletal Radiol. 2005 Jun;34(6):355-8. doi: 10.1007/s00256-004-0864-9. Epub 2004 Oct 2.
8
Sonographic findings of adductor insertion avulsion syndrome with magnetic resonance imaging correlation.内收肌附着点撕脱综合征的超声表现及其与磁共振成像的相关性
J Ultrasound Med. 2003 Apr;22(4):403-7. doi: 10.7863/jum.2003.22.4.403.
9
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MR Imaging of sports-related pseudotumor in children: mid femoral diaphyseal periostitis at insertion site of adductor musculature.儿童运动相关假瘤的磁共振成像:内收肌附着部位的股骨干中段骨膜炎症
AJR Am J Roentgenol. 2001 May;176(5):1227-31. doi: 10.2214/ajr.176.5.1761227.