Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Orthopaedic and Spine Surgery, Fukuoka Children's Hospital, Fukuoka, Japan.
J Orthop Surg (Hong Kong). 2020 Jan-Apr;28(2):2309499020937862. doi: 10.1177/2309499020937862.
This report describes clinical and radiographic characteristics of two pediatric patients with a presumptive diagnosis of subchondral fracture of the femoral head made based on their clinical course and imaging findings. An 8-year-old boy and an 8-year-old girl had subchondral fracture in the femoral head without osteonecrosis, which was verified by contrast-enhanced magnetic resonance imaging. Although complete disappearance of the fracture line was confirmed in the boy, the girl had a residual femoral head deformity after conservative treatment. Subchondral fracture of the femoral head should be included in the differential diagnosis of pediatric hip pain.
本报告描述了两名疑似股骨头骺下骨折的儿科患者的临床和影像学特征，依据为他们的临床病程和影像学表现。一名 8 岁男孩和一名 8 岁女孩的股骨头出现骺下骨折而无骨坏死，经对比增强磁共振成像证实。虽然男孩的骨折线完全消失，但女孩在接受保守治疗后仍存在股骨头畸形。股骨头骺下骨折应纳入儿童髋关节痛的鉴别诊断。
