Children's Healthcare of Atlanta, Atlanta, Georgia.
Department of Orthopedic Surgery, Wellstar Atlanta Medical Center, Atlanta, Georgia.
JBJS Case Connect. 2020 Jul-Sep;10(3):e19.00561. doi: 10.2106/JBJS.CC.19.00561.
A 16-year-old adolescent boy with autism and vitamin D deficiency sustained a seizure and had bilateral femoral neck fractures and slipped capital femoral epiphysis (SCFEs). He underwent closed reduction and screw stabilization of femoral neck fractures with incorporation of in situ screw fixation of SCFEs. Intraosseous epiphyseal perfusion monitoring was used to confirm the perfusion of the femoral head. Two years postoperatively, he had healed fractures and no evidence for avascular necrosis.
A femoral neck fracture in the setting of a SCFE can be treated with closed reduction of the femoral neck fracture and screw fixation. Intraepiphyseal perfusion monitoring can be used to qualitatively assess femoral head perfusion.
一名患有自闭症和维生素 D 缺乏症的 16 岁青少年男孩发生了癫痫发作，双侧股骨颈骨折和股骨头滑脱（SCFE）。他接受了闭合复位和股骨颈骨折螺钉固定，并结合 SCFE 的原位螺钉固定。采用骨内骺灌注监测来确认股骨头的灌注情况。术后 2 年，他的骨折已经愈合，没有出现缺血性坏死的证据。
在 SCFE 的情况下，股骨颈骨折可以通过闭合复位和螺钉固定进行治疗。骺内灌注监测可用于定性评估股骨头灌注情况。
