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微创接骨术治疗孤立性大转子骨骺撕脱:一例报告

Isolated Apophyseal Avulsion of the Greater Trochanter Treated by Minimally Invasive Osteosynthesis: A Case Report.

作者信息

Malerba G, Basilico M, Bonfiglio N, Maccauro G

机构信息

Department of Orthopaedics and Traumatology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

出版信息

Malays Orthop J. 2020 Nov;14(3):177-179. doi: 10.5704/MOJ.2011.029.

DOI:10.5704/MOJ.2011.029
PMID:33403082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7752007/
Abstract

Isolated apophyseal avulsion of the greater trochanter is a rare condition in the paediatric population, frequently related to avascular necrosis of the femoral head. Since there are few cases in the literature, there is no consensus regarding the best treatment of this injury. Our study describes the case of a 9-year-old patient with an avulsion of the right greater trochanter. A minimally invasive osteosynthesis was performed, achieving complete clinical and radiographic healing of the patient and no long-term complications after four years.

摘要

孤立性大转子骨骺撕脱在儿科人群中是一种罕见病症,常与股骨头缺血性坏死相关。由于文献中病例较少,对于该损伤的最佳治疗方法尚无共识。我们的研究描述了一名9岁右大转子撕脱患者的病例。实施了微创接骨术,患者实现了临床和影像学完全愈合,且四年后无长期并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d85/7752007/e48534f0779f/moj-14-177-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d85/7752007/c061b43626e0/moj-14-177-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d85/7752007/3a5ebb81243d/moj-14-177-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d85/7752007/e48534f0779f/moj-14-177-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d85/7752007/c061b43626e0/moj-14-177-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d85/7752007/3a5ebb81243d/moj-14-177-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d85/7752007/e48534f0779f/moj-14-177-f3.jpg

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本文引用的文献

1
Apophyseal Avulsion of the Greater Trochanter in an Adolescent: Treatment with Abduction Bracing: A Case Report.青少年大转子骨骺撕脱:外展支具治疗:1例报告
JBJS Case Connect. 2016 Apr-Jun;6(2):e47. doi: 10.2106/JBJS.CC.15.00230.
2
Non-traumatic avulsion of the greater trochanter: a case report.非创伤性大转子撕脱:一例报告
Acta Orthop Belg. 2010 Jun;76(3):403-6.
3
Osteonecrosis following isolated avulsion fracture of the greater trochanter in children. A report of two cases.儿童大转子孤立性撕脱骨折后发生的骨坏死。两例报告。
J Bone Joint Surg Am. 2003 Oct;85(10):2000-5.