儿童胫骨骨突修复术后过度生长伴症状性肢体长度差异：病例报告。

Overgrowth After Pediatric Tibial Spine Repair with Symptomatic Leg Length Discrepancy: A Case Report.

机构信息

University of Utah, Department of Orthopaedics, Salt Lake City, Utah.

University of Utah, School of Medicine, Salt Lake City, Utah.

出版信息

JBJS Case Connect. 2021 May 19;11(2):01709767-202106000-00079. doi: e21.00036.

DOI:10.2106/JBJS.CC.21.00036

PMID:34010177

Abstract

CASE

A 12-year-old girl sustained a right-sided tibial spine fracture while jumping on a trampoline. Postoperative course was complicated initially by arthrofibrosis requiring manipulation under anesthesia and subsequent leg length discrepancy attributed to posttraumatic overgrowth necessitating femoral epiphysiodesis. Ten years after initial injury, she reported her knee to be 63% of normal and an International Knee Documentation Committee score of 63.2. Symptomatic overgrowth requiring epiphysiodesis after tibial spine repair has not been previously reported to our knowledge.

CONCLUSION

Tibial spine fixation, although previously associated with growth arrest because of physeal damage, may also result in symptomatic limb overgrowth.

摘要

病例

一名 12 岁女孩在蹦床上跳跃时发生右侧胫骨隆突骨折。术后最初出现关节纤维性黏连，需要在全身麻醉下进行手法松解，随后出现继发于创伤后过度生长的肢体长度差异，需要进行股骨骺阻滞术。初次损伤后 10 年，患者自述其膝关节功能为正常膝关节的 63%，国际膝关节文献委员会（International Knee Documentation Committee，IKDC）评分为 63.2。据我们所知，胫骨隆突修复后出现生长过度导致需要骺阻滞术的症状性过度生长此前尚未有报道。