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双侧滑车缺血性坏死:一例报告并文献简要综述

Bilateral trochlear avascular necrosis: A case report and brief review of the literature.

作者信息

Bakarman Khalid, Alghnimei Naief, Borai Sultana, Alfadhil Rheema

机构信息

Orthopedic Surgery Consultant, King Saud University Medical City, Riyadh, Saudi Arabia.

Pediatric Orthopedic Surgery Fellow, Orthopedic Surgery, King Saud University Medical City, Riyadh, Saudi Arabia.

出版信息

Int J Surg Case Rep. 2021 Sep;86:106303. doi: 10.1016/j.ijscr.2021.106303. Epub 2021 Aug 10.

Abstract

INTRODUCTION AND IMPORTANCE

Trochlear AVN is a very rare entity with only a limited number of cases being reported.

CASE PRESENTATION

Our case is interesting as it presents a case of an incidentally found bilateral trochlear AVN in a 12 year-old child when he presented with an undisplaced right supracondylar fracture.

CLINICAL DISCUSSION

It is highly likely that an unknown underlying predisposing factor, possibly recurrent microtrauma, was responsible for the bilateral occurrence.

CONCLUSION

We recommend further research to identify other etiological and predisposing factors, as the etiological factors still remain unclear, despite the available literature.

摘要

引言与重要性

滑车缺血性坏死是一种非常罕见的病症,仅有少数病例被报道。

病例介绍

我们的病例很有意思,一名12岁儿童因无移位的右侧髁上骨折就诊时,偶然发现双侧滑车缺血性坏死。

临床讨论

很可能存在一个未知的潜在诱发因素,可能是反复的微创伤,导致了双侧发病。

结论

尽管已有相关文献,但病因仍不明确,我们建议进一步研究以确定其他病因和诱发因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19c4/8365461/6a8371102863/gr1.jpg

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