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一名六岁女童股骨颈骨折的罕见病例。

A Rare Case of Femoral Neck Fracture in a Six-Year-Old Girl.

作者信息

Fallatah Seddig M, Daghriri Yaquob A, Afifi Amgad A, Alghamdi Faisal A, Zein Ayman F

机构信息

Orthopedic Surgery, King Salman Armed Forces Hospital, Tabuk, SAU.

出版信息

Cureus. 2021 Aug 23;13(8):e17373. doi: 10.7759/cureus.17373. eCollection 2021 Aug.

Abstract

Proximal femur fractures are rare pediatric injuries associated with high energy trauma as well as polytrauma. Injuries during childhood can cause a significant disability in some cases. The four Delbet classifications of femur fractures are frequently used as prognostic for potential avascular necrosis. Necessary treatment is urgent and needs to be tailored to the fracture type and patient age. This case report presents the detailed history, examination, and treatment of a six-year-old girl with an uncommon site of pediatric fracture at the femoral neck combined with an ipselateral displaced talus fracture due to a fall from the second floor. Talus fracture was missed and discovered in operation room; however, both fractures are highly associated with avascular necrosis and post-traumatic arthritis. The patient was followed for two years on regular basis after the initial operation with a normal gait, full range of motion, and no active complain.

摘要

股骨近端骨折是罕见的儿童损伤,与高能量创伤以及多发伤相关。儿童期损伤在某些情况下可导致严重残疾。股骨骨折的四种德尔贝分类法常被用作潜在缺血性坏死的预后指标。必要的治疗很紧急,需要根据骨折类型和患者年龄进行调整。本病例报告介绍了一名6岁女孩的详细病史、检查和治疗情况,该女孩因从二楼坠落导致股骨颈出现罕见的儿童骨折部位,并伴有同侧距骨移位骨折。距骨骨折在手术室被漏诊,后来才发现;然而,这两处骨折都与缺血性坏死和创伤后关节炎高度相关。初次手术后,患者接受了两年的定期随访,步态正常,活动范围正常,无主动不适主诉。

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