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一名年轻男性士兵发生完全移位的股骨颈应力性骨折,几乎无功能影响:病例报告

Completely Displaced Femoral Neck Stress Fracture in a Young Male Soldier With Almost No Functional Impact: A Case Report.

作者信息

Alhawas Abdulaziz, Abahussain Munira, Alghamdi Shahad G, Alfarhan Abdullah

机构信息

Orthopedic Surgery, King Fahad University Hospital, Alkhobar, SAU.

Orthopedic Surgery, King Fahad Specialist Hospital, Dammam, SAU.

出版信息

Cureus. 2023 Jan 11;15(1):e33629. doi: 10.7759/cureus.33629. eCollection 2023 Jan.

Abstract

Stress fracture in general is a well-known condition that can be found commonly in healthy athletes and military personnel. These fractures occur due to bone fatigue in response to the repetitive stress of exercise. Although few reports on stress fractures among military personnel and active young athletes can be found in previous literature, we present this case report of a young military soldier that had a completely displaced neck of femur fracture with no functional limitation for seven days prior to seeking medical advice; the patient was operated on and followed for three years after and did not develop complications associated with this kind of fracture. A reduction of neck of femur fracture and fixation in valgus position to maintain good reduction with weight-bearing as done in our case have assisted in reducing avascular necrosis (AVN) risk despite the high displacement and delayed operative intervention due to the patient's late presentation.

摘要

一般来说,应力性骨折是一种众所周知的病症,常见于健康的运动员和军事人员。这些骨折是由于运动的反复应力导致骨疲劳而发生的。尽管以往文献中关于军事人员和活跃的年轻运动员应力性骨折的报道较少,但我们在此呈现一例年轻士兵的病例报告,该士兵股骨颈骨折完全移位,在寻求医疗建议前七天无功能受限;患者接受了手术,并在术后随访三年,未出现与这种骨折相关的并发症。如我们病例中所做的那样,对股骨颈骨折进行复位并在外翻位固定以在负重时保持良好复位,尽管由于患者就诊延迟导致移位严重且手术干预延迟,但有助于降低缺血性坏死(AVN)风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c8/9835845/f4c4890db778/cureus-0015-00000033629-i01.jpg

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