一例采用同种异体移植手术重建治疗的小儿跟腱断裂伴大间隙漏诊病例报告
A Missed Pediatric Achilles Tendon Rupture with a Large Gap Managed with Surgical Reconstruction with Allograft: A Case Report.
作者信息
van Oudtshoorn Sarah, Maor Dror
机构信息
Orthopaedic Department, Perth Children's Hospital, Perth, Western Australia.
出版信息
JBJS Case Connect. 2023 Feb 3;13(1). doi: e22.00377. eCollection 2023 Jan 1.
CASE
A 15-year-old adolescent girl presented with a complete Achilles tendon rupture from playing netball, which was diagnosed 6 weeks later. Unfortunately, there was a significant deficit of 92 mm, and an allograft reconstruction was required to bridge the gap.
CONCLUSION
Achilles tendon ruptures are rare in children and adolescents without a penetrating injury, but the diagnosis must not be missed. Achilles tendon ruptures should be considered in children with acute-onset ankle pain during running, jumping, or sudden dorsiflexion of the ankle. Tendon transfers and allograft may be required after rupture and retraction has occurred in subacute or chronic injuries.
病例
一名15岁少女因打无挡板篮球导致跟腱完全断裂，6周后确诊。遗憾的是，缺损达92毫米，需要进行同种异体移植重建来填补缺口。
结论
在无穿透伤的儿童和青少年中，跟腱断裂很少见，但绝不能漏诊。对于在跑步、跳跃或踝关节突然背屈时出现急性踝关节疼痛的儿童，应考虑跟腱断裂。在亚急性或慢性损伤发生断裂和回缩后，可能需要进行肌腱转移和同种异体移植。
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