成人髂前上棘和下棘创伤性撕脱：一例报告。
Traumatic avulsion of the anterior superior and inferior iliac spines in adult: A case report.
作者信息
Sammouni Otmane, Zari Saber, Najib Abdeljaouad, Yacoubi Hicham
机构信息
Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Department of Traumatology, Orthopedic Mohammed VI University Hospital Mohammed I University, Oujda, Morocco.
出版信息
Trauma Case Rep. 2023 Jun 7;46:100872. doi: 10.1016/j.tcr.2023.100872. eCollection 2023 Aug.
INTRODUCTION
Avulsion fractures of the anterior superior and inferior iliac spines are rare fractures. They are mostly observed in adolescents during sports accidents, traumatic forms are even more exceptional.
CASE REPORT
Here we report a case of simultaneous and homolateral avulsion fractures of both anterior superior and anterior inferior iliac spines in a 35-year-old male adult after a motorcycle accident. Surgical treatment using an open reduction and fixation of the two spines was performed with very good functional outcomes. Surgical management of iliac spine avulsion fractures allows recovery of the subsequent level of sports activity in most cases.
CONCLUSION
Avulsion fractures of the anterior superior and inferior iliac spines are rare fractures. Surgical management of iliac spine avulsion fractures allows recovery of the subsequent level of sports activity in most cases. Orthopedic treatment is still used for the management of this type of injury, thus comparative studies are needed to refine the criteria for surgery.
引言
髂前上棘和髂前下棘撕脱骨折是罕见的骨折。它们大多在青少年运动事故中被观察到，创伤性骨折形式更为罕见。
病例报告
在此我们报告一例35岁成年男性在摩托车事故后同时发生同侧髂前上棘和髂前下棘撕脱骨折的病例。采用开放复位和固定两个棘突的手术治疗，功能预后良好。在大多数情况下，髂棘撕脱骨折的手术治疗能使后续运动活动水平恢复。
结论
髂前上棘和髂前下棘撕脱骨折是罕见的骨折。在大多数情况下，髂棘撕脱骨折的手术治疗能使后续运动活动水平恢复。骨科治疗仍用于此类损伤的处理，因此需要进行比较研究以完善手术标准。
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