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儿童股骨内侧髁霍法骨折

Hoffa's fracture of the medial femoral condyle in child.

作者信息

Mohammed Tazi Charki, Mahmoud Mohammed, Hicham Abdellaoui, Karima Atarraf, Abderrahmane Afifi Moulay

机构信息

Department of Paediatric Orthopaedic and Traumatology, University Hospital Hassan II, Sidi Mohamed Ben Abdellah University, The Faculty of Medicine and Pharmacy of Fez, Boite Postale 1893, KM 2.200 Route, Sidi Harazem Fès 30070, Morocco.

出版信息

Trauma Case Rep. 2023 Aug 21;47:100919. doi: 10.1016/j.tcr.2023.100919. eCollection 2023 Oct.

Abstract

Hoffa's fracture is defined as a fracture of the femoral condyle in the coronal plane. It's more common in the lateral condyle and often described in adult. We report a rare case of Hoffa's fracture of medial condyle in immature skeleton in 10-year-old girl. The diagnosis was suspected in the X-Ray and confirmed by CT-scan. The patient was treated by open reduction and internal fixation. At two years follow up, the clinical and radiological outcomes were good. Hoffa's fracture of the medial condyle is exceptional in paediatric population. Diagnosis can be missed requiring CT-scan confirmation. The reduction of this fracture must be anatomical to prevent complications.

摘要

霍法骨折被定义为股骨髁在冠状面的骨折。它在外髁更为常见,且常见于成年人。我们报告了一例10岁女童未成熟骨骼中内侧髁霍法骨折的罕见病例。X线检查怀疑有该诊断,CT扫描予以确诊。患者接受了切开复位内固定治疗。随访两年时,临床和影像学结果良好。内侧髁霍法骨折在儿童人群中较为罕见。诊断可能会被漏诊,需要CT扫描来确诊。该骨折的复位必须达到解剖复位以预防并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8871/10477734/759727c5d1b4/gr1.jpg

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