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坐骨结节和坐骨支陈旧性撕脱骨折的手术治疗:病例报告

Surgical treatment of an old avulsion fracture of the ischial tuberosity and ischial ramus: A case report.

作者信息

Chen Zi-Ru, Liao Shi-Jie, Yang Fu-Chun

机构信息

Department of Orthopedic Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.

出版信息

World J Orthop. 2024 Jan 18;15(1):94-100. doi: 10.5312/wjo.v15.i1.94.

Abstract

BACKGROUND

Avulsion fracture of the ischial tuberosity is a relatively clinically rare type of trauma that is mainly incurred by adolescents during competitive sports activities. According to previous literature, the most commonly involved sports are soccer, sprinting, and gymnastics, in descending order. Dance-induced avulsion fracture of the ischial tuberosity and ischial ramus is extremely clinically rare.

CASE SUMMARY

A case of a neglected avulsion fracture of the ischial tuberosity and ischial ramus was diagnosed in a young female dancer who complained of pain and restricted movement of her right hip. She stated that she had suffered the injury while performing a split leap during a dance performance 9 mo prior. Eventually, she underwent surgery and obtained satisfactory treatment results.

CONCLUSION

Early diagnosis of these fractures is important to ensuring early proper treatment towards a quicker recovery. For old fractures with nonunion and chronic buttock pain, surgery is a preferred therapeutic choice with good treatment outcomes.

摘要

背景

坐骨结节撕脱骨折是一种临床上相对罕见的创伤类型,主要发生在青少年的竞技体育活动中。根据以往文献,最常涉及的运动依次为足球、短跑和体操。舞蹈引起的坐骨结节和坐骨支撕脱骨折在临床上极为罕见。

病例摘要

一名年轻女性舞蹈演员被诊断为坐骨结节和坐骨支陈旧性撕脱骨折,她主诉右髋疼痛且活动受限。她称自己在9个月前的一次舞蹈表演中做劈叉跳跃时受伤。最终,她接受了手术,治疗效果满意。

结论

早期诊断这些骨折对于确保早期进行恰当治疗以实现更快康复很重要。对于骨折不愈合且伴有慢性臀部疼痛的陈旧性骨折,手术是首选的治疗方法,治疗效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1202/10824063/0b0539445ad8/WJO-15-94-g001.jpg

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