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关节镜下小转子切除术后应力性骨折：诊断与治疗

Stress Fracture after Arthroscopic Lesser Trochanter Resection: Diagnosis and Therapy.

作者信息

Baert Matthieu, Vandekerckhove Maxence, Vanlommel Jan

机构信息

Department of Orthopaedic Surgery, AZ Sint-Lucas, Brugge, Belgium.

出版信息

Hip Pelvis. 2024 Mar 1;36(1):70-75. doi: 10.5371/hp.2024.36.1.70.

DOI:10.5371/hp.2024.36.1.70
PMID:38420740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10929538/
Abstract

We report on the case of a 52-year-old female who presented with a stress fracture after undergoing an endoscopic resection of the lesser trochanter in ischiofemoral impingement, which was resistant to maximal conservative treatment. To the best of our knowledge, this complication has not been previously described. Non-weight-bearing and intravenous alendronic acid were prescribed for management. No additional surgery was required. The patient was pain free with the ability to perform sports on the same level as before and had no complaints.

摘要

我们报告了一例52岁女性病例，该患者因坐骨股骨撞击症接受小转子内镜切除术后出现应力性骨折，对最大程度的保守治疗无效。据我们所知，这种并发症此前尚未有过描述。我们采用非负重和静脉注射阿仑膦酸钠进行治疗。无需额外手术。患者无痛，能够像以前一样进行体育活动，且无任何不适主诉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/743de3014f13/hp-36-1-70-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/1e6bae1c5313/hp-36-1-70-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/4a3986b92b0d/hp-36-1-70-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/57ea2cfe3a75/hp-36-1-70-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/d1f1cd937348/hp-36-1-70-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/9729bbcc8991/hp-36-1-70-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/743de3014f13/hp-36-1-70-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/1e6bae1c5313/hp-36-1-70-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/4a3986b92b0d/hp-36-1-70-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/57ea2cfe3a75/hp-36-1-70-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/d1f1cd937348/hp-36-1-70-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/9729bbcc8991/hp-36-1-70-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/719b/10929538/743de3014f13/hp-36-1-70-f6.jpg

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本文引用的文献

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Ischiofemoral impingement: the evolutionary cost of pelvic obstetric adaptation.坐骨股骨撞击综合征：骨盆产科适应性的进化代价。
J Hip Preserv Surg. 2021 Feb 8;7(4):677-687. doi: 10.1093/jhps/hnab004. eCollection 2020 Dec.
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The Effect of Bisphosphonates on Fracture Healing Time and Changes in Bone Mass Density: A Meta-Analysis.
双膦酸盐对骨折愈合时间和骨密度变化的影响：一项荟萃分析。
Front Endocrinol (Lausanne). 2021 Aug 30;12:688269. doi: 10.3389/fendo.2021.688269. eCollection 2021.
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MRI measurement assessment on ischiofemoral impingement syndrome.坐骨股骨撞击综合征的磁共振成像测量评估
Hip Int. 2023 Jan;33(1):119-125. doi: 10.1177/11207000211007750. Epub 2021 Apr 11.
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Stress Fractures of the Hip and Pelvis.髋部和骨盆的应力性骨折。
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Complications of Hip Endoscopy in the Treatment of Subgluteal Space Pathologies.髋关节内窥镜治疗臀下间隙病变的并发症。
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Treatment strategies for ischiofemoral impingement: a systematic review.耻骨股骨撞击症的治疗策略：系统评价。
Knee Surg Sports Traumatol Arthrosc. 2020 Sep;28(9):2772-2787. doi: 10.1007/s00167-018-5251-5. Epub 2018 Nov 13.
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Endoscopic Lesser Trochanter Resection With Refixation of the Iliopsoas Tendon for Treatment of Ischiofemoral Impingement.内镜下小转子切除术联合髂腰肌肌腱重新固定治疗坐骨股骨撞击症
Arthrosc Tech. 2018 Mar 5;7(4):e321-e325. doi: 10.1016/j.eats.2017.09.010. eCollection 2018 Apr.
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