复发性股骨头软骨下骨不全骨折：一例报告
Recurrent Subchondral Insufficiency Fracture of the Femoral Head: A Case Report.
作者信息
Ishibashi Takuya, Kinoshita Koichi, Minokawa Ayumi, Yamamoto Takuaki
机构信息
Department of Orthopedic Surgery, Fukuoka University, Faculty of Medicine, Fukuoka 814-0180, Japan.
Department of Orthopedic, Matsunaga Hospital, Fukuoka 814-0142, Japan.
出版信息
J Orthop Case Rep. 2024 Apr;14(4):105-109. doi: 10.13107/jocr.2024.v14.i04.4376.
INTRODUCTION
Subchondral insufficiency fracture (SIF) of the femoral head has been reported to occur in older women with osteoporosis. No cases with recurrence of SIF at another site in the ipsilateral femoral head have been described.
CASE REPORT
We report a case of a 75-year-old woman with recurrent SIF at another site in the ipsilateral femoral head. SIF was first observed at an anterolateral site on the femoral head and treated non-operatively. The hip pain disappeared after 3 months but recurred 5 months later when another SIF was newly observed at a posterolateral-to-medial site on the femoral head. This SIF was also treated non-operatively. Five months later, the pain was alleviated, but progression of osteoarthritis was seen on X-rays.
CONCLUSION
After an initial SIF, the possibility of recurrence should be considered if pain recurs, even on the ipsilateral side.
引言
据报道，股骨头下骨不全骨折（SIF）发生于患有骨质疏松症的老年女性。同侧股骨头其他部位出现SIF复发的病例尚无相关描述。
病例报告
我们报告一例75岁女性，其同侧股骨头另一部位出现SIF复发。SIF首次出现在股骨头前外侧部位，接受非手术治疗。髋部疼痛在3个月后消失，但5个月后复发，此时在股骨头后外侧至内侧部位新出现了另一处SIF。该SIF也接受了非手术治疗。5个月后，疼痛缓解，但X线显示骨关节炎有所进展。
结论
初次发生SIF后，即使在同侧，如果疼痛复发，应考虑复发的可能性。
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