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胫骨结节移位骨折切开复位内固定术后突发不明原因腿痛：一名青少年运动员深静脉血栓形成的病例报告

Sudden Onset of Unexplained Leg Pain Following Open Reduction and Internal Fixation of a Displaced Tibial Tuberosity Fracture: A Case Report of Deep Venous Thrombosis in an Adolescent Athlete.

作者信息

Fakih Mustafa, Alfaisali Saleh, Hamdy Reggie C

机构信息

College of Medicine, McGill University, Montreal, CAN.

Pediatric Orthopedic Surgery, Shriners Hospitals for Children, Montreal, CAN.

出版信息

Cureus. 2024 Dec 19;16(12):e76019. doi: 10.7759/cureus.76019. eCollection 2024 Dec.

DOI:10.7759/cureus.76019
PMID:39835017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11743534/
Abstract

This case report presents a 16-year-old basketball player, who developed deep venous thrombosis (DVT) following surgical intervention for a displaced tibial tuberosity fracture and forearm fractures. Despite few identifiable thrombotic risk factors, the patient's postoperative course was complicated by unexplained leg pain, fever, and ultimately confirmed DVT. Prompt management with therapeutic anticoagulation and multidisciplinary care led to favourable outcomes. High-risk scores and diagnostic challenges underscore the complexity of anticipating a DVT in paediatric orthopaedic patients. This case highlights the importance of clinical vigilance in recognizing and managing DVT in young athletes undergoing orthopaedic surgery. Further research is needed to refine risk stratification and treatment guidelines for paediatric patients to mitigate the potential morbidity of postoperative DVT.

摘要

本病例报告介绍了一名16岁的篮球运动员，该患者在接受胫骨结节骨折移位和前臂骨折的手术干预后发生了深静脉血栓形成（DVT）。尽管可识别的血栓形成危险因素很少，但患者的术后病程仍因无法解释的腿痛、发热而复杂化，最终确诊为DVT。及时进行治疗性抗凝管理和多学科护理取得了良好的效果。高风险评分和诊断挑战凸显了预测儿科骨科患者发生DVT的复杂性。本病例强调了临床警惕性在识别和管理接受骨科手术的年轻运动员DVT方面的重要性。需要进一步研究以完善儿科患者的风险分层和治疗指南，以减轻术后DVT的潜在发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43f9/11743534/d86307172767/cureus-0016-00000076019-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43f9/11743534/4c9c6609859a/cureus-0016-00000076019-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43f9/11743534/3add1e62868e/cureus-0016-00000076019-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43f9/11743534/d7ad723ba746/cureus-0016-00000076019-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43f9/11743534/d86307172767/cureus-0016-00000076019-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43f9/11743534/4c9c6609859a/cureus-0016-00000076019-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43f9/11743534/3add1e62868e/cureus-0016-00000076019-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43f9/11743534/d7ad723ba746/cureus-0016-00000076019-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43f9/11743534/d86307172767/cureus-0016-00000076019-i04.jpg

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本文引用的文献

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Pediatric Orthopaedic Venous Thromboembolism: A Systematic Review Investigating Incidence, Risk Factors, and Outcome.小儿骨科静脉血栓栓塞症：一项关于发病率、危险因素及预后的系统评价
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Venous thromboembolism in children undergoing surgery: incidence, risk factors and related adverse events.接受手术的儿童静脉血栓栓塞：发病率、危险因素及相关不良事件
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