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诊断陷阱:一名职业足球运动员的胫骨前应力性骨折——病例报告

Diagnostic Pitfalls: Anterior Tibial Stress Fracture in a Professional Football Player - A Case Report.

作者信息

Shah Zakir Ali, Hammadi Badr Al, Ismaily Habib Al, Nidal Abdulla, Madani Khaled Al, Jawi Zainab Al

机构信息

Department of Trauma and Orthopedic, Rashid Hospital, Dubai, United Arab Emirates.

出版信息

J Orthop Case Rep. 2025 Sep;15(9):208-212. doi: 10.13107/jocr.2025.v15.i09.6072.

DOI:10.13107/jocr.2025.v15.i09.6072
PMID:40936829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12422666/
Abstract

INTRODUCTION

Early stress fractures sometimes go undetected or are misdiagnosed due to unusual subtle symptoms; anterior tibial fractures are mostly tiny unilateral fractures involving the diaphyseal portion of the tibia as a result of repetitive microtrauma as deemed in intense athletes. Incomplete anterior tibial stress fractures are very rare, particularly when they occur bilaterally in football players.

CASE REPORT

Here, we discuss a rare clinical case of a sportsman who presented in our hospital. A 26-year-old professional football player presented to us in July 2024 with bilateral leg pain which worsened on playing football. The plain radiograph showed that the middle part of the left side tibial shaft anteriorly had higher density, while the right side was unremarkable; which was further investigated with computed tomography scan on left side on presentation and magnetic resonance imaging on right side on 3 months follow up.

CONCLUSION

A thorough review of the patient's history is essential when evaluating persistent leg pain associated with repetitive activities. Our report emphasis importance of early recognition and surgical intervention in seeking rapid return to play and be active especially in athletes.

摘要

引言

早期应力性骨折有时会因症状不典型而未被发现或误诊;胫骨前部骨折大多是微小的单侧骨折,发生在胫骨骨干部分,是由高强度运动员反复遭受微创伤所致。不完全性胫骨前部应力性骨折非常罕见,尤其是在足球运动员双侧发生时。

病例报告

在此,我们讨论一名在我院就诊的运动员的罕见临床病例。一名26岁的职业足球运动员于2024年7月因双侧腿痛前来就诊,踢足球时疼痛加剧。X线平片显示左侧胫骨干中部前方密度较高,而右侧无明显异常;就诊时对左侧进行了计算机断层扫描,3个月后对右侧进行了磁共振成像进一步检查。

结论

在评估与重复性活动相关的持续性腿痛时,全面回顾患者病史至关重要。我们的报告强调了早期识别和手术干预对于运动员快速恢复比赛和保持活跃的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/9a76ca2fdb38/JOCR-15-208-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/e22dd965e9b5/JOCR-15-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/87702bfd16c4/JOCR-15-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/6c3b7069848d/JOCR-15-208-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/0de62b9bd2a5/JOCR-15-208-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/d5d346ae212a/JOCR-15-208-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/9a76ca2fdb38/JOCR-15-208-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/e22dd965e9b5/JOCR-15-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/87702bfd16c4/JOCR-15-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/6c3b7069848d/JOCR-15-208-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/0de62b9bd2a5/JOCR-15-208-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/d5d346ae212a/JOCR-15-208-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a4b/12422666/9a76ca2fdb38/JOCR-15-208-g006.jpg

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