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[儿童和青少年胫骨结节骨折]

[Rupture of the tibial tuberosity in children and adolescents].

作者信息

Schwarzkopf W

出版信息

Zentralbl Chir. 1983;108(4):200-5.

PMID:6845912
Abstract

The avulsion of the tuberosity of the tibia occurs particularly in male adolescents. Although on the whole being a rare type of injury, it is caused primarily by sports injuries following a sudden contraction of the quadriceps muscle when the knee is bent, especially when jumping. The main symptoms are loss of extensional capacity, local swelling and palpable dislocation. The radiographic differentiation from osteochondrosis of the tibial tuberosity (Osgood-Schlatter) can be difficult, especially if there is a minimal dislocation. Principally, surgical therapy is applied. Depending on the size of the bone - fragment a tension band or fixation with a spongiosal bone screw should be taken into consideration.

摘要

胫骨结节撕脱伤尤其多见于男性青少年。虽然总体而言这是一种罕见的损伤类型,但主要是由膝关节弯曲时股四头肌突然收缩所导致的运动损伤引起的,尤其是在跳跃时。主要症状为伸展能力丧失、局部肿胀以及可触及的脱位。与胫骨结节骨软骨病(奥斯古德-施拉特病)进行影像学鉴别可能存在困难,尤其是在脱位程度轻微时。原则上采用手术治疗。根据骨块大小,应考虑使用张力带或松质骨螺钉进行固定。

相似文献

1
[Rupture of the tibial tuberosity in children and adolescents].[儿童和青少年胫骨结节骨折]
Zentralbl Chir. 1983;108(4):200-5.
2
[Fracture of the tibial apophysis--a typical sports injury in adolescents].
Z Kinderchir. 1987 Jun;42(3):181-3. doi: 10.1055/s-2008-1075580.
3
[Fractures of the tibial tuberosity associated with avulsion of the patellar ligament in adolescents].青少年胫骨结节骨折伴髌韧带撕脱
Rev Chir Orthop Reparatrice Appar Mot. 1995;81(7):635-8.
4
Simultaneous bilateral avulsion fracture of the tibial tuberosity. A case report.双侧胫骨结节同时撕脱骨折。病例报告。
Clin Orthop Relat Res. 1988 Apr(229):232-5.
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[Rupture of the juvenile tibial tuberosity--classification and therapy recommendations based on a case history].[青少年胫骨结节骨折——基于病例的分类及治疗建议]
Z Orthop Ihre Grenzgeb. 1983 May-Jun;121(3):320-3. doi: 10.1055/s-2008-1051365.
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[Apophyseal injuries of the pelvis and tibia in adolescent athletes].
Z Kinderchir. 1987 Jun;42(3):184-6. doi: 10.1055/s-2008-1075581.
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Tibial tuberosity fracture in adolescents--report of a case and review of the literature.青少年胫骨结节骨折——1例报告并文献复习
Neth J Surg. 1987 Oct;39(5):144-6.
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Avulsion fractures of tibial tuberosity in adolescents. Treatment with closed reduction and percutaneous screwing, using MRI to identify combined intraarticular lesions.青少年胫骨结节撕脱骨折。采用闭合复位和经皮螺钉固定治疗,利用磁共振成像识别合并的关节内损伤。
Saudi Med J. 2005 Oct;26(10):1636-9.
9
Atypical tibial tuberosity fracture in an adolescent.青少年非典型胫骨结节骨折。
Orthopedics. 2011 Jun 14;34(6):215. doi: 10.3928/01477447-20110427-30.
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[Fracture due to bilateral avulsion of the tuberosity of the shin bone (tibia). A case report].[双侧胫骨结节撕脱性骨折。病例报告]
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