St Pierre P, Staheli L T, Smith J B, Green N E
Madigan Army Medical Center, Tacoma, WA 98431, USA.
J Pediatr Orthop. 1995 Jul-Aug;15(4):470-3. doi: 10.1097/01241398-199507000-00012.
Five new cases of femoral neck stress fracture in children and adolescents are added to seven cases in the literature. All patients were involved in increased repetitive activity without evidence of violent trauma. Most fractures healed uneventfully with appropriate treatment. However, increased morbidity from displacement of the fracture, delayed union, nonunion, or avascular necrosis does occur in this age group and needs to be avoided. A delayed union healed after treatment in a spica cast; a nonunion and a displaced fracture healed after internal fixation. All patients returned to their previous level of activity. Our treatment algorithm addresses the unique differences associated with this injury in immature patients and allows for early diagnosis and treatment to prevent complications.
儿童和青少年股骨颈应力性骨折新增5例，文献中另有7例。所有患者均参与了重复性增加的活动，无暴力创伤证据。多数骨折经适当治疗顺利愈合。然而，该年龄组确实会出现因骨折移位、愈合延迟、骨不连或缺血性坏死导致的发病率增加，需加以避免。1例愈合延迟患者经髋人字石膏治疗后愈合；1例骨不连和1例移位骨折经内固定后愈合。所有患者均恢复至先前的活动水平。我们的治疗方案针对未成熟患者这一损伤的独特差异，实现早期诊断和治疗以预防并发症。
