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[髂嵴骨骺炎。儿童腰背痛和骨盆痛鲜为人知的病因]

[Apophysitis of the iliac crest. A little known cause of low back pain and pelvic pain in children].

作者信息

Taussig G, Aufaure P, Pilliard D

机构信息

Service de Chirurgie Orthopédique et Rééducation Pédiatrique, Institut National de Réadaptation, Saint Maurice.

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1993;79(1):58-61.

PMID:8284470
Abstract

The authors describe an iliac osteochondrosis in 98 teenagers aged of 12 to 17 years, responsible for anterior, medial or posterior pains of pelvis and the lumbar zone, squaring with the period of ossification of the iliac crest. The spontaneous pain was revived by pressing a precise zone of the iliac crest. These pains have the usual characteristics of the pains of ossification of apophysis. The identification of the characteristics allows to avoid any further investigation which will have to be realised in case of doubt or modification of the evoluting symtomatology. It is to recognize this cause of pain so as not to attribute it to a regional morphological anomaly that may lead to excessive surgical indications. The evolution was constantly favourable after a few weeks delay. Only a momentary and adapted restriction of sporting activities is justified.

摘要

作者描述了98名年龄在12至17岁青少年中的髂骨骨软骨病,该病导致骨盆和腰椎区域的前侧、内侧或后侧疼痛,与髂嵴的骨化期相符。通过按压髂嵴的一个精确区域可使自发疼痛重现。这些疼痛具有骨骺骨化疼痛的常见特征。识别这些特征可避免在疑虑或症状演变发生变化时进行进一步检查。应认识到这种疼痛原因,以免将其归因于可能导致过度手术指征的区域形态异常。经过几周的延迟,病情发展始终良好。仅需对体育活动进行短暂且适当的限制。

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