Theologis T N, Epps H, Latz K, Cole W G
Division of Orthopaedics, Hospital for Sick Children, Toronto, Ontario, Canada.
Injury. 1997 Jun-Jul;28(5-6):363-4. doi: 10.1016/s0020-1383(97)00017-x.
In a retrospective study of 1126 children with fractures of the proximal third of the femur, three children were found to have isolated fractures of the lesser trochanter. This fracture occurred from a fall in one child and following sporting activities, without a history of injury, in the others. In the latter children, the clinical presentations were similar to those of children with transient synovitis of the hip or Perthes disease. In each child, plain radiographs showed an avulsion fracture of the bony portion of the lesser trochanter. Early and complete recovery followed symptomatic treatment even when there was marked proximal displacement of the avulsed segment of the lesser trochanter.
在一项对1126例股骨近端三分之一骨折患儿的回顾性研究中,发现3例患儿为单纯小转子骨折。其中1例患儿因跌倒导致骨折,另外2例患儿在无受伤史的情况下,于体育活动后发生骨折。对于后2例患儿,其临床表现与髋关节一过性滑膜炎或佩特兹病患儿相似。每例患儿的X线平片均显示小转子骨质部分撕脱骨折。即使小转子撕脱段有明显近端移位,经对症治疗后患儿仍可早期完全康复。