Swischuk L E, John S D, Tschoepe E J
Radiology and Pediatrics, The University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USA.
Pediatr Radiol. 1999 Jan;29(1):6-9. doi: 10.1007/s002470050523.
We describe the radiographic findings associated with occult upper tibial fractures in infants and young children and offer an explanation for the underlying mechanism from which they result. These fractures tend to be subtle, just as the classic spiral tibial fracture originally described by Dunbar et al. (1964, J Can Assoc Radiol 15: 136-144). The fracture we describe results from a hyperextension injury to the knee, and the knowledge of the mechanism of injury, the subtle radiographic findings, and the findings on physical examination allow one to diagnose this fracture with confidence. Otherwise, it easily can go undetected.
我们描述了婴幼儿隐匿性胫骨上段骨折的影像学表现，并对其发生的潜在机制作出解释。这些骨折往往很隐匿，正如Dunbar等人（1964年，《加拿大放射学会杂志》15: 136 - 144）最初描述的典型螺旋形胫骨骨折一样。我们所描述的骨折是由膝关节过伸损伤导致的，了解损伤机制、细微的影像学表现以及体格检查结果有助于医生自信地诊断这种骨折。否则，它很容易被漏诊。
