FEMORAL-NECK STRESS-FRACTURES IN CHILDREN AND ADOLESCENTS

被引:24
作者
PIERRE, PS
STAHELI, LT
SMITH, JB
GREEN, NE
机构
[1] Madigan Army Medical Center, Tacoma
[2] Department of Orthopedics, University of Washington School of Medicine, Children's Hospital and Medical Center, Seattle, WA
[3] Orthopedic Associates, Inc. P.S, Seattle, WA
[4] Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN
关键词
FEMORAL NECK; PEDIATRIC; STRESS FRACTURE; TREATMENT;
D O I
10.1097/01241398-199507000-00012
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Five new cases of femoral neck stress fracture in children and adolescents are added to seven cases in the literature. Ah 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.
引用
收藏
页码:470 / 473
页数:4
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