学龄期儿童胫骨疲劳性骨折  

Fatigue Fracture of Tibia in School Age Children.

作　　者：尚希福[1,2,3] 徐志华[1,2,3] 申才良 

机构地区：[1]安徽省立医院骨科 [2]安徽省立儿童医院骨科 [3]安徽医科大学附属医院骨科

出　　处：《中华小儿外科杂志》1998年第6期358-360,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的：掌握学龄期儿童胫骨疲劳性骨折特点并正确诊断。方法：分析临床资料比较齐全的９例患儿。结果：临床特点是活动后疼痛，休息后好转，无夜间痛；局部压痛肿胀，应力试验时疼痛；Ｘ线片开始２周～４个月可能为阴性，随后表现局部骨膜反应，进而骨膜下骨髓内骨痂，后期形成新骨。治疗采取保守治疗，石膏固定。结论：学龄期胫骨疲劳性骨折的诊断，要注意与骨髓炎、骨肉瘤和骨样骨瘤区别，预后良好。Objective: To characterize the clinical presentation of fatigue fracture of tibia in school age children. Methods: Records of 9 patients under the age of eight with fatigue fracture of tibia were reviewed. Results: The most common complaint was pain, which was relieved by resting. Physical examination revealed local tenderness. redness, swelling and pain. X rays were usually unremarkable for a period of 2 weeks to 4 months. Subsequent serial radiological study revealed periosteal callus formation. All the patients underwent nonoperative treatment with application of plaster. Conclusions: Fatigue fracture of tibia in children of school age should be distinguished from osteomyelitis, osteosarcoma or osteoid osteoma. The prognosis is good.

关 键 词：疲劳性骨折 胫骨骨折 儿童 诊断 治疗 

分 类 号：R726.834.2[医药卫生—儿科]