儿童胫骨应力性骨折  

Tibial stress fractures in children

作　　者：蔡迎[1] 孙永胜[1] 杨建平[1] 张质彬[1] 戴祥麒[1] 

机构地区：[1]天津医院小儿骨科,300211

出　　处：《中华小儿外科杂志》2002年第2期138-140,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的　总结儿童胫骨应力骨折的特点及诊断治疗体会。方法　 1995～ 1998年治疗儿童应力性骨折 13例 ,诊断依据①准确的病史 :参加了不习惯的 ,重复费力的活动 ,疼痛呈间歇性发作 ,活动后疼痛或疼痛加重 ,休息后缓解 ;②体征 :局限性压痛而无软组织肿块 ;③适当的影像学检查 ,最常累及胫骨上 1/ 3的后内侧。 13例采用保守治疗的方法 ,如减少活动、休息和局部石膏托固定治疗。结果　经上述处理 ,13例均获治愈。恢复体育锻炼或训练。结论　虽然儿童胫骨应力骨折相对少见。但遇有上述典型的病史、体征时 ,应高度怀疑之 ,并做适当的影像学检查。病史、体征不典型 ,但X线平片上有明显新生骨形成时 ,特点是位于胫骨上 1/ 3的后内侧 ,应考虑到应力骨折 ,以区别骨感染和骨肿瘤 ,做出正确诊断 。Objective To study the characteristics and management of tibial stress fractures in children.Methods Thirteen children with tibial stress fractures were admitted between 1995～1998. Presenting symptoms: pain commenced after participation in unaccustomed exercise, aggravated by further exercise and relieved by rest, local tenderness without soft tissue swelling. The radiological features most commonly affected the posterior medial aspect of the upper 1/3 of tibia. The patients were treated with conservative procedure as reduction of physical exercise, rest and plaster support.Results All 13 children recovered and resumed physical exercise.Conclusions Tibial stress fractures in children though rare are characteristic in presentation.

关 键 词：胫骨应力性骨折 治疗 诊断 X线诊断 儿童 

分 类 号：R726.8[医药卫生—儿科]