厚皮性骨膜病合并后十字韧带股骨止点撕脱骨折一例报告及文献复习  

A case report of pachydermoperiostosis combined with posterior cruciate ligament femoral insertion avulsion fracture and literature review

作　　者：汪松 文耿傲 万丰 唐金龙 李浩 郑伟 Wang Song;Wen Gengao;Wan Feng;Tang Jinlong;Li Hao;Zheng Wei(Department of Orthopaedic,the Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China)

机构地区：[1]徐州医科大学附属医院骨科,徐州221000

出　　处：《中华骨科杂志》2024年第1期41-47,共7页Chinese Journal of Orthopaedics

基　　金：徐州市科技计划项目(ZYSB20210551)。

摘　　要：报告1例厚皮性骨膜病合并后十字韧带股骨止点撕脱骨折。撕脱骨折经关节镜下单骨道带襻钛板悬吊固定术式治愈,厚皮性骨膜病经非甾体抗炎药对症处理症状好转。以("pachydermoperiostosis"OR"primary hypertrophic osteoarthropathy"OR"Touraine-solente-gole syndrome")OR("posterior cruciate ligament"AND"avulsion fracture")为关键词检索文献并复习。确认本例厚皮性骨膜病合并后十字韧带股骨止点撕脱骨折患者为首次报告,检索并纳入后十字韧带股骨止点撕脱骨折文献14篇、厚皮性骨膜病相关文献7篇。回顾厚皮性骨膜病对骨质的影响,后十字韧带股骨止点撕脱骨折的可能因素,总结关节镜下单骨道带襻钛板悬吊固定术式的优势。厚皮性骨膜病是罕见的常染色体隐性遗传病,后十字韧带股骨止点撕脱骨折发病率极低,是严重影响膝关节稳定性的运动损伤,经过积极治疗可获得满意的治疗效果。This study reports a case of pachydermoperiostosis combined with posterior cruciate ligament femoral insertion avulsion fracture.The avulsion fracture was treated by arthroscopic surgery of suspension fixation.The symptom of the pachydermoperiostosis was relieved by non-steroidal anti-inflammatory drugs.Literature search and review were carried out by searching the key words of("pachydermoperiostosis"OR"primary hypertrophic osteoarthropathy"OR"Touraine-solente-gole syndrome")OR("posterior cruciate ligament"AND"avulsion fracture").This patient was confirmed to be the first case reported suffering both diseases mentioned above.For the search results,there were 14 articles on posterior cruciate ligament femoral insertion avulsion fracture and 7 articles on pachydermoperiostosis.This study focused on the impact of pachydermoperiostosis on bone quality,possible factors for the avulsion fracture,and the advantages of arthroscopic surgery.Pachydermoperiostosis is a rare autosomal recessive disease.The incidence of posterior cruciate ligament femoral insertion avulsion fracture is extremely low.It is a seriously sports injury affecting the stability of the knee joint.Standardized surgical treatment can help patients obtain a satisfactory clinical outcome.

关 键 词：骨关节病 原发肥大性 后交叉韧带 骨折 撕脱性 关节镜检查 

分 类 号：R683[医药卫生—骨科学]