BACKGROUNDHip avulsion fractures occur mostly during adolescence when actions such askicking or running cause forceful contraction of attached muscle.Osteochondroma is benign tumor that mostly occurs at the metaphysis...BACKGROUNDHip avulsion fractures occur mostly during adolescence when actions such askicking or running cause forceful contraction of attached muscle.Osteochondroma is benign tumor that mostly occurs at the metaphysis of a longbone, being usually asymptomatic.CASE SUMMARYA 15-year-old patient experienced feeling and sound of a break while kicking aball in soccer game three years prior to his visit to our hospital. A simple X-rayrevealed an avulsion fracture of the apophysis of the anterior inferior iliac spine(AIIS). Later in the follow-up X-ray, a palpable mass was found and demonstratedby magnetic resonance imaging to be a pedunculated osteochondroma in thesuperolateral aspect of the AIIS. For surgical treatment, we performed osteotomyfor surgical excision and excisional biopsy. A mass with smooth surface and anunclear superolateral AIIS border was found intraoperatively. Pathologic examshowed definite diagnosis of osteochondroma. Postoperatively, discomfort duringhip flexion was improved, and the hip joint range of motion during walking wasrecovered at the last follow-up, which was three weeks after the surgery.CONCLUSIONThis is a rare case to demonstrate relevant previous trauma history prior to theformation of osteochondroma.展开更多
目的探讨合并棘下撞击的髋臼盂唇损伤患者的临床特征并对髋关节镜术后疗效进行评价。方法选择2019年9月至2020年6月我院诊断为合并棘下撞击的髋臼盂唇损伤患者30例,其中男12例,女18例;年龄18~56岁,平均(32.8±10.8)岁。30例患者在...目的探讨合并棘下撞击的髋臼盂唇损伤患者的临床特征并对髋关节镜术后疗效进行评价。方法选择2019年9月至2020年6月我院诊断为合并棘下撞击的髋臼盂唇损伤患者30例,其中男12例,女18例;年龄18~56岁,平均(32.8±10.8)岁。30例患者在髋关节镜下行盂唇修复术、髂前下棘成形术及股骨成形术。术前利用X线片、三维CT和核磁共振等检查明确诊断,术后复查CT了解减压情况。选择疼痛视觉模拟评分(visual analogue scale,VAS),改良Harris髋关节评分(modified Harris hip score,mHHS),日常活动的髋关节功能评分(hip outcome score-activities of daily living,HOS-ADL),体育运动专用髋关节评分(hip outcome score-sports specific subscale,HOS-SSS)评定患者的临床疗效。结果患者均获随访,随访时间8~15个月,平均随访(10.2±5.6)个月。CT提示该组患者均为髂前下棘Ⅱ型增生。患者术前HOS-ADL、HOS-SSS、mHHs评分分别为(50.8±8.3)分、(42.6±10.5)分、(60.5±13.5)分,术后6个月时分别为(86.3±9.6)分、(83.8±8.5)分、(85.6±10.2)分,均较术前显著提高(P<0.001);术前VAS评分为(5.4±3.5)分,术后6个月时为(1.6±0.8)分,较术前显著降低(P<0.001)。结论利用髋关节镜治疗合并棘下撞击的髋臼盂唇损伤患者,能对髂前下棘充分减压并可有效缓解症状,其近期临床疗效良好。展开更多
文摘BACKGROUNDHip avulsion fractures occur mostly during adolescence when actions such askicking or running cause forceful contraction of attached muscle.Osteochondroma is benign tumor that mostly occurs at the metaphysis of a longbone, being usually asymptomatic.CASE SUMMARYA 15-year-old patient experienced feeling and sound of a break while kicking aball in soccer game three years prior to his visit to our hospital. A simple X-rayrevealed an avulsion fracture of the apophysis of the anterior inferior iliac spine(AIIS). Later in the follow-up X-ray, a palpable mass was found and demonstratedby magnetic resonance imaging to be a pedunculated osteochondroma in thesuperolateral aspect of the AIIS. For surgical treatment, we performed osteotomyfor surgical excision and excisional biopsy. A mass with smooth surface and anunclear superolateral AIIS border was found intraoperatively. Pathologic examshowed definite diagnosis of osteochondroma. Postoperatively, discomfort duringhip flexion was improved, and the hip joint range of motion during walking wasrecovered at the last follow-up, which was three weeks after the surgery.CONCLUSIONThis is a rare case to demonstrate relevant previous trauma history prior to theformation of osteochondroma.
文摘目的探讨合并棘下撞击的髋臼盂唇损伤患者的临床特征并对髋关节镜术后疗效进行评价。方法选择2019年9月至2020年6月我院诊断为合并棘下撞击的髋臼盂唇损伤患者30例,其中男12例,女18例;年龄18~56岁,平均(32.8±10.8)岁。30例患者在髋关节镜下行盂唇修复术、髂前下棘成形术及股骨成形术。术前利用X线片、三维CT和核磁共振等检查明确诊断,术后复查CT了解减压情况。选择疼痛视觉模拟评分(visual analogue scale,VAS),改良Harris髋关节评分(modified Harris hip score,mHHS),日常活动的髋关节功能评分(hip outcome score-activities of daily living,HOS-ADL),体育运动专用髋关节评分(hip outcome score-sports specific subscale,HOS-SSS)评定患者的临床疗效。结果患者均获随访,随访时间8~15个月,平均随访(10.2±5.6)个月。CT提示该组患者均为髂前下棘Ⅱ型增生。患者术前HOS-ADL、HOS-SSS、mHHs评分分别为(50.8±8.3)分、(42.6±10.5)分、(60.5±13.5)分,术后6个月时分别为(86.3±9.6)分、(83.8±8.5)分、(85.6±10.2)分,均较术前显著提高(P<0.001);术前VAS评分为(5.4±3.5)分,术后6个月时为(1.6±0.8)分,较术前显著降低(P<0.001)。结论利用髋关节镜治疗合并棘下撞击的髋臼盂唇损伤患者,能对髂前下棘充分减压并可有效缓解症状,其近期临床疗效良好。
