頁籤選單縮合
題 名 | Anterior Inferior Iliac Spine Avulsion Fracture in an Adolescent Runner: A Case Report=青少年跑者發生腸骨前下棘剝離性骨折:個案報告 |
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作 者 | 陳律文; 詹賜貳; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 19:1 2008.03[民97.03] |
頁 次 | 頁35-39 |
分類號 | 416.26 |
關鍵詞 | 腸骨前下脊; 剝離性骨折; 賽跑; Anterior inferior iliac spine; Avulsion fracture; Racing; |
語 文 | 英文(English) |
中文摘要 | 腸骨前下脊剝離性骨折(Anterior inferior iliac spine avulsion fracture)在臨床上並不常見。我們報告一位15歲的國中生,主訴一週前在參加一項學校運動會的短跑比賽時突然感到右下腹痛與右大腿抬腿無力,初診時掛一般外科,經腹部超音波以及X光檢查,沒有發現明顯異常,故懷疑為肌肉拉傷並轉介到復健科門診,復健科給予物理治療,但患者疼痛持續,故再轉至小兒外科以排除急性闌尾炎的可能性,小兒外科認為不像闌尾炎,故又轉回復健科,在回診時看到X光報告時才發現腸骨前下脊剝離性骨折,故又轉診至骨科門診,此時疼痛已減少,肌力與活動力正常,故採保守治療,二個月後患者完全康復。青少年發生腸骨前下脊剝離性骨折並不常見,臨床醫師應小心的實施理學檢查與對照X光影像以減少誤診的發生。 |
英文摘要 | Anterior inferior iliac spine avulsion fractures are not common. We report a case in a 15-year-old boy who suffered from a sudden onset of pain on the right side of his groin and lower abdomen, accompanied by pain when raising his right leg, while running a race. Because the chip fracture was overlooked initially on an ordinary radiograph, he was transferred to a pediatric surgeon who ruled out any surgical conditions leading to refractory pain. He then returned to the rehabilitation division, where an anterior inferior iliac spine avulsion fracture was found when the radiography report was reviewed. After conservative treatment, his pain subsided gradually and he became symptom-free two months later. |
本系統中英文摘要資訊取自各篇刊載內容。