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首页> 外文期刊>Medicine. >Tibial tubercle avulsion fracture according to different mechanisms of injury in adolescents: Tibial tubercle avulsion fracture
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Tibial tubercle avulsion fracture according to different mechanisms of injury in adolescents: Tibial tubercle avulsion fracture

机译：根据青少年损伤的不同机制，对胫骨结核撕脱性骨折：胫骨结核撕脱性骨折

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Tibial tubercle avulsion fracture caused by knee extensor is very rare; furthermore, non-traumatic fractures during running or bilateral fractures have been reported. The purpose of this study was to evaluate any differences according to the mechanisms of injury in adolescents with tibial tubercle avulsion fracture . Thirty patients with tibial tubercle avulsion fractures were reviewed and the average age was 13 years 1 month. Seven patients (low-stress group) had a spontaneous fracture during running without definite trauma. Twenty-three patients (high-stress group) experienced pain during jumping and landing, or definite trauma. The mechanisms of injury, age, height, weight, body mass index (BMI), BMI percentile, fracture type, as well as any complication, such as limitation of motion and deformity related to the physeal arrest, were compared between groups. There was no definite difference in age, fracture type, and surgical outcomes between groups. There was no patient with significant early physeal arrest in both groups. The weight ( P = .02), BMI ( P = .03) and BMI percentile ( P = .01) in low-stress group were higher than those in high-stress group. In low-stress group, 6 patients’ BMIs were in the 97th percentile, and 1 patient's BMI was in the 5th percentile. Extreme BMI may be a risk factor for tibial tubercle avulsion fractures in adolescents during running without definite trauma. However, there was no difference in the final outcome according to injury mechanisms.
机译：膝关节伸肌引起的胫骨结节撕脱性骨折非常少见;此外，已经报道了跑步过程中的非创伤性骨折或双侧骨折。本研究的目的是根据青少年胫骨结核撕脱性骨折的损伤机制评估任何差异。回顾性分析30例胫骨结核撕脱性骨折患者，平均年龄13岁1个月。七名患者（低压力组）在跑步过程中自发性骨折，无明显创伤。 23例患者（高压力组）在跳跃和着陆时经历了疼痛或明确的创伤。比较两组之间的损伤，年龄，身高，体重，体重指数（BMI），BMI百分位数，骨折类型以及任何并发症（例如与骨质停滞相关的运动受限和畸形）的机制。两组之间的年龄，骨折类型和手术结局无明显差异。两组均无明显早期植骨停止的患者。低压力组的体重（P = .02），BMI（P = .03）和BMI百分位数（P = .01）高于高压力组。在低压力组中，有6名患者的BMI处于第97个百分点，而有1名患者的BMI处于第5个百分点。极端BMI可能是青少年在没有明确创伤的情况下跑步时胫骨结核撕脱性骨折的危险因素。但是，根据损伤机制，最终结局没有差异。

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