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首页> 外文期刊>Journal of athletic training >Osteochondral avulsion fracture of the anterior cruciate ligament femoral origin in a 10-year-old child: a case report.
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Osteochondral avulsion fracture of the anterior cruciate ligament femoral origin in a 10-year-old child: a case report.

机译：一名10岁儿童的前交叉韧带股骨起源的软骨软骨撕脱性骨折：一例报告。

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OBJECTIVE: To describe the case of a 10-year-old football player who sustained a comminuted osteochondral avulsion fracture of the femoral origin of the anterior cruciate ligament (ACL) via a low-energy mechanism. BACKGROUND: In children, both purely cartilaginous and osteochondral avulsion fractures have been described; most such ACL avulsions are from the tibial eminence. In the few previous case reports describing femoral osteochondral avulsion fractures, high-energy injury mechanisms were typically responsible and resulted in a single fracture fragment. Differential Diagnosis: Femoral osteochondral avulsion fracture at the ACL origin, femoral cartilaginous avulsion fracture at the ACL origin, midsubstance ACL tear, meniscal tear. Treatment: Sutures and a button were used to repair the comminuted fragments. Postoperatively, a modified ACL reconstruction rehabilitation program was instituted. Uniqueness: Most injuries of this nature in youngsters are caused by a high-energy mechanism of injury, result in an osteochondral avulsion fracture of the tibial eminence, and involve a single fracture fragment. CONCLUSIONS: Although they occur infrequently, ACL femoral avulsion fractures in children can result from a low-energy injury mechanism. Identifying the mechanism of injury, performing a thorough physical examination, and obtaining appropriate diagnostic studies will enable the correct treatment to be implemented, with the goal of safely returning the athlete to play.
机译：目的：描述一名10岁足球运动员通过低能量机制发生粉碎性前交叉韧带（ACL）股骨软骨撕脱性骨折的案例。背景：在儿童中，已经描述了纯软骨和骨软骨撕脱性骨折。此类ACL撕脱大多数来自胫骨隆起。在先前的少数描述股骨软骨撕脱性骨折的病例报告中，高能损伤机制通常是主要原因，并导致单个骨折片段。鉴别诊断：ACL起源的股骨软骨撕脱性骨折，ACL起源的股骨软骨撕脱性骨折，ACL中物质撕裂，半月板撕裂。处理：用缝线和纽扣修复粉碎的碎片。术后，制定了改良的ACL重建康复计划。独特性：青少年中这种性质的大多数损伤是由高能损伤机制引起的，导致胫骨隆起的软骨软骨撕脱性骨折，并且涉及单个骨折片段。结论：低能量损伤机制可导致儿童ACL股骨撕脱性骨折，尽管这种情况很少发生。确定伤害的机理，进行全面的身体检查并获得适当的诊断研究，将能够实施正确的治疗，以期使运动员安全地返回比赛场地。

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