一例运动员孤立性隐匿性腓骨不愈合骨折,通过便携式超声筛查诊断

J. Inklebarger, T. Clarke
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引用次数: 1

摘要

孤立性腓骨干骨折(IFSF)在文献中很少被描述。由于腓骨是一种非承重骨,骨折可能表现为轻微的软组织损伤,或在某些情况下完全无症状。虽然IFSF通常是自限性的,但缺失的IFSF可能发展为骨不连,并伴有潜在的不良愈合结果,特别是那些从事持续剧烈运动的患者。这是一个隐匿性IFSF病例,最初通过诊断性超声(DU)发现,大约在下肢疼痛伴冲击活动发作一年后。x光片证实骨不连。行切开复位内固定(ORIF),病理骨折骨活检阴性。术后1年取出金属制品后,异常性疼痛和感觉亢进症状持续存在。患者无法恢复娱乐体育活动,转介到疼痛控制小组管理。
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An isolated, occult non-union fibular shaft fracture in an athlete, diagnosed by portable ultrasound screening
Abstract Isolated fibular shaft fractures (IFSF) have rarely been described in the literature. As the fibula is a non weight-bearing bone, fractures may present subtly as a soft tissue injury or in some cases be completely asymptomatic. Though usually self limiting, missed IFSF may progress to non-union with potential poor healing outcomes, particularly in those engaged in continued rigorous athletic activity. This is a case of occult IFSF, initially identified via diagnostic ultrasound (DU) circa one year post onset of lower limb pain with impact activity. X-ray confirmed bony non-union. Open reduction internal fixation (ORIF) was performed, with bone biopsy negative for pathological fracuture. Union was achieved, but symptoms of allodynia and hyperesthesia persisted post metalwork removal one year post surgery. The patient was unable to return to recreational sporting activity and referred for pain control team management.
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