共查询到20条相似文献,搜索用时 15 毫秒
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目的比较18~40,41~60,≥61岁不同年龄段髂前下棘形态学解剖参数变化。 方法选择正常半骨盆资料155例,其中男性115例,年龄(48±15)岁,女性40例,年龄(53±14)岁,均无髋臼撞击综合征,通过软件测量髂前下棘的最大长度、宽度、高度以及表面积和体积。 结果41~60岁及≥61岁年龄段男性髂前下棘的最大宽度[(12.0±1.9)mm;(12.0±1.8)mm]、表面积[(444.11±139.24)mm2;(469.03±132.26)mm2]以及体积[(910.19±452.34)mm3;(989.09±442.99)mm3]显著大于女性[宽度:(9.5±1.1)mm,(9.5±1.6)mm;表面积:(328.96±92.64)mm2,(326.26±118.32)mm2;体积:(577.04±259.51)mm3,(482.47±254.34)mm3,均P<0.05)。≥61岁年龄段中,男性髂前下棘的最大高度大于女性[(6.1±1.4)mm VS(4.6±1.4)mm,P=0.007)。不同年龄段之间(18~40岁,41~60岁,≥61岁),男性和女性的解剖学参数均无统计学意义。在三个年龄段中,最常见的髂前下棘分型均是1型(18~40岁,86.05%;41~60岁,71.23%;≥61岁,79%)。年龄与髂前下棘的长度、宽度、高度、体积和表面积均没有相关性(均P>0.05)。 结论髂前下棘的解剖形态相对稳定,与年龄没有显著相关性,但同年龄组不同性别髂前下棘的体积和表面积会有显著差异。此外低位髂前下棘(2型)并不一定导致髋臼撞击综合征的出现。 相似文献
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Two cases of avulsion fracture of the anterior inferior iliac spine are reported. One was a missed diagnosis that resulted in exostosis formation needing excision. The second case was an adolescent with significant displacement of the fragment and a primary open reduction and internal fixation was done. A high index of suspicion is necessary to diagnose this relatively rare injury and surgery has a role in carefully selected cases. 相似文献
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Pan H Kawanabe K Akiyama H Goto K Onishi E Nakamura T 《The Journal of bone and joint surgery. British volume》2008,90(5):677-679
A 30-year-old man presented with pain and limitation of movement of the right hip. The symptoms had failed to respond to conservative treatment. Radiographs and CT scans revealed evidence of impingement between the femoral head-neck junction and an abnormally large anterior inferior iliac spine. Resection of the hypertrophic anterior inferior iliac spine was performed which produced full painless restoration of function of the hip. Hypertrophy of the anterior inferior iliac spine as a cause of femoro-acetabular impingement has not previously been described. 相似文献
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患者,男,40岁。2009年9月9日骑自行车行驶时发生碰撞,被自行车把戳伤左髂部,伤后因剧烈疼痛来院就诊。查体:左腹股沟部肿胀淤血,皮肤青紫,左髋关节活动受限。摄骨盆正位X线片示:左髂前下棘骨折伴分离移位(图1)。于2009年9月11日予切开复位可吸收螺钉内固定治疗。 相似文献
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M. Milankov N. Miljkovic D. Savic M. Stankovic 《Journal of orthopaedics and traumatology》2005,6(3):154-157
Abstract
Avulsion fractures of the anterior inferior iliac spine (AIIS) are rare injuries of the pelvic ring. In two male athletes
this injury was missed during initial examination and therefore was not treated optimally. Six months after the initial injury,
the patients felt constant pain, and there was a lump in the thigh region; they both also had limited range of hip motion.
Therefore, radiography and magnetic resonance imaging of the hip were performed. Avulsion fracture of AIIS was diagnosed and
treated surgically with excision of the avulsed fragment. Two years later, both athletes have completely recovered and returned
to their usual sporting activities. Isokinetic muscle testing disclosed that the extensor muscles of the operated side of
the knee were weaker than those on the uninjured side. 相似文献
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Yildiz C Aydin T Yildiz Y Kalyon TA Basbozkurt M 《Journal of the Southern Orthopaedic Association》2003,12(1):38-40
A case of anterior inferior iliac spine (AIIS) apophyseal avulsion fracture caused while playing football is reported. A 16-year-old amateur football player felt severe pain in his left groin while kicking the ball during training. There was point tenderness over the anterior inferior iliac spine (AIIS). Avulsion fracture of AIIS was considered clinically. Radiographs confirmed the diagnosis. He was treated with a conservative rehabilitation program. He is still an active football player. Avulsion fractures follow violent or explosive muscular contractions against a fixed resistance, sudden deceleration, or stretching of the involved muscle or as a result of a direct trauma. This injury usually occurs with an extension moment to the hip joint, with the knee flexed, and it is commonly seen in sports that involve kicking. AIIS avulsion fractures should be a diagnostic consideration in patients with pain in the groin who are involved in activities requiring high-level forces of flexion of the hip. 相似文献
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A case is presented in which fracture of the right anterior superior iliac spine occurred 2 weeks after the right iliac crest had been used as the donor site for a two-level anterior disectomy and fusion. 相似文献
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脊柱前路手术髂前嵴取骨并发症相关分析 总被引:7,自引:0,他引:7
目的:探讨脊柱前路手术髂前嵴取骨的并发症发生情况。方法:回顾性分析2001年1月-2005年9月取髂骨行脊柱植骨融合术的154例患者,取骨部位均为髂前嵴,统计供骨区并发症,分析其相关因素。结果:术后随访时间均超过1年。28例(18.2%)患者发生不同程度的并发症,其中14例(9.1%)出现轻度并发症,12例(7.8%)出现中度并发症,2例(1.3%)出现重度并发症。127例(82.5%)患者接受了问卷调查,其中17例(13.4%)患者诉取骨处疼痛,疼痛自我感觉评分为1-6分(平均2分),其中3例(2.4%)患者需服用非甾体类抗炎药以减轻疼痛;7例(5.5%)患者诉取骨处有麻木感;无患者诉取骨处的疼痛及麻木感影响其日常活动;122例(96.1%)患者对供骨区切口外观满意。结论:髂前嵴取骨并发症中供骨区疼痛及麻木发生率较高,尤其是疼痛,应引起足够的重视。 相似文献
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Apophyseal injuries of the pelvis have increased recently with increased participation of teenagers in contact sports. Apophyseal fractures of the pelvis should be ruled out from apophysitis, os acetabuli and bony tumors. We report a case of fracture of anterior-inferior iliac spine following indirect injury to the hip in a young football player. The patient failed to get better with nonoperative management and continued to have pain in the left hip and signs and symptoms of impingement. He improved following surgical excision of the heterotopic bone and did not have any evidence of recurrence at 2 years follow up. 相似文献
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Tüzüner T Ozturan KE Karaca E Ulgür M 《Acta orthopaedica et traumatologica turcica》2003,37(4):340-343
Avulsion fractures of the apophyses of the pelvis rarely occur in adolescent athletes as a result of sudden and strong contraction of the muscles attached to the growth cartilage. We present a 16-year-old male patient who had an avulsion fracture of the left anterior superior iliac spine while he was playing volleyball. He presented with complaints of pain in the left hip and difficulty in walking. The diagnosis was made by means of pelvis x-rays, computed tomography, and three-phase radionuclide bone imaging. He underwent conservative treatment with a non-steroidal anti-inflammatory drug and bed rest. After two weeks, ambulation with crutches was allowed. At the end of four weeks, he was able to walk without crutches. He returned to his preinjury level of sports activities at the end of six weeks, without any complaint of pain. 相似文献
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Femoroacetabular impingement is typically described as occurring due to a conflict between the femoral head-neck junction and acetabular rim. A prior case report described an open decompression of the anterior inferior iliac spine (AIIS) due to impingement against the proximal femur. AIIS impingement may be developmental or the result of a prior AIIS avulsion or pelvic osteotomy. We describe 3 representative cases with minimum 1-year follow-up treated with an arthroscopic AIIS decompression. 相似文献
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Fractures of the anterior superior iliac spine (ASIS) in adolescents are usually due to avulsion of the sartorius origin from the ASIS; however, the authors here report a second type due to avulsion of the tensor fascia lata origin. Eight patients were identified with ASIS avulsion fractures. Type II sartorius avulsion fracture was due to sprinting in various sports (n = 6). The fragment was smaller and displaced anteriorly. Type II tensor fascia lata avulsion fractures were due to swinging a baseball bat. The two muscular males were both injured during the initial phase of batting. The bony fragment was much larger and displaced laterally as confirmed by three-dimensional computed tomography scans. 相似文献
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正2012年7月~2015年10月,我们采用不可吸收缝线治疗11例髂前上棘撕脱骨折患者,效果满意,报道如下。1材料与方法1.1病例资料本组11例,均为男性,年龄11~16岁。就诊时可见患者轻度屈髋体位,髂前上棘处肿胀、压痛。受伤至手术时间4 h~5 d。1.2治疗方法全身麻醉下手术。患者仰卧,患肢稍屈髋屈膝外旋位。以髂 相似文献
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Vascular injuries are, unfortunately, common complications during anterior approach to lumbar spine, with venous injuries occurring most frequently. The L4-L5 level of exposure is associated most commonly with venous injuries because it requires significant mobilization of the vascular structures. We present two cases of left common iliac vein tears encountered during redo anterior exposure for spine revision. This was in the setting of an anterior lumbar interbody fusion at the L4-L5 level and for the repeat disc arthroplasty at the L5-S1 level. We describe the endovascular technique used to successfully repair venous tear with the deployment of a covered stent across the injury, preventing the ligation of the left common iliac vein. 相似文献
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To reduce donor site morbidity in the iliac crest free flap, we suggest leaving the anterior superior iliac spine in situ.
The advantages are: less tension on the wound, less pain, faster rehabilitation, preservation of the ability to wear pants
without braces, and a better cosmetic result through preservation of contour.
Received: 1 December 1999 / Accepted: 1 February 2000 相似文献