Avulsion Fracture of the Anterior Inferior Iliac Spine

前下腸骨脊撕裂性骨折

黃英傑(Ying C. Huang) ； 連昉杰(Farn-Chieh Lien)

《中華民國急救加護醫學會雜誌》 19卷2期 (2008/06) Pp. 57-59

https://doi.org/10.30018/JECCM.200806.0002

摘要

當肌肉強力收縮時，肌腱或靭帶將附著處骨頭扯一片下來，就造成撕裂性骨折。這類型的骨折最常見於十來歲的青少年，因為他們的骨骼尚未發育完全，肌肉強力收縮時，常於骨骼生長板處撕裂而造成撕裂性骨折，而非如成人般地造成肌腱、靭帶拉傷。在此我們報導一罕見病例，這15歲男孩在百米短跑衝刺時，造成了前下腸骨脊撕裂性骨折。理學檢查時他右側股關節只要運動就會痛，同側腹股溝處有壓痛，但是Patrick測試仍為陰性。經過保守治療患者順利康復，並未留下影響功能的後遺症。日後當我們遇到因短跑衝刺或是劇烈踢腿造成腹股溝部位疼痛之青少年患者，務必懷疑是否遭遇腸骨脊撕裂性骨折。

關鍵字

前下腸骨脊 ； 撕裂性骨折

並列摘要

An avulsion fracture occurs when a piece of bone is pulled off by an attaching tendon or ligament during vigorous stretching. They are more common in teenagers because the bone is not mature enough to sustain the stress than the ligament or tendon and is often avulsed from the growth plate, rather than tendon or ligament injuries in adults. Here in, we report a rare case of avulsion fracture of the anterior inferior iliac spine occurred in a 15-year-old boy during a 100-meter dash. On physical examination, there was painful limitation of right hip movement, and tenderness around right inguinal area, with a negative Patrick test. The patient was treated conservatively and recovered uneventfully without residual functional impairment. A high index of suspicion for avulsion fracture of iliac spine is necessary when a teenager has a sudden onset of inguinal pain after running or sports which involve vigorous kicking.

並列關鍵字

anterior inferior iliac spine ； avulsion fracture