Avulsion Fracture of the Anterior Superior Iliac Spine with an Unusual Surgical Complication: Meralgia Paresthetica

腸骨前上棘之撕裂性骨折及其罕見手術併發症：異常性股痛

邱偉峰(Wei-Fen Chiou) ； 呂傳欽(Chwan-Chin Leu) ； 周崇頌(Chorng-Song Chou) ； 鍾進燈(Chin-Teng Chung) ； 曾崇育(Chung-Yuh Tzeng)

《Mid-Taiwan Journal of Medicine》 10卷4期 (2005/12) Pp. 212-217

https://doi.org/10.6558/MTJM.2005.10(4).7

摘要

腸骨前上棘之撕裂性骨折相當罕見，僅佔髖與骨盆創傷之1.4%，最常發生於青少年運動員。手術治療可縮短恢復之時間，當運動員需儘快返回運動場者更應考慮手術治療。就吾人所知，文獻上尚無此類骨折手術後發生異常性股痛之報告。一位15歲男性運動員，跳踢躂舞之時，突發右鼠蹊部劇痛，致使其無法繼續跳舞。由病史與理學檢查，吾人疑及腸骨前上棘之撕裂性骨折，骨盆X光檢查證實吾人之臨床診斷。手術後，病人功能恢復相當良好，但發生異常性股痛，此併發症可能為手術治療引起之神經傷害。文獻上，異常性股痛可為撕裂性骨折之主要臨床表現；而就吾人此篇報告，異常性股痛亦可為此類骨折手術治療之併發症。

關鍵字

撕裂性骨折 ； 腸骨前上棘 ； 感覺異常性股痛

並列摘要

Avulsion fracture of the anterior superior iliac spine (ASIS) is rare. Most cases occur in adolescents while they are playing competitive sports or participating in vigorous exercise. Operative treatment of ASIS avulsions may reduce the time to full recovery and should be considered for athletes requiring a short rehabilitation period. The occurrence of meralgia paresthetica (MP) following surgery for ASIS fracture is uncommon. A 15-year-old male athlete suffered from sudden onset of pain in the groin area while tap-dancing. The pain was very severe, rendering him unable to dance. Based on history and physical examination, a preliminary diagnosis of avulsion fracture of the right ASIS was made. Plain radiographs of pelvis confirmed the clinical diagnosis. After surgery his motor functions improved but he developed MP. This complication may have been due to an injury during surgery. MP can occur as the main symptom of ASIS fracture, and, as we report, an unusual complication of surgery for ASIS fracture.

並列關鍵字

anterior superior iliac spine ； avulsion fracture ； meralgia paresthetica