王鼎;武夏林;张庆文;方斌;杨鹏;陈达;陈雷雷;魏秋实;何伟;

• 1:佛山市中医院
• 2:广州中医药大学
• 3:广州中医药大学第一附属医院

摘要(Abstract)：

股骨头软骨下功能不足性骨折是一种少见的临床疾病,可以是一种独立的疾病,也可以出现在其他疾病的过程中。股骨头软骨下骨折多见于骨量减少的老年人和活动量突然增加的青壮年。近年来,越来越多的文献报道该病,为了让临床医生对此病有更多的认识,本文将对股骨头软骨下骨折的病因、临床表现、影像学特征、治疗及预后做一综述。

关键词(KeyWords)： 股骨头;软骨下骨折;影像学特征;骨坏死;预后

Abstract:

Keywords:

基金项目(Foundation): 广东省优势病种突破项目(粤中医函[2015]19);; 广东省科技项目(编号:2013A032500009);广东省科技项目(编号:2014A020221114)

作者(Author): 王鼎;武夏林;张庆文;方斌;杨鹏;陈达;陈雷雷;魏秋实;何伟;

Email:

DOI:

参考文献(References)：

• [1]Song W S,Yoo J J,Koo K H,et al.Subchondral fatigue fracture of the femoral head in military recruits[J].J Bone Joint Surg Am,2004,86-A(9):1917-24.
• [2]Yoon P W,Kwak H S,Yoo J J,et al.Subchondral insufficiency fracture of the femoral head in elderly people[J].J Korean Med Sci,2014,29(4):593-598.
• [3]Kim S M,Oh S M,Cho C H,et al.Fate of subchondral fatigue fractures of femoral head in young adults differs from general outcome of fracture healing[J].Injury,2016,47(12):2789-2794.
• [4]Yamamoto T,Iwasakl K,Iwamoto Y.Transtrochanteric rotational osteotomy for a subchondral insufficiency fracture of the femoral head in young adults[J].Clin Orthop,2010,468(12):3181-3185.
• [5]Urakawa H,Hasegawa Y,Tsukuhi S,et al.Subchondral fracture of the femoral head in a high school badminton player_A case report[J].Curr Sports Med Rep,2015,14(5):386-388.
• [6]Ikemura S,Yamamoto T,Nakashima Y,et al.Bilateral subchondral insufficiency fracture of the femoral head after renal transplantation:a case report[J].Arthritis Rheumatism,2005,52(4):1293-1296.
• [7]Iida K,Hamai S,Yamamoto T,et al.Subchondral fracture of the femoral head after acetabular fracture:a case report[J].J Med Case Rep,2014,8:447.
• [8]Iwasaki K,Yamamoto T,Motomura G,et al.Common site of subchondral insufficiency fractures of the femoral head based on three-dimensional magnetic resonance imaging[J].Skeletal Radiol,2016,45(1):105-113.
• [9]Ghate S D,Samant A.Subchondral Insufficiency Fracture of femoral head:uncommon cause of hip pain in elderly[J].J Orthop Case Rep,2012,2(2):7-9.
• [10]Anand A,Raviraj A,Kodikal G.Subchondral stress fracture of femoral head in a healthy adult[J].Indian J Orthop,2010,44(4):458-460.
• [11]Viana S L,Machado B B,Mendlovitz P S.MRI of subchondral fractures:a review[J].Skeletal radiol,2014,43(11):1515-1527.
• [12]Hackney L A,Lee M H,Joseph G B,et al.Subchondral insufficiency fractures of the femoral head:associated imaging findings and predictors of clinical progression[J].Eur Radiol,2016,26(6):1929-1941.
• [13]Ikemura S,Yamamoto T,Motomura G,et al.MRI evaluation of collapsed femoral heads in patients 60 years old or older:Differentiation of subchondral insufficiency fracture from osteonecrosis of the femoral head[J].AJR Am J Roentgenol,2010,195(1):63-68.
• [14]Sonoda K,Yamamoto T,Motomura G,et al.Fat-suppressed T2-weighted MRI appearance of subchondral insufficiency fracture of the femoral head[J].Skeletal Radiol,2016,45(11):1515-1521.
• [15]Miyanishi K,Hara T,Kaminomachi S,et al.Contrast-enhanced MR imaging of subchondral insufficiency fracture of the femoral head:a preliminary comparison with that of osteonecrosis of the femoral head[J].Arch Orthop Trauma Surg,2008,129(5):583-589.
• [16]Bullough T.Subchondral insufficiency fracture of the femoral head_a differential diagnosis in acute onset of coxarthrosis in the elder[J].Arithritis Rumatism,1999,42(12):2719-2723.
• [17]Sonoda K,Yamaoto T,Motomura G,et al.Subchondral insufficiency fracture of the femoral head after internal fixation for femoral neck fracture:histopathological investigation[J].Skeletal radiol,2014,43(8):1151-1153.
• [18]Iwaski K,Yamaoto T,Motomura G,et al.Subchondral insufficiency fracture of the femoral head in young adults[J].Clin Imaging,2011,35(3):208-213.
• [19]Buttaro M,Della Valle A G,Morandi A,et al.Insufficiency subchondral fracture of the femoral head:report of 4 cases and review of the literature[J].J Arthroplasty,2003,18(3):377-382.
• [20]Yamamtot T,Karsuyamak K,Iwasaki K,et al.Subchondral insufficiency fracture of the femoral head in males[J].Arch Orthop Trauma Surg,2014,134(9):1199-1203.
• [21]Utsunomiya T,Yamamoto T,Motomura G,et al.The clinicopathologic findings of a subchondral insufficiency fracture of the femoral head in a male patient:a case report[J].Skeletal Radiol,2016,45(10):1425-1429.
• [22]Jo W L,Lee W S,Chad D S,et al.Decreased lumbar lordosis and deficient acetabular coverage are risk factors for subchondral insufficiency fracture[J].J Korean Med Sci,2016,31(10):1650-1655.
• [23]Yamanaka H,Goto K,Murata Y,et al.Subchondral insufficiency fracture of the femoral head after total knee arthroplasty in a patient with rheumatoid arthritis[J].Mod Rheumatol,2006,16(2):105-108.
• [24]Fukui K,Kaneuji A,Fukushiima M,et al.Early MRI and intraoperative findings in rapidly destructive osteoarthritis of the hip:a case report[J].Int J Surg Case Rep,2015,8:7-13.
• [25]Lee Y K,Yoo J J,Koo K H,et al.Collapsed subchondral fatigue fracture of the femoral head[J].Orthop Clin North Am,2009,40(2):259-265.
• [26]Patel H,Kamath A F.Subchondral insufficiency fracture of the femoral head treated with core decompression and bone void filler support[J].Arch Bone Jt Surg,2016,4(3):264-268.
• [27]Ishihara K,Miyanishi K,Ihara H,et al.Subchondral insufficiency fracture of the femoral head may be associated with hip dysplasia:a pilot study[J].Clin Orthop,2010,468(5):1331-1335.
• [28]Iwasaki K,Yamamoto T,Motomura G,et al.Prognostic factors associated with a subchondral insufficiency fracture of the femoral head[J].Br J Radiol,2012,85(1011):214-218.