骨科英文书籍精读（253）｜儿童股骨转子骨折
我们正在精读国外经典骨科书籍《Apley’s System of Orthopaedics and Fractures》，想要对于骨科英文形成系统认识，为以后无障碍阅读英文文献打下基础，请持续关注。
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ISOLATED FRACTURES OF THE TROCHANTERS
In adolescents, the lesser trochanter apophysis may be avulsed by the pull of the psoas muscle; the injury nearly always occurs during hurdling. Treatment is rest, followed by return to activity when comfortable. In the elderly, separation of the lesser trochanter should arouse suspicions of metastatic malignant disease.
In the elderly, part of the greater trochanter can be fractured by a direct blow after a fall. The x-ray should be scrutinised for a subtle associated intertrochanteric fracture. In the event this is absent, treatment is nonoperative and functional recovery is usually good. Occasionally, the greater trochanter is fractured and the fragment widely separated in a young individual. It can be fixed back in position with cancellous screws or tension band wiring. Full weightbearing is prohibited for 6–8 weeks.
---from 《Apley’s System of Orthopaedics and Fractures》
重点词汇整理：
trochanter/tro'kæntər/n. [解剖] 转子；粗隆；昆虫的转节
apophysis /ə'pɑfəsɪs/n. 隆起；突起；岩脉的分支
avulse/əˈvʌls/v. 抽出；撕裂，撕脱
psoas muscle腰大肌 叉腰肌
hurdling /ˈhɜːrdlɪŋ/n. 跨栏赛
arouse /əˈraʊz/vt. 引起；唤醒；鼓励vi. 激发；醒来；发奋
scrutinise /'skru:tinaiz/vt. 细看；仔细观察或检查；核对（等于scrutinize）vi. 作仔细检查；细致观察
In the event this is absent如果没有这个
In the event /ɪn ði ɪˈvent/如果；结果
cancellous screws松质骨螺钉
/kænsələs/adj. 多孔的
tension band wiring张力带钢丝
/ˈwaɪərɪŋ/n. [电] 接线，架线；线路；金属线缝术v. 装电线（wire的现在分词）
Full weightbearing is prohibited for 6–8 weeks.禁止在6-8周内负重。
百度翻译：
单纯性大转子骨折
在青少年中，小转子突可能被腰大肌的牵拉而撕裂；这种损伤几乎总是发生在跨栏跑中。治疗方法是休息，然后在舒适的情况下恢复活动。在老年人，分离小转子应引起怀疑转移性恶性疾病。
在老年人中，大转子的一部分可能在跌倒后直接受到打击而骨折。应仔细检查x光片是否有轻微的相关转子间骨折。在这种情况下，治疗是非手术和功能恢复通常是好的。偶尔，大转子骨折和碎片广泛分离的年轻人。可以用松质螺钉或张力带布线将其固定回原位。6-8周内禁止完全负重。