在远距离半径骨折后,德·奎尔温紧缩膜炎的发展
Thomas John Carroll1, Brianna Caraet1, Norman Madsen2
1Department of Orthopaedic Surgery, University of Rochester, NY, USA.
概括
患有远端半径骨折的患者面临德·奎尔温紧筋突炎的风险增加,特别是那些患有非手术性骨折或高能量模式的患者. 女性,黑人患者和那些有过度使用活动的人更容易受到影响.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 创伤外科 手术 创伤外科
背景情况:
- 德·奎尔维恩紧突炎是远距离半径骨折后的一个常见并发症.
- 识别风险因素对于预防和管理策略至关重要.
研究的目的:
- 为了确定与在远半径骨折后发展德·奎尔温紧突炎相关的风险因素.
- 调查固定时间,骨折模式和紧突炎发展之间的相关性.
主要方法:
- 一项长达10年的回顾性研究分析了1451名患有远距离半径骨折的患者.
- 评估了1年内德奎尔韦恩肌炎的发病率和相对风险.
主要成果:
- 41名患者患上了创伤后德·奎尔温紧筋膜炎;发生率为手术组的2.2%,非手术组的3.8%.
- 78%的受影响患者报告过度使用活动.
- 患有前列腺炎的患者更有可能是女性,黑人,对皮质类固醇注射的反应较差.
结论:
- 非手术的远半径骨折增加了德奎尔温的风险4.2倍;手术骨折增加了2.4倍.
- 女性性别,黑人种族,高能量骨折和过度使用活动是显著的危险因素.
- 在外科手术中,一个单独的扩展器pollicis brevis (EPB) 是常见的,表明潜在的解剖学倾向.
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