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由于手关节炎而导致的延伸指关节 (extensor digitorum communis) 破裂的罕见病例
Salman Shiraz1, Laxminarayan Bhandari1
1Christine M. Kleinert Institute for Hand and Microsurgery, University of Louisville, 225 Abraham Flexner Way, Suite 850, Louisville, Kentucky, United States.
概括
详细介绍了一例罕见的延伸关节骨 (EDC) 肌破裂,由手腕关节炎患者的突出月骨引起. 手术修复和肌移植恢复了手指的延伸. 手指的延伸.
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
- 类风湿病学 类风湿病学
背景情况:
- 胰腺关节炎和远端射电关节 (DRUJ) 骨关节炎可以导致复杂的上肢问题.
- 延伸骨 (EDC) 肌破裂不常见,特别是当与特定的骨异常相关时.
研究的目的:
- 报告一个独特的EDC肌破裂病例.
- 在手关节炎的背景下确定破裂的病因.
- 描述手术管理和结果.
主要方法:
- 一个71岁的男性无法伸出小手指和戒指的案例介绍.
- 临床检查显示,受影响手指的EDC功率为零.
- 放射和手术内发现,确定背部月经突出导致磨损断裂.
- 外科手术涉及近端排骨切除和延伸器指向自身 (EIP) 到EDC肌移植.
主要成果:
- 一个尖的后面的突出突出被确定为EDC肌磨损和破裂的直接原因.
- 距离射电关节 (DRUJ) 骨关节炎存在,但不是主要原因.
- 手术后的恢复显示,手指伸展的完全恢复.
结论:
- 背部月突出可以导致EDC肌的磨损性破裂,特别是在患有手关节炎的患者中.
- 包括肌移植在内的手术管理可以有效地恢复功能.
- 这是一个新鲜的案例,在文献中没有先前的报道.
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