在半径中通过非骨化纤维瘤移位的病理骨折的除和外部固定:一个案例报告
Sakura Yamaguchi1, Ryogo Furuhata1, Atsushi Tanji1
1Department of Orthopaedic Surgery, Ashikaga Red Cross Hospital, Ashikaga-shi, Tochigi, Japan.
Trauma case reports
|August 18, 2023
概括
非骨化纤维瘤在半径中很罕见. 这一案例表明,成功地使用切割和外部固定来治疗移位的病理骨折,实现骨结合和前臂的完整功能.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 肌肉骨瘤学 肌肉骨瘤学
背景情况:
- 非骨化纤维瘤 (NOFs) 在上肢,特别是半径中不常见.
- 穿过半径NOF的病理骨折非常罕见.
- 由于NOF而导致的偏移辐射骨折的治疗策略尚未成熟.
研究的目的:
- 报告一个罕见的非骨化纤维瘤的病理性骨折的半径.
- 描述了使用外部固定方法成功治疗异位的病理辐射骨折.
- 为了突出除和外部固定在管理这种罕见的伤害的有效性.
主要方法:
- 一名10岁的女生在摔倒后出现了右前臂疼痛.
- 放射和CT揭示了一种病理性骨折,通过半径透析中的骨解性病变,暗示NOF.
- 手术干预涉及瘤除和外部固定,这是由于明显的骨折位移.
主要成果:
- 组织学检查证实了非骨化纤维瘤的诊断.
- 在手术后的六个月内,骨团结得到了实现.
- 患者在前臂俯卧和前臂俯卧的运动范围没有受到限制.
结论:
- 非骨化纤维瘤,虽然在半径中很少见,但可以导致病理性骨折,特别是当大时.
- 曲解和外部固定为NOF继发的异位病理辐射骨折提供了可行的治疗选择.
- 这种方法特别有用,当由于位移而需要立即手术并避免活检延迟时.
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