14岁男孩的一只手中多个骨手指受伤
Jarallah M Albahlal1, Abdullah Alzahrani1, Hayat Khan1
1Orthopedic Surgery, Dr. Sulaiman Alhabib Medical Group, Riyadh, SAU.
Cureus
|October 4, 2023
概括
本案例报告详细介绍了一个罕见的例子,一个年轻的运动员同时出现多次骨手指伤害. 早期的手术干预导致大多数受影响的手指的功能恢复良好.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 手术手术手术手术手术
背景情况:
- 骨手指伤害通常是影响活跃个体的孤立事件.
- 在远端骨基处同时发生的突破骨折是非常罕见的.
研究的目的:
- 报告一名儿科患者罕见的同时发生骨手指伤害的病例.
- 讨论这种罕见的伤害模式的管理和结果.
主要方法:
- 在一场足球比赛中,一名14岁的男孩在第二,第三和第四只右手指的远距离骨基础上同时遭受了突破骨折.
- 由于多重骨折,使用 splint 的初始保守管理之后,使用 K-wire 延伸块方法进行了手术固定.
- 手术后的物理治疗是在K线切除后开始的.
主要成果:
- 在受伤后三个月的第二和第四远端间关节 (DIP) 取得了优异的结果.
- 在基于克劳福德标准的第三次DIP联合中观察到一个良好的结果.
- 患者容忍的手术管理比保守的 splinting.
结论:
- 早期检测和适当的治疗对于儿科患者同时发生的手指损伤至关重要.
- 手术干预可以为复杂的,多位数的手指骨折带来有利的结果.
- 及时治疗对于预防长期功能障碍和维持生活质量至关重要.
更多相关视频
06:44Development of a Novel Task-oriented Rehabilitation Program using a Bimanual Exoskeleton Robotic Hand
Published on: May 20, 2020
7.1K
09:14Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction
Published on: September 28, 2019
11.5K
相关概念视频
Changes in the Appendicular Skeleton with Age
2.1K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
2.1K
Bones of the Upper Limb: Humerus
3.3K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
3.3K
Bones of the Upper Limb: Radius
2.2K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
2.2K
Fractures: Bone Repair
3.3K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.3K
Muscles of the Forearm that Move the Hand and Fingers
1.0K
The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
1.0K
