儿科患者分层肌破裂:一个病例报告
Frederick Mun1, Rachel A Thomas2, Raymond Y Kim2
1Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, Maryland.
JBJS case connector
|October 19, 2023
概括
一种罕见的儿科骨肌损伤,涉及部分分层和双极突破骨折,已成功修复. 这一案例突显了一个年轻滑板运动员独特的延伸器机制损伤.
科学领域:
- 整形外科手术 整形外科手术
- 儿科运动医学 儿科运动医学
- 创伤学 创伤学 创伤学
背景情况:
- 儿科患者的延伸器机制损伤并不常见.
- 状肌破裂,特别是伴随着脱落骨折的破裂,在儿童中很罕见.
- 以前的文献没有描述骨肌的分层模式.
研究的目的:
- 报告一个独特的病例的儿科带状肌分层与双极性脱发骨折.
- 描述这种罕见的伤害模式的手术修复.
- 为了强调这种特定的延伸机制损伤在儿科患者中的罕见性.
主要方法:
- 使用克拉科夫线进行手术修复.
- 使用一个 suture-bone道技术.
- 在修复过程中仔细考虑近端小腿骨骨质.
主要成果:
- 成功地通过手术固定了部分状肌分层的部位.
- 减少和固定双极突发突发骨折的小腿结核和骨.
- 恢复延伸器机制的完整性.
结论:
- 这一案例代表了儿科扩展器机制的新型损伤模式.
- 使用克拉科夫和骨道进行手术修复是一种安全有效的治疗方法.
- 这种方法应考虑近端骨体的完整性.
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