造成深静脉血栓的关节囊 通过关节透视减压和实验室修复治疗
Tyler M Goodwin1, Charles Cody White, Austin Wetzler
1From the University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN (Dr. Goodwin, Dr. White, and Dr. Cincere), and the Lewis Katz School of Medicine at Temple University (Mr. Wetzler), Philadelphia, PA.
概括
Femoroacetabular impingement 可能会导致 paralabral 囊,这些囊很少压缩大腿静脉. 这份病例报告详细介绍了一名患有深静脉血栓症的患者,该病例是由于帕拉拉布拉囊引起的,该患者接受了关节镜解压和吸血治疗.
科学领域:
- 整形外科 整形外科 整形外科
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 侧腹囊是股骨支柱塞 (FAI) 的常见后果,通常与侧腹撕裂有关.
- 这些囊是由突液扩散引起的,通常是自我限制的.
- 帕拉拉布拉囊的神经血管压缩是罕见的,之前没有关于股骨静脉压缩导致深静脉血栓形成 (DVT) 的报道.
研究的目的:
- 在患有关节疼痛的患者中报告一种罕见的前侧偏囊瘤病例,导致股骨静脉压缩和深静脉血栓形成.
- 记录临床表现,诊断发现和治疗结果.
- 为了从这个独特的临床经验中提供学习点.
主要方法:
- 一个病人的病例报告呈现部疼痛和深静脉血栓症.
- 诊断工作包括成像,以确定帕拉布拉囊及其与大腿静脉的关系.
- 治疗涉及囊的关节镜解压,其次是腹腔修复,双极关节骨造术和干预性放射学引导的吸收.
主要成果:
- 一个巨大的前侧囊被确定为右大腿静脉压缩的原因.
- 患者出现了深静脉血栓和部疼痛的症状.
- 成功的治疗是通过一种多模式的方法实现的,包括关节镜解压和吸收.
结论:
- 这一案例突出了股骨支柱的罕见但显著的并发症:帕拉拉布拉囊诱导的深静脉血栓形成.
- 及时诊断和结合手术和干预性放射学方法对于管理这种罕见病例至关重要.
- 这份报告扩大了对FAI中 paralabral 囊相关的潜在神经血管并发症的理解.
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