儿科双边的"浮动肘部"
Karthick Rangasamy1, Shivam Maheshwari2, Akash Ghosh1
1Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
BMJ case reports
|January 29, 2024
概括
一个罕见的双边浮动肘部伤害在一个孩子,涉及supracondylar腰骨和前臂骨折,成功地通过手术治疗. 早期确定并监测隔间综合征对于儿科浮动肘部病例的最佳结果至关重要.
科学领域:
- 儿科整形外科 儿科整形外科
- 创伤外科 手术 创伤外科
- 儿科创伤学 儿科创伤学
背景情况:
- 一个漂浮的肘部被定义为远端骨和近端前臂的ipsilateral骨折.
- 这种损伤模式在成年人中不常见,在儿童中更为罕见.
- 双边演示非常罕见,带来独特的管理挑战.
研究的目的:
- 报告一种罕见的双边儿科浮动肘部伤害病例.
- 讨论这种不常见的伤害模式的管理和结果.
- 强调对隔间综合征和早期手术干预的警的重要性.
主要方法:
- 治疗了一名患有双侧斜侧上骨 (SCH) 和远端双骨前臂骨折的儿科患者.
- 治疗涉及封闭缩减和所有骨折的穿皮钉.
- 进行了临床和放射性随访,以评估工会和功能恢复.
主要成果:
- 所有的骨折都实现了无事件的结合,而不需要修复手术.
- 在最后的随访中,患者没有出现功能限制或美容形.
- 在管理期间,没有报告区间综合征等并发症.
结论:
- 双边儿科浮动肘部是一种极其罕见的伤害,需要仔细管理.
- 早期的手术固定,如在本例中所做的,可以带来很好的结果.
- 密切监测隔间综合征对于管理儿科浮动肘部损伤至关重要.
相关概念视频
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