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预测急性中枢神经病变在状损伤中的预测
Thomas John Carroll1, Mina Botros1, Richard Lander1
1University of Rochester Department of Orthopaedic Surgery, University of Rochester School, Rochester, NY.
Journal of hand surgery global online
|February 5, 2024
概括
周周骨折脱位 (PLFD) 经常导致手腕道综合征 (CTS). 超过一半的PLFD患者最初没有经历手管释放 (CTR),最终需要它,这表明它对管理PLFD的重要性.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 手术手术手术手术手术
背景情况:
- 周周骨折脱位 (PLFD) 是一种严重的手腕损伤.
- 急性手掌道综合征 (CTS) 是PLFD的一个已知的并发症.
- 确定PLFD中CTS的风险因素对于及时干预至关重要.
研究的目的:
- 确定预测PLFD患者中CTS发展的因素.
- 为了分类需要延迟手掌道释放 (CTR) 的PLFD患者.
主要方法:
- 在一级创伤中心对43名孤立PLFD (梅菲尔德III-IV) 患者的回顾性审查.
- 排除多创伤患者和以前有手腕问题的人.
- 分析CTS发育,减少前/后症状,以及使用千平方,克鲁斯卡尔-瓦利斯和后勤回归的相关骨折.
主要成果:
- 26%的患者呈现急性CTS,减少后增加到28%.
- 减少时间和急性CTS存在之间没有显著的相关性.
- 79%的受试者接受了即时的CTR; 没有接受即时CTR的受试者中,57%的受试者后来需要接受CTR.
结论:
- 减少PLFD并没有显著改变急性CTS的发病率.
- 高率 (超过50%) 的PLFD患者没有接受即时CTR最终需要它,强调需要仔细考虑早期干预.
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