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脚延伸视网膜综合征:一个成人病例系列
Bradley Carlson1, DuWayne Carlson2, Tadiwanashe Chirongoma1
1Loma Linda University, Loma Linda, CA, USA.
Foot & ankle orthopaedics
|August 2, 2024
概括
成年人的延伸视网膜综合征 (ERS) 是一种类似于隔间综合征的疾病,表现为严重的前脚疼痛. 在这个案例系列中,上部延伸视网膜 (SER) 的手术释放有效地缓解了症状.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤外科 手术 创伤外科
- 运动医学 运动医学
背景情况:
- 延伸视网膜体综合征 (ERS) 是一种罕见的类似于隔间综合征的疾病,其特征是上部延伸视网膜体 (SER) 下面的压力升高.
- 埃尔斯表现为不成比例的前脚疼痛,受动脚足部屈曲的疼痛,升高的SER压力,以及潜在的脚延伸软弱和第一个网络空间麻木.
- 这一病例系列是第一个在成年人群中报告ERS的病例,扩展了以前的儿科描述.
研究的目的:
- 描述成年患者扩展性视网膜综合征 (ERS) 的临床表现和外科治疗方法.
- 为了评估上部延伸视网膜 (SER) 释放在下肢创伤后ERS的成年人的结果.
- 突出诊断考虑和治疗建议ERS在远端骨和骨骨折的背景下.
主要方法:
- 七名成年患者的回顾性病例系列,他们在18年内完全释放了ERS的SER释放.
- 手术方法包括直接侧向长骨或侧向侧向远距离骨,以适应相关骨折固定.
- 患者呈现出创伤性损伤,包括双骨和骨骨折,并报告了前脚疼痛,由于被动脚足部屈曲而加剧.
主要成果:
- 所有七名患者在SER释放后都经历了前脚疼痛的缓解.
- 五名患者的第一个网络空间感觉下降的情况有所改善.
- 并发症包括一个患者的复杂区域性疼痛综合征1型,一个患者的硬件移除,两个患者的持续但改善的感官变化.
结论:
- 临床怀疑ERS应在患有远端/骨骨折的成年患者中提出,呈现出严重的前脚疼痛,特别是当被动脚足部屈曲恶化时.
- 完全释放SER是推的治疗方法,手术方法取决于相关的骨折固定.
- 下肢创伤后,ESR是持续前脚疼痛的可治疗原因,SER释放提供了显著的症状改善.
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