无法移动到行走:晚期艾滋病毒疾病患者的复杂多关节病理:一个病例报告
Justin T Samuel1,2, Imani N Nwokeji1,2, Sehrish Ali1,2
1CUNY School of Medicine, New York, New York.
JBJS case connector
|September 13, 2024
概括
先进的艾滋病毒疾病可能会导致严重的运动问题,包括腿部和关节硬. 多次手术可以在受影响的患者中恢复行走和独立.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
背景情况:
- 晚期艾滋病毒疾病 (AHD) 与各种神经和肌肉骨并发症有关.
- 抗逆转录病毒疗法和长时间的不运动可以加剧这些问题,导致显著的功能下降.
研究的目的:
- 在患有AHD的患者中呈现严重运动障碍的病例.
- 讨论AHD多关节病理的潜在原因和管理.
- 突出外科手术在恢复行走过程中的作用.
主要方法:
- 一个30岁的男性患有双边赤道,肌肉和异型骨化症的病例报告.
- 诊断工作包括电肌图,揭示了脱髓化的感觉运动和轴突多神经病变.
- 治疗涉及部,脚和脚部的多次手术.
主要成果:
- 患者表现为无法独立坐着,站着或走路.
- 电肌图证实了下肢多神经病变.
- 手术干预成功地恢复了关节的移动性,实现了植物级脚,并使独立行走成为可能.
结论:
- AHD可能导致HIV,治疗或不运动的次要多关节病理.
- 这些病理会导致显著的功能和独立性丧失.
- 手术恢复行走是可行的,可以带来成功的结果.
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