在手综合征的多次皮质类固醇注射后, flexor肌破裂:一个病例报告
Kyler A Hardie1, Alexander J Bergeson1, Matthew C Anderson2
1University of South Dakota Sanford School of Medicine, 1400 W 22nd St, Sioux Falls, SD, USA.
International journal of surgery case reports
|September 21, 2024
概括
对手腕道综合征的皮质类固醇注射很少会导致曲肌破裂. 这一案例凸显了风险,特别是重复注射的风险,强调了需要谨慎的技术.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 皮质类固醇注射 (CSI) 是常见的手掌道综合征.
- 副作用很少见,但曲肌破裂是一种已记录的罕见并发症.
研究的目的:
- 为了呈现多个曲肌破裂的情况,在多次手腕道皮质类固醇注射后.
- 为了强调与CSI相关的罕见但严重的肌破裂风险.
主要方法:
- 一个67岁的女性病例报告,她急性失去手指曲能力.
- 在手术期间发现的完全和部分 flexor digitorum profundus (FDP) 和 flexor digitorum superficialis (FDS) 肌破裂的情况.
- 使用侧对侧肌移植的手术干预的描述.
主要成果:
- 患者经历了食指FDP和FDS以及长指FDS的破裂.
- 在手术内发现证实了长指FDS的完全破裂和长指FDP的部分破裂.
- 手术修复恢复了曲肌的功能.
结论:
- 柔肌破裂是手掌道综合征的皮质类固醇注射的罕见但可能的并发症.
- 多年来多次注射可能会增加自发肌破裂的风险.
- 适当的注射技术至关重要,以最大限度地减少严重的副作用,如肌破裂.
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