青少年中部骨骨折脱:一个具有挑战性的创伤关联 (案例报告)
Montassar El Ayachi1, Khaled Anis Kamoun1, Ahmed Adel Bezzaouia1
1Pediatric Orthopedic Department of Mohammed Kassab National Institute of Orthopedics, Tunisia.
International journal of surgery case reports
|October 9, 2024
概括
这份病例报告详细介绍了一种罕见的儿科耳鼻部骨折,带有耳鼻部脱. 非手术骨科管理导致成功减少和完全康复,突出其在儿童中的有效性.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科创伤学 儿科创伤学
- 骨受伤 骨受伤 骨受伤
背景情况:
- 脊柱骨折在儿童中很罕见,发生在0.008%的儿科骨折中.
- 细骨位移很少发生,占所有位移的1%.
- 在儿科患者中,口腔部骨折和口腔下部脱的结合非常罕见.
研究的目的:
- 为了呈现一个罕见的儿科亚骨折-脱位的病例.
- 讨论这种损伤的非手术骨科治疗的管理和结果.
- 强调及时诊断和适当管理的重要性,以防止并发症.
主要方法:
- 一名14岁的患者患有关闭的右脚损伤,被诊断为中部下部位脱和霍金斯III阶段的部骨折.
- 在创伤后一小时内,在全身麻醉下使用Bootjack技术进行了封闭性减少.
- 减少后的成像证实了令人满意的对齐,随后在石膏造中固定,CT扫描,随后进行物理治疗.
主要成果:
- 布托杰克技术成功地减少了下位和部骨折.
- 患者在治疗后没有经历任何功能障碍.
- 在创伤后的三个月内,人们可以完全恢复体育活动.
结论:
- 封闭的亚骨折-脱位以前没有在儿科群体中描述过.
- 非手术性骨科治疗是儿科亚骨折脱的可靠和有效选择,避免了手术风险.
- 及时诊断和管理至关重要,以预防诸如无血管亡等并发症,并确保最佳的功能恢复.
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