一个罕见的非典型的,婴儿拉肘的病例
Syarul Arwiz Sahruzaman1, Norazian Kamisan1
1Orthopaedics, University of Putra Malaysia, Serdang, MYS.
Cureus
|December 2, 2024
概括
拉肘,一个常见的儿科伤害,可以发生在1岁以下的婴儿. 这一案例凸显了即使没有明确的拉动机制或典型的年龄表现,也可以怀疑这种伤害的重要性.
科学领域:
- 儿科整形外科 儿科整形外科
- 儿科急救医学 儿科急救医学
背景情况:
- 拉肘 (也称为护士肘) 是1-4岁儿童常见的伤害.
- 它通常发生在前臂被拉到伸展的位置时.
- 在1岁以下的婴儿中发生的病例较少.
研究的目的:
- 报告一个6个月大的婴儿的非典型的肘部拉动病例.
- 为了强调对婴儿拉肘的高度怀疑指数的需要.
主要方法:
- 一个六个月大的女孩的病例报告,有一个非典型的拉肘.
- 临床表现包括肘部疼痛,四肢流动性降低和手臂伸展.
- 诊断得到了普通X光扫描的支持,不包括骨折.
主要成果:
- 一个非典型的拉肘发生在一个六个月大的婴儿在滚动机动期间.
- 拉肘的经典迹象存在,并排除了骨折.
- 该机制不是直接拉肘的动作.
结论:
- 拉肘应考虑在婴儿中,即使是1岁以下的婴儿.
- 尽管不典型的年龄表现或缺乏明确的拉动机制,但怀疑的高指数是合理的.
- 早期识别和适当的治疗对于儿科肘部损伤至关重要.
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