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儿童肘部脱位后异型骨化:一个案例报告
Henrique Mansur1, Roberto Luiz Bisol2, Daniel Augusto Maranho3
1Departamento de Ortopedia e Traumatologia, Hospital Santa Helena - Rede D'or e Hospital Regional do Gama, Distrito Federal, Brasil.
儿科肘部脱位,虽然很少见,但可以导致异型骨化,骨生长并发症. 手术切除这种骨化可以恢复运动,但时间对于儿童的最佳结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 肌肉骨的创伤 肌肉骨的创伤
背景情况:
- 儿童的肘部脱位不常见,通常与骨折有关.
- 完全脱离肘部的情况很少见,可能表明软组织严重受伤.
- 不同类型骨化是一种已知的并发症,可以损害关节的移动性.
研究的目的:
- 报告儿科肘部脱而没有骨折,但有臂肌损伤的病例.
- 突出异型骨化脱位后的发展和手术管理.
- 讨论儿科肘部损伤中异型骨化治疗的影响和时间.
主要方法:
- 一个11岁女孩的案例报告,她的肘部脱.
- 最初进行非手术管理,然后观察异型骨化.
- 通过直接侧向方法切除异型骨的外科切除.
主要成果:
- 患者在封闭缩减后出现异型骨化和运动范围的丧失.
- 对异型骨化进行手术切除导致了出色的功能结果.
- 腕肌肌肉显示部分远端破坏.
结论:
- 异型骨化是儿科肘部脱位的潜在并发症.
- 通过横向方法进行手术切除是功能限制的可行治疗方法.
- 在进行手术之前,建议观察骨化成熟.
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