伊普西侧面罗克伍德类型V的骨关节脱位和中轴关节骨骨折:一个病例报告
Abdulrahman Jalwi Korkoman1, Abdullah Alhamodi2, Saleh Alrusayni2
1Department of Orthopedic Surgery, University of Bisha, Bisha 67714, Saudi Arabia. aj.mk8@hotmail.com.
World journal of orthopedics
|January 2, 2025
概括
结合的关节骨骨折和大关节关节 (AC) 关节位移是罕见的. 及时诊断和适当管理这些双侧损伤可以导致优秀的肩部功能和运动范围.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 运动医学 运动医学
背景情况:
- 关节骨骨折很常见,而关节 (AC) 关节损伤较少发生.
- 关节骨骨折和AC关节脱位的ipsilateral组合非常罕见,只有有限的病例报告.
- 本研究侧重于一个罕见的病例介绍,以促进对这些联合伤害的理解.
研究的目的:
- 报告一例罕见的双侧中间轴关节骨骨折和AC关节脱的联合病例.
- 突出这些罕见伤害的诊断考虑和管理.
- 讨论结合关节关节和AC关节损伤的手术干预后的功能结果.
主要方法:
- 一个29岁的男性的病例报告,患有ipsilateral AC关节脱和中轴关节骨骨折.
- 手术管理涉及开放式缩小和关节骨折的板固定.
- 半刚性外科植入物用于重建AC带和心关节关节.
主要成果:
- 患者在手术后一年实现了完整的运动范围.
- 在一年的随访中报告了优秀的肩部得分.
- 该案例证明了这种罕见的伤害组合在手术治疗后的成功功能恢复.
结论:
- 联合中轴关节骨骨折和交流关节脱是罕见但重要的伤害.
- 早期诊断和适当的管理对于实现良好的功能结果至关重要.
- 在中轴关节骨折的情况下,建议对AC关节损伤进行放射和临床评估,尽管最佳管理策略仍在争论中.
更多相关视频
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
315
07:35Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
17.3K
相关概念视频
Fractures: Bone Repair
2.8K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
2.8K
Flail Chest-II
132
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
132
Bones of the Upper Limb: Humerus
2.7K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
2.7K
Bones of the Upper Limb: Radius
1.9K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
1.9K
Bone Disorders
3.3K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.3K
