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里斯弗朗克骨折-脱位与延伸器幻觉短骨肌插座:一个案例报告

Joseph McCahon¹, Grant Denmark², Tiffany N Bridges¹

¹Jefferson Health NJ; Stratford, New Jersey.

JBJS case connector

|January 24, 2025

概括

一个罕见的利斯弗朗克骨折脱位病例涉及插入的延伸 (EHB) 肌,需要分阶段的手术治疗. 这一案例突出了EHB作为减少Lisfranc伤害的潜在障碍.

科学领域:

整形外科手术整形外科手术
创伤护理的护理人员.
脚和脚重建脚和脚重建

背景情况:

里斯弗朗克骨折移位是严重的足部损伤,需要迅速和准确的减少.
软组织的插入,如肌,可以使封闭的减少尝试复杂化.

研究的目的:

报告一个独特的Lisfranc骨折脱位病例,由插入的延伸器 hallucis brevis引起.
描述这种复杂的损伤的成功分阶段的外科治疗方法.

主要方法:

一名14岁的女性出现了利斯弗朗克骨折-脱位.
最初的封闭缩小尝试由于插入的延伸器 (hallucis brevis tendon) 而没有成功.
治疗涉及通过皮肤钉缩短封闭缩减的时间,随后是开放缩减和内部固定.

主要成果:

阶段性手术方法实现了更好的对齐和稳定的固定.
扩展 (hallucis brevis tendon) 被确定为最初减少的主要障碍.
患者的软组织允许在初始稳定后进行最终固定.

结论:

解剖缩小和稳定固定对于利斯弗朗克伤害至关重要,以防止中脚关节炎和塌.
这一案例是第一个证实延伸骨作为Lisfranc伤害减轻的机械阻塞.
成功管理复杂的Lisfranc损伤可能需要分阶段的手术方法.

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