急性延伸肌长损伤与远距离半径骨折相关:一个案例报告
Kenjiro Kawamura1,2, Kiyohito Naito1,2, Yasuhiro Yamamoto1
1Department of Orthopaedics, Juntendo University Faculty of Medicine, Tokyo, Japan.
The American journal of case reports
|January 27, 2025
概括
急性延伸器长 (EPL) 肌破裂可能发生在远距离半径骨折时,特别是当骨折涉及利斯特结核时. 早期识别和手术修复对于恢复指功能至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 创伤学 创伤学 创伤学
背景情况:
- 延伸器长 (EPL) 肌破裂是距离半径骨折后的一个已知的并发症.
- 这种破裂通常在受伤后几周表现出来.
- 本报告详细介绍了一例罕见的急性EPL肌破裂,直接与远半径骨折有关.
研究的目的:
- 报告一种罕见的急性延伸器多长断裂病例,同时发生与远半径骨折.
- 强调这种特定伤害模式的临床和放射学指标.
- 讨论手术管理和结果.
主要方法:
- 一个35岁的女性病人的病例报告显示,她患有远距离半径骨折.
- 术前评估包括计算机断层扫描 (CT) 来评估骨折线延伸.
- 在远距离半径骨折固定过程中,在外科手术期间直接可视化和修复延伸肌长肌.
主要成果:
- 计算机断层扫描显示,一条骨折线延伸到利斯特结核的侧.
- 在手术期间的发现证实了EPL的70%破裂和延长,损害了指的延伸.
- 成功地进行了EPL的直接修复.
结论:
- 应考虑在远端半径骨折的背景下考虑延伸长的损伤,特别是当骨折涉及利斯特结核时.
- 基于骨折模式的术前怀疑需要知情同意和对潜在的EPL肌修复进行手术准备.
- 成功的手术管理导致指完全可移动,并在手术后一年恢复工作.
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