一个骨不成熟的患者的可怕的三合体损伤:一个案例报告
Ophélie Lavoie-Gagné1, Huub de Klerk1, Krystle R Tuaño1,2
1Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, Massachusetts.
JBJS case connector
|February 13, 2025
概括
儿科肘部可怕的三合体损伤,经常错过,需要及时诊断. 在这种情况下,早期的手术干预导致了在手术后一年内完全康复,运动范围稳定.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形医生 儿科整形医生
- 儿科创伤儿童创伤
背景情况:
- 肘部可怕的三角形伤害在儿童中很罕见.
- 这些伤害可能是微妙的,在初步的放射性评估中很容易错过.
- 延迟诊断和治疗与糟糕的结果有关.
研究的目的:
- 报告一个儿科肘部可怕的三角形损伤病例.
- 为了强调先进的成像诊断的重要性.
- 为了证明早期手术管理的有效性.
主要方法:
- 一名7岁的女孩患有肘部可怕的三合体损伤 (冠状骨折,萨尔特 - 哈里斯IV辐射头骨折,侧侧侧带裂) 被治疗.
- 由于微妙的放射性发现,通过磁共振成像 (MRI) 确认了诊断.
- 使用骨-延伸器骨间隔进行了体节约固定.
主要成果:
- 患者在术后一年内实现了完全,稳定和对称的运动范围.
- 在一年的随访期间,没有观察到任何并发症.
- 手术方法是节省身体的.
结论:
- 儿科可怕的三合体损伤不常见,并且经常被误诊.
- 先进的成像,如MRI,对于检测微妙的异常至关重要.
- 早期诊断和及时的手术治疗对于在儿科肘部可怕的三合体损伤中取得出色的结果至关重要.
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