在偏半径骨折的飞行板涂层后延迟破裂的伸展器指标本身 (EIP) 和伸展器长 (EPL):一个病例报告
Nhat Dang Huy Nguyen1,2, Huy Anh Pham3, Phi Duong Nguyen4
1Center of orthopedic and plastic surgery, Hue Central Hospital, Hue city, Vietnam.
Radiology case reports
|April 28, 2025
概括
延迟延伸肌破裂可能发生在远半径骨折手术后的几年. 外科医生必须确保螺丝不会从背部突出,以防止罕见但严重的并发症.
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
- 肌肉骨成像系统的成像
背景情况:
- 远距离半径骨折很常见,而飞行板是首选的外科手术方法.
- 飞行板的并发症通常涉及柔肌;延伸肌问题很少见.
- 这个病例检查了远距离半径固定后延迟延伸肌破裂.
研究的目的:
- 报告一个罕见的延迟延伸肌破裂的病例,该病例是由于偏距半径骨折而导致的飞行板.
- 为了强调在远距离半径手术期间螺丝长度管理的重要性.
- 强调早期识别和管理延伸肌并发症.
主要方法:
- 一个23岁的男性在远半径骨折手术后出现延迟延伸肌问题.
- 放射和MRI用于评估骨折愈合和螺丝突出.
- 手术包括切除板和螺丝,然后进行肌移植.
主要成果:
- 手术后2年,患者的指和食指运动有限.
- 放射和核磁共振扫描显示出突出的螺丝和缺少延伸指针 (EIP) 和延伸长 (EPL) 的肌.
- 手术修复和肌移植在1年的随访后导致了卓越的功能恢复.
结论:
- 延迟延伸肌破裂是一种罕见的,但可能的并发症的飞行板对于远距离半径骨折.
- 手术技术,特别是螺丝长度,对于预防至关重要.
- 及时诊断和干预是恢复功能和预防长期损伤的必要条件.
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