在儿童中对先天性放射突突同位症的功能评估
Isam Sami Moghamis1, Hasan Abuhejleh1, Yousef Abuodeh2
1Department of Orthopedics Surgery, Hamad Medical Corporation, Doha, Qatar.
Avicenna journal of medicine
|May 21, 2025
概括
先天性放射突突 (CRUS) 是一种罕见的前臂形. 大多数患者在功能上适应良好,除非双边参与和显著损伤,否则手术很少适用.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科手术 儿科手术
- 遗传学 遗传学 是一个
背景情况:
- 先天性放射性突突 (CRUS) 是一种罕见的胚胎发育异常.
- 它会导致前臂固定,通常是伸展,影响上肢功能.
- 管理策略从观察到手术干预各有不同.
研究的目的:
- 评估被诊断患有先天性放射性突突结合症的儿童的功能结果.
- 评估ABILHAND-Kids尺度在确定功能适应和手术指示方面的有效性.
- 为了比较受影响四肢的运动范围 (ROM) 与不受影响四肢和对照的运动范围.
主要方法:
- 对八名CRUS患者 (2010-2020年) 的前性研究,其中11个肢体受影响.
- 包括四名患者的对照组进行比较.
- 使用ABILHAND-Kids尺度和ROM的身体检查进行功能评估.
主要成果:
- 在受影响和不受影响的四肢之间没有显著的ROM差异,除了固定pronation (p=0.0133).
- 平均ABILHAND-Kids得分为38.625±3.021,接近42的规范平均值.
- 只有一个双侧CRUS患者接受了手术纠正.
结论:
- CRUS是一种罕见的先天性疾病,影响日常活动.
- 对于CRUS而言,很少需要进行手术纠正.
- 外科手术只适用于双边参与和实质性功能缺陷的病例.
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