不被识别的远距离双断裂与手臂损伤相关:关于2例病例的报告
Courtney R Carlson Strother1, Christopher S Crowe1, Ellen Y Lee1
1Division of Hand and Upper Extremity Surgery, Department of Orthopaedics, Mayo Clinic, Rochester, Minnesota.
JBJS case connector
|July 17, 2025
概括
远距离双肩肌破裂是一种罕见的损伤,伴随着臂创伤. 通过仔细的病史和手术内触摸进行早期诊断,对于成功治疗和恢复肘部曲至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 神经外科 神经外科
- 重建性手术是一种重建性手术.
背景情况:
- 臂损伤可以导致显著的上肢功能障碍.
- 远距离双肩肌破裂不常见,但可能会使手臂创伤的管理复杂化.
- 诊断可能是具有挑战性的,因为并发的四肢麻.
研究的目的:
- 突出突出发生和诊断挑战的远距离二头肌肌破裂在患者手臂损伤的伤害.
- 强调特定的诊断操作的重要性.
主要方法:
- 病例报告详细介绍了两名手臂损伤的患者,他们经历了远距离双肩肌破裂.
- 对包括神经移植和肌重建在内的外科手术进行审查.
- 评估功能结果,特别是肘部曲.
主要成果:
- 一名患有上臂关节损伤的患者患有未被识别的远距离双肩肌破裂,手术后诊断出这种情况.
- 第二个患有C5-T1损伤的患者在手术期间被诊断出患有远距离双肩肌破裂.
- 两位患者在一年的随访中都实现了重力辅助肘部曲.
结论:
- 远距离双肩肌破裂是一种罕见的并发性损伤与手臂创伤.
- 详细的患者病史和双肩肌的手术内触摸对于准确的诊断至关重要.
- 及时识别和管理是恢复肘部曲功能的关键.
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