在成年患者的放射性毛骨关节中插入年状带:一个病例报告
Kai Lin Lee1, John Wen Cong Thng1, Benjamin Ren Yi Seah2
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
JBJS case connector
|July 24, 2025
概括
在成年人中,环状带插入射线关节 (ALIRJ) 是罕见的. 这个案例表明,在一个超流动的运动员中,成功地进行了非手术性减肥,从而完全康复.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 放射学 放射学是一门学科.
背景情况:
- 环状带插入射线关节 (ALIRJ) 通常是一种儿科疾病.
- 成年ALIRJ不常见,经常出现急性肘部疼痛和运动受限,特别是在超移动的个体中.
研究的目的:
- 报告一个非同寻常的ALIRJ病例在一个成年超移动运动员.
- 描述成年ALIRJ的成功非手术治疗方法.
- 强调在成人对肘部疼痛的差异诊断中考虑ALIRJ的重要性.
主要方法:
- 一个18岁的女排球员的案例研究,患有急性肘部症状.
- 使用磁共振成像 (MRI) 进行诊断确认.
- 通过特定的机动来实现非手术性减轻:重复的pronation/supination与超pronation的引和曲.
主要成果:
- 磁力共振成像证实了环状带插入到放射性头状关节.
- 患者成功地减少了插入.
- 14个月后,患者仍然没有疼痛,具有全方位的运动范围.
结论:
- 过敏,虽然在儿童中很常见,但在成年人中很少见.
- 这一案例强调了在患有肘部疼痛的成年患者中考虑ALIRJ的必要性,特别是那些患有过宽松症的患者.
- 量身定制的减轻机动可以有效地治疗成人ALIRJ,防止误诊并确保有利的结果.
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