基恩博克病 - 一个病例报告:治疗两个晚期病例
Daniel Dos Santos Rocha1, Denis Willame2, Didier Postlethwaite2
1Departement of Orthopedics, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Journal of orthopaedic case reports
|November 24, 2025
概括
基恩博克病的治疗对于某些利希特曼IIIc病例可能是保守的. 在两个患者中,带有放射性骨切除的月经骨质合成显示出愈合和功能恢复.
科学领域:
- 整形外科手术 整形外科手术
- 手和手腕的手术手术手术和手腕的手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术
- 骨髓缩的研究研究.
背景情况:
- 基恩博克病是一种渐进的骨髓缩,可能导致严重的手腕退化.
- 目前的治疗算法缺乏标准化,策略通常基于月球的救援能力.
- 利赫特曼IIIc阶段涉及月经的冠状骨折,这给治疗带来了挑战.
研究的目的:
- 报告晚期基恩博克病的保守手术方法的可行性和结果.
- 为了评估在选择的 Lichtman 阶段 IIIc 病例中保留手腕对齐的月经维护手术.
主要方法:
- 两名女性患者 (42岁和47岁) 患有Lichtman IIIc Kienböck疾病的病例报告.
- 手术涉及月球骨质合成与半径的中间关闭骨切除术相结合.
- 评估包括计算机断层扫描以确认结合和早期功能恢复的评估.
主要成果:
- 这两位患有晚期基恩博克病 (Lichtman IIIc) 的患者都实现了计算机断层扫描确认的结合.
- 在这两种情况下,保守的手术策略导致了可接受的早期功能恢复.
- 在经过精心挑选的患者中,证明了维护性手术的潜在有效性.
结论:
- 带有放射性关闭骨切除的月经性骨质合成是一种可行的保守选择,用于选择的Lichtman IIIc Kienböck疾病病例.
- 这种方法可以实现结构愈合和功能改善,当手腕对齐和月球形态被保留时.
- 需要进行更大规模的前性研究来确认长期耐用性,并与已建立的息治疗程序进行比较.
相关概念视频
02:49Cancer Therapies
9.8K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
9.8K
02:57Targeted Cancer Therapies
8.6K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
8.6K
02:50Combination Therapies and Personalized Medicine
5.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.9K
01:28Pulmonary Tuberculosis V
530
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
530
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
169
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
169
01:28Chronic Kidney Disease III: Interprofessional Care
326
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
326