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索尔特-哈里斯三型骨折 - - 靠近腰的脱位
Andrew S Kucey1, Khaled Skaik2, Megan Cashin1
1Orthopedic Surgery, Memorial University of Newfoundland, St. John's, CAN.
Cureus
|December 2, 2025
概括
本案例报告详细介绍了在一个10岁的儿童中成功手术治疗罕见的儿科萨尔特-哈里斯III近腰骨折-脱的情况. 患者在一年后实现了完全的运动范围,没有并发症.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 儿科创伤学 儿科创伤学
背景情况:
- 儿科近端骨骨折不常见,骨折位移非常罕见.
- 大多数儿科近腰骨折都是萨尔特-哈里斯 (SH) I或II型,通常非手术治疗.
- 儿科患者的SH型III骨折脱位异常罕见,记录不充分.
研究的目的:
- 报告一个罕见的萨尔特-哈里斯型III近腰骨骨折-脱位在一个10岁的孩子的管理和结果.
- 为增加关于这种特定儿科损伤的有限文献做出贡献.
- 在这种情况下,要突出监禁关节碎片的手术方法.
主要方法:
- 一名10岁的患者的病例报告,患有萨尔特-哈里斯型III近腰骨骨折-脱位.
- 手术管理涉及由于监禁关节碎片的开放缩小.
- 使用皮肤穿的基尔施纳电线进行稳定.
主要成果:
- 患者经历了成功的开放缩减和内部固定.
- 在一年的随访中,患者在受影响的肩膀中表现出全方位的运动范围.
- 没有观察到无血管亡或其他并发症的迹象.
结论:
- 开放的缩减和皮固定可以是儿科SH III近腰骨骨折脱位与囚禁碎片的有效治疗方法.
- 这种方法可以带来出色的功能结果,并预防诸如无血管缩等并发症.
- 需要进一步的病例报告,以建立一个更强大的理解管理这种罕见的伤害.
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