下外和骨髓炎:一个案例系列
Julia Haugaard1, Andreas Jørgensen1, Karen Dyreborg1
1Department of Orthopedic Surgery, Herlev Hospital, Borgmester Ib Juuls vej 1, Herlev 2730, Denmark.
Journal of surgical case reports
|December 8, 2025
概括
下外 (SE) 很少与骨质炎,一种骨感染共存. 本案例系列强调了这种新的关联,并建议MRI用于诊断和综合性手术和抗生素治疗以获得最佳结果.
科学领域:
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 外 (subungual exostosis,SE) 是一种罕见的良性骨骨瘤,通常影响大脚.
- 已知的并发症包括指甲形和复发,但以前没有记录过感染.
研究的目的:
- 报告一个新的协会之间的下外和骨质炎.
- 描述这种罕见并发症的诊断和管理策略.
主要方法:
- 三名患有SE和同时患有骨髓炎的青少年患者的病例系列.
- 诊断通过临床检查,MRI和手术内骨培养得到证实.
- 治疗包括手术切除,脱bridement,带抗生素的骨腔填充剂和全身抗生素.
主要成果:
- 这三名患者的骨髓炎完全消失.
- 没有观察到SE或术后并发症的复发.
- 这项研究引入了以前未报告的SE和骨髓炎的共存.
结论:
- 在SE病例中,MRI是评估潜在感染的宝贵工具.
- 最佳的管理需要手术除菌,手术内培养和向抗生素治疗的综合方法.
- 本系列强调了一种新的临床关联,需要在诊断和治疗中加以考虑.
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