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双边梯形和多重手足下部骨折:一个不常见的病例报告
Yasin Erdoğan1, Mert Karaduman
1Ankara Etlik Şehir Hastanesi, Ortopedi ve Travmatoloji Kliniği, 06170 Yenimahalle, Ankara, Türkiye. yasin-erdgn@hotmail.com.
Joint diseases and related surgery
|December 14, 2025
概括
双边梯形骨折很罕见,但对手部功能至关重要. 这一案例突出了复杂骨折的个性化治疗,实现了骨结合,但在创伤后注意到抓握强度降低.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 手术手术手术手术手术
背景情况:
- 梯形骨折非常罕见,但对于手握和捏握至关重要.
- 这些伤害通常发生在第一个甲手腕骨基骨折和 carpometacarpal 关节脱时.
- 高能量的创伤是这些复杂骨折的常见机制.
研究的目的:
- 报告一个罕见的双边梯形骨折的案例,在一个年轻的男性高能创伤后.
- 讨论复杂的梯形骨折的诊断挑战和个性化治疗策略.
- 评估操作和保守管理的放射性和功能性结果.
主要方法:
- 一名19岁的男子在摩托车事故后双边手部疼痛,接受了详细的成像检查.
- 骨折模式包括切碎的沃克类型V和非移位的沃克类型IV梯形骨折,以及相关的甲手骨基骨折.
- 治疗包括对左梯形骨折进行保守管理,以及对其他骨折进行皮肤穿的基尔施纳线 (K-线) 固定,包括右梯形骨.
主要成果:
- 在一年的随访中,完全实现了骨结合,运动范围不受限制.
- 与规范值相比,双边降低了手握力和钥匙紧力.
- 非手术治疗的侧面在抓地力和力方面显示出稍微更好的功能结果.
结论:
- 高临床怀疑和先进的成像对于诊断罕见的梯形骨折至关重要,特别是在高能量创伤中.
- 基于骨折类型和位移的个性化治疗是实现令人满意的结果的关键.
- 尽管成功结合,但抓地力和力功能缺陷可能会持续存在,需要进一步调查和管理.
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