一个简单的骨囊在靠近腰椎的症状脂肪卷积:一个罕见的病例报告
Arun Krishnamoorthi1, Silambarasi Nagasamy1
1Department of Orthopaedics, Parvathy Hospital, Chennai, Tamil Nadu, India.
Journal of orthopaedic case reports
|February 11, 2026
概括
简单骨囊的脂肪卷积,在近腰骨中很少见,可以导致肩膀疼痛. 使用切和骨移植的新型手术方法有效地治疗了症状病例,恢复了功能.
科学领域:
- 整形外科手术 整形外科手术
- 肌肉骨瘤学 肌肉骨瘤学
- 骨病理学 骨病理学 骨病理学
背景情况:
- 骨内脂质瘤和简单骨囊是共享特征和可疑共同起源的中瘤.
- 简单骨囊的脂肪卷积是一个不常见的发现,特别是在近端手腕.
- 这个案例突出了诊断的复杂性,并为这种罕见的疾病提出了新的手术策略.
研究的目的:
- 报告近腰部脂肪转化的症状病例.
- 为了强调与这种罕见实体相关的诊断挑战.
- 描述一种新的手术治疗方法,用于症状性脂肪卷积.
主要方法:
- 一名36岁的男性患有渐进的左肩疼痛,呈现出靠近腰部垂体损伤.
- 患者经历了长时间的切割,安置了可生物吸收的抗生素加载的水泥珠,并进行了自身骨头移植.
- 组织病理学检查证实了纤维脂肪组织的存在,这表明脂肪的卷积.
主要成果:
- 手术后恢复很快,患者在2周内恢复了日常活动.
- 观察到显著的功能改善,手臂,肩膀和手的残疾 (DASH) 评分从35降至5在4周内.
- 组织病理学证实了脂肪卷积的诊断.
结论:
- 延长切结合可生物吸收的抗生素载荷的水泥珠和自身骨移植是对症状的近端部脂肪卷变的可行的治疗方法.
- 这种外科手术技术确保了完整的病变移除和骨结构强化,从而带来了出色的功能结果.
- 治疗决策应该优先考虑患者的症状,而不是仅仅是成像发现.
相关概念视频
Bones of the Upper Limb: Humerus
7.4K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
7.4K
Data Reporting and Recording
5.5K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.5K
Types of Reports I: Hands-off Report
1.6K
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.6K
Factors Influencing Attraction I: Proximity
289
Proximity plays a fundamental role in shaping interpersonal attraction by increasing opportunities for interaction and fostering familiarity. Research consistently demonstrates that individuals are more likely to form social bonds with those who are physically closer to them, whether in residential settings, workplaces, or educational institutions. This effect is largely driven by the increased frequency of encounters, which facilitates the development of friendships and romantic...
289
Overview of Fatty Acid Metabolism
37.2K
Lipids also are sources of energy that power cellular processes. Like carbohydrates, lipids are composed of carbon, hydrogen, and oxygen, but these atoms are arranged differently. Most lipids are nonpolar and hydrophobic. Major types include fats and oils, waxes, phospholipids, and steroids.
Fatty acids are catabolized in a process called beta-oxidation, which takes place in the matrix of the mitochondria and converts their fatty acid chains into two-carbon units of acetyl groups. The acetyl...
Fatty acids are catabolized in a process called beta-oxidation, which takes place in the matrix of the mitochondria and converts their fatty acid chains into two-carbon units of acetyl groups. The acetyl...
37.2K
Types of Reports II: Incident or Occurrence Report
1.3K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.3K


