特别广泛的特雷弗病 涉及所有四个半径手,呈现粗手腕形
Prabodh Kantiwal1, Siddhi Chawla2, Amir Suhail1
1Orthopedics, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND.
Cureus
|February 13, 2026
概括
肌肉发育不良症 (DEH),或特雷弗病,很少影响手腕. 这一案例突出显示,一个儿童患有广泛的手腹部DEH,经过手术成功治疗,强调早期诊断以获得最佳结果.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科整形外科 儿科整形外科
- 骨发育不良症 骨发育不良症
背景情况:
- 肌肉发育缺陷 (Dysplasia epiphysealis hemimelica,简称DEH),也称为特雷弗病,是一种罕见的发育障碍,其特征是异对称的肌肉发育软骨过度生长.
- 虽然通常会影响下肢,但手干涉非常罕见,这给诊断带来了挑战.
研究的目的:
- 报告一个罕见的,广泛的,多球体手掌DEH在儿科患者的病例.
- 强调在DEH中识别手病变的体起源对于准确的诊断和管理的重要性.
主要方法:
- 一个四岁女孩的案例介绍,她的手腕胀和变形.
- 诊断工作包括成像 (放射学,MRI) 和组织病理学.
- 进行了切除骨骨病变的手术,并进行了形纠正.
主要成果:
- 图像检测显示多球化骨骨性病变,涉及多个手骨 (甲骨,月,,) 和绑架者pollicis longus肌外.
- 组织病理学证实了DEH的诊断.
- 手术干预导致了良好的功能恢复,并在手术后六个月没有复发.
结论:
- 在DEH中,广泛的手腕参与是罕见的,但可以通过手术干预来控制.
- 在适当的治疗规划中,区分手性DEH与其他骨髓损伤,如骨髓损伤,至关重要.
- 早期识别这些病变的质性质是成功管理和预防复发的关键.
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