电邮这篇文章 儿童舟头骨折综合症
- 作者: Wircker P.1, Alves da Silva T.1, Dias R.1
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隶属关系:
- Hospital de Cascais
- 期: 卷 9, 编号 4 (2021)
- 页面: 471-476
- 栏目: Clinical cases
- URL: https://bakhtiniada.ru/turner/article/view/79275
- DOI: https://doi.org/10.17816/PTORS79275
- ID: 79275
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详细
背景。舟头骨折综合症涉及舟状骨和头状骨横行骨折，头状骨近端骨折块旋转90°或180°，常伴有其他腕骨脱位。是一种罕见腕关节损伤，常见于年轻男性，儿童少发。具体发病机制尚存争议。常被误诊为单纯性舟骨骨折，舟头骨骨折综合症中头状骨骨折的治疗方式存在争议。
临床病例。作者报告了一起罕见的15岁男童舟头骨折综合症病例。对舟状骨骨折和头状骨骨折实施早期开放手术复位后，获得良好的活动度，抓握力恢复正常，放射学影像检查显示两处骨愈合，未出现缺血性坏死。
讨论。许多作者同意，无论损伤的放射学影像表现如何，都应选择开放复位和内固定进行治疗。最常用的是背侧入路。头状骨骨折块通常不涉及软组织，通过对患侧实施牵引，术者可用手施加压力，相对轻松地进行复位。必须先进行头状骨复位和固定再进行舟状骨复位与固定。可用克氏针和无头螺钉从头状骨和舟状骨近端向远端进行固定。疾病进展特征为头状骨头部可能出现缺血性坏死。
结论。本病例报告表明舟头综合症可发生于儿童患者，早期诊断对及时治疗非常重要。通过使用克氏针进行开放复位和固定，我们的患者得到成功治疗。
作者简介
Patrícia Wircker
Hospital de Cascais
Email: patriciawircker@gmail.com
ORCID iD: 0000-0002-2731-5868
Trauma and Orthopedic Surgery Resident
葡萄牙, Av. Brigadeiro Victor Novais Gonçalves, 2755-009 Alcabideche, LisbonTeresa Alves da Silva
Hospital de Cascais
Email: alvesdasilva.t@gmail.com
Trauma and Orthopedic Surgeon
葡萄牙, Av. Brigadeiro Victor Novais Gonçalves, 2755-009 Alcabideche, LisbonRafael Dias
Hospital de Cascais
编辑信件的主要联系方式.
Email: rafaelrmdias@gmail.com
Trauma and Orthopedic Surgery Resident
葡萄牙, Av. Brigadeiro Victor Novais Gonçalves, 2755-009 Alcabideche, Lisbon参考
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