先天性双侧肘屈肌缺如1例：鉴别诊断与治疗回顾
A case of congenital bilateral absence of elbow flexor muscles: review of differential diagnosis and treatment.
作者信息
Netscher David T, Aliu Oluseyi, Samra Saleh, Lewis Eric
机构信息
Division of Plastic Surgery, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX, 77030, USA.
出版信息
Hand (N Y). 2008 Mar;3(1):4-12. doi: 10.1007/s11552-007-9056-0. Epub 2007 Oct 9.
Abstract
A 1-year-old boy presented to us with congenital inability to flex his elbow. He had bilaterally absent biceps brachii and brachialis muscles, a rare condition. We performed pedicle latissimus dorsi musculocutaneous flaps to the left and right volar upper arm at 21 and 24 months of age, respectively, to create elbow flexors. By 4 years of age, he had excellent elbow flexion bilaterally with strength grade in excess of 4.5. In addition to discussing our patient's treatment options, we discuss other potential causes of weak elbow flexion when faced with this clinical dilemma.
摘要
一名1岁男童因先天性肘关节无法屈曲前来就诊。他双侧肱二头肌和肱肌缺如，这是一种罕见的情况。我们分别在患儿21个月和24个月大时，对其左右上臂掌侧进行了带蒂背阔肌肌皮瓣移植，以构建肘关节屈肌。到4岁时，他双侧肘关节屈曲功能良好，肌力超过4.5级。除了讨论我们这位患者的治疗方案外，我们还探讨了面对这一临床困境时导致肘关节屈曲无力的其他潜在原因。
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