一名大学橄榄球运动员的肯博克病：病例报告及文献综述
Kienbock's disease in a varsity football player: a case report and review of the literature.
作者信息
Laframboise Michelle A, Gringmuth Robert, Greenwood Christopher
机构信息
Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Canada ; Division of Graduate Studies, Sports Sciences, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, Canada.
出版信息
J Can Chiropr Assoc. 2012 Dec;56(4):275-82.
OBJECTIVE
To present the diagnostic, clinical features, and management of Kienbock's disease and create awareness of the differential diagnosis of this condition in patients presenting with insidious, progressive dorsal wrist pain.
CLINICAL FEATURES
A 23-year old male varsity football player presented with insidious progressive dorsal sided wrist pain with reduced wrist flexion and extension. A diagnosis of Kienbock's disease was made based on radiographs and magnetic resonance imaging.
INTERVENTION AND OUTCOME
A 3mm ulnar-minus variance was found and a joint leveling procedure to shorten the radius was performed. Conservative therapy was provided pre and post surgical management.
SUMMARY
This case report demonstrates the importance of findings on radiographs, MRI, and clinical examination in the accurate diagnosis and management of a patient with wrist pain.
目的
介绍月骨无菌性坏死的诊断、临床特征及治疗方法，并提高对隐匿性、进行性腕背侧疼痛患者该疾病鉴别诊断的认识。
临床特征
一名23岁的大学男子橄榄球运动员出现隐匿性进行性腕背侧疼痛，伴腕关节屈伸活动受限。根据X线片和磁共振成像诊断为月骨无菌性坏死。
干预措施及结果
发现尺骨负向变异3mm，行桡骨缩短关节平整术。手术前后均给予保守治疗。
总结
本病例报告证明了X线片、MRI及临床检查结果在腕部疼痛患者准确诊断和治疗中的重要性。
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