一个溃疡性包扎法。
A fungating spica.
作者信息
Chan Yuen, Selvaratnam Veenesh, Garg Neeraj
机构信息
Department of Trauma and Orthopaedics, Alder Hey Children's Hospital NHS Foundation Trust, Liverpool, UK.
出版信息
BMJ Case Rep. 2015 Jan 21;2015:bcr2014206901. doi: 10.1136/bcr-2014-206901.
Developmental dysplasia of the hip (DDH) is a common paediatric orthopaedic problem. There are various options for treatment dependent on the age and presentation. In closed and open reduction of DDH, we use a hip spica cast for immobilisation after the procedure. We present an unusual case of fungal growth on a hip spica. A 7-month-old girl presented to our institution with clusters of yellowish-white outgrowths resembling mushrooms from her spica. To the best of our knowledge, this is the first reported case of fungal growth on a hip spica following DDH treatment. It is of utmost importance to be aware of any growth on a hip spica, as this requires a prompt change of spica to avoid further complications. We recommend that the integrity of the spica and the skin be checked at regular intervals in patients with a hip spica.
发育性髋关节发育不良（DDH）是一种常见的小儿骨科问题。根据年龄和表现，有多种治疗选择。在DDH的闭合和开放复位中，我们在手术后使用髋人字石膏进行固定。我们报告了一例髋人字石膏上出现真菌生长的罕见病例。一名7个月大的女孩到我们机构就诊，其髋人字石膏上有一簇簇类似蘑菇的黄白色赘生物。据我们所知，这是DDH治疗后髋人字石膏上出现真菌生长的首例报道病例。意识到髋人字石膏上的任何生长情况至关重要，因为这需要及时更换石膏以避免进一步的并发症。我们建议对佩戴髋人字石膏的患者定期检查石膏和皮肤的完整性。
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