隐匿性肌腱。一种骨骺骨折的罕见并发症。
Buried tendons. An unusual complication of physis fracture.
作者信息
Kitridis D, Sachinis N P, Daniilidis N, Givissis P
机构信息
1 Orthopedic Department, 424 General Military Hospital, Thessaloniki, Greece.
1 Orthopedic Department, George Papanikolaou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
出版信息
Hippokratia. 2017 Jan-Mar;21(1):52-54.
BACKGROUND
Tendon entrapment as a consequence of forearm fracture is rare. Only a few such tendon incarcerations have been described in the literature.
CASE REPORT
An 8-year-old boy presented with inability to extend the middle, ring, and little fingers of his right hand. Six months earlier, he had sustained an open Salter-Harris II distal radius and greenstick ulna fractures treated elsewhere with an external fixator and a Kirshner wire. After clinical evaluation, surgical exploration was decided. During surgery, the deep flexor tendons of these fingers were released from a bone canal proximally to the previous fracture site. Two years postoperatively, the patient presented with growth arrest signs of the palmar aspect of his distal radius. Shortening, epiphysiodesis of the ulna and epiphysiodesis of the radius were performed.
CONCLUSION
Three tendons entrapped proximally to a previous fracture site is a unique incident. It indicates the need for a high level of suspicion to recognize and manage these severe complications timely. HIPPOKRATIA 2017, 21(1): 52-54.
背景
前臂骨折导致的肌腱嵌顿很少见。文献中仅描述了少数此类肌腱嵌顿病例。
病例报告
一名8岁男孩出现右手环指、小指及中指不能伸直。6个月前，他在其他地方因桡骨远端Salter-Harris II型开放性骨折及尺骨青枝骨折接受了外固定架和克氏针治疗。经过临床评估后，决定进行手术探查。术中，这些手指的指深屈肌腱在先前骨折部位近端的骨管处被松解。术后两年，患者出现桡骨远端掌侧生长停滞迹象，遂进行了尺骨短缩、尺骨骨骺阻滞及桡骨骨骺阻滞手术。
结论
三根肌腱在先前骨折部位近端嵌顿是一种罕见情况。这表明需要高度怀疑，以便及时识别和处理这些严重并发症。《希波克拉底》2017年，21(1): 52 - 54。
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