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罕见肘关节僵硬病例的清创关节成形术。病例报告及文献综述。

Debridement arthroplasty of a rare case of elbow stiffness. A case report and literature review.

作者信息

Poonit Keshav, Yao Chenglun, Zhou Xijie, Wu Zhipeng, Lin Damu, Yan Hede

机构信息

Department of Orthopedics (Division of Plastic and Hand Surgery), The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, China.

Department of Orthopedics (Division of Plastic and Hand Surgery), The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, China.

出版信息

Int J Surg Case Rep. 2018;52:35-39. doi: 10.1016/j.ijscr.2018.09.009. Epub 2018 Sep 14.

Abstract

INTRODUCTION

Elbow stiffness is a common condition that affects the quality of life of patients. Melorheostosis of the elbow associated with elbow stiffness is extremely rare.

PRESENTATION OF CASE

We report the case of a 28 yr old male who presented with elbow stiffness which occurred within one year without prior history of trauma or infection. The patient had decrease in range of motion together with progressive worsening pain that forced him to seek medical attention.

DISCUSSION

There is no standard treatment for melorheostosis, and management plans must be made on an individual patient basis. The aims of treatment are pain relief and maintaining function.

CONCLUSION

Debridement arthroplasty is safe and effective in treating elbow stiffness associated with Melorheostosis.

摘要

引言

肘关节僵硬是一种常见病症,会影响患者的生活质量。与肘关节僵硬相关的肘部肢骨纹状肥大极为罕见。

病例介绍

我们报告一例28岁男性病例,该患者出现肘关节僵硬,病程一年,无既往创伤或感染史。患者活动范围减小,疼痛逐渐加重,被迫就医。

讨论

肢骨纹状肥大尚无标准治疗方法,必须根据个体患者制定管理计划。治疗目的是缓解疼痛并维持功能。

结论

清创关节成形术治疗与肢骨纹状肥大相关的肘关节僵硬安全有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/747f/6180235/e947c12632d8/gr1.jpg

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