脑膜炎球菌败血症后四肢截肢患者的肱骨近端畸形。
Proximal humerus deformity, in a four-limb amputee following meningococcal septicaemia.
作者信息
Ikram Adeel, Singhania Kriti, Tafazal Suhayl, Tambe Amol
机构信息
Department of Trauma and Orthopaedics, Royal Derby Hospital, Derby, UK.
出版信息
BMJ Case Rep. 2018 Oct 25;2018:bcr-2018-226040. doi: 10.1136/bcr-2018-226040.
Abstract
We present a challenging case of proximal humerus varus deformity in a four-limb amputee, caused by growth arrest from meningococcal septicaemia. The deformity resulted in a loss of function for our patient with inhibition of activities of daily living, requiring corrective osteotomy to help improve the range of motion of the shoulder. We describe in detail the management of our patient, highlight the importance of the orthopaedic manifestations of meningococcal septicaemia, and demonstrate the importance of monitoring potential deformities from growth arrest in these patients.
摘要
我们报告了一例四肢截肢患者近端肱骨内翻畸形的具有挑战性的病例，该畸形由脑膜炎球菌败血症导致的生长停滞引起。这种畸形导致我们的患者功能丧失，日常生活活动受到限制，需要进行矫正截骨术以帮助改善肩部的活动范围。我们详细描述了该患者的治疗过程，强调了脑膜炎球菌败血症骨科表现的重要性，并证明了监测这些患者生长停滞所致潜在畸形的重要性。
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