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[严重先天性屈曲指畸形的成功保守治疗。病例报告]

[Successful conservative treatment of severe congenital camptodactyly. Case report].

作者信息

Koeweiden E M, van Horn J R

机构信息

Medisch Centrum Alkmaar.

出版信息

Tijdschr Kindergeneeskd. 1988 Dec;56(6):303-4.

PMID:3238684
Abstract

A three year old girl with a severe type of camptodactyly of 100 degrees in the right little finger was successfully treated conservatively. A well tolerated circular below elbow plaster of Paris with the PIP joint in maximal extension was applied and changed at short intervals. Gradually after eight weeks complete extension and full return of function as well as a marked radiographic remodelling of the PIP joint were obtained. A slight relapse to 25 degrees of contracture at 2 years follow-up was soon corrected the same way.

摘要

一名三岁女童右手小指患有严重的先天性屈曲挛缩,角度达100度,经保守治疗成功治愈。使用了一种耐受性良好的肘关节以下环形巴黎石膏,将近端指间关节置于最大伸展位,并每隔短时间更换一次。八周后逐渐实现了完全伸展、功能完全恢复,以及近端指间关节明显的影像学重塑。在两年随访时出现了25度挛缩的轻微复发,很快通过同样的方法得到了纠正。

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