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一名儿科患者的西摩骨折:病例报告

Seymour Fracture in a Pediatric Patient: A Case Report.

作者信息

Bandi Sumedha, Drone Emily, Vera Ariel, Ganti Latha

机构信息

Emergency Medicine, University of Minnesota, Minneapolis, USA.

Emergency Medicine, University of Central Florida/HCA Healthcare Osceola Regional Medical Center, Orlando, USA.

出版信息

Cureus. 2020 Sep 27;12(9):e10687. doi: 10.7759/cureus.10687.

DOI:10.7759/cureus.10687
PMID:33133852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7593213/
Abstract

In this report, the authors present the case of a child who sustained a specific type of mallet finger injury known as a Seymour fracture. This is an important injury to recognize in the emergency department as it is associated with significant morbidity if not treated appropriately. This is especially of concern in children, where the tissue can get trapped in the growth plate. Children also face a high risk of deformity due to growth arrest. Management includes thorough washout, reduction of displacement, and antibiotics and tetanus prophylaxis if there is an open fracture.

摘要

在本报告中,作者介绍了一名儿童发生一种特殊类型的槌状指损伤,即西摩骨折的病例。这是一种在急诊科需要识别的重要损伤,因为如果治疗不当,会导致严重的发病率。这在儿童中尤其值得关注,因为组织可能会被困在生长板中。儿童还面临因生长停滞而导致畸形的高风险。治疗包括彻底冲洗、复位移位,如果是开放性骨折,则使用抗生素并预防破伤风。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1f/7593213/28eddceed530/cureus-0012-00000010687-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1f/7593213/77e571d91f41/cureus-0012-00000010687-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1f/7593213/28eddceed530/cureus-0012-00000010687-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1f/7593213/77e571d91f41/cureus-0012-00000010687-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1f/7593213/28eddceed530/cureus-0012-00000010687-i02.jpg

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本文引用的文献

1
Delayed Presentation of Seymour Fractures: A Single Institution Experience and Management Recommendations.延迟出现的 Seymour 骨折:单机构经验和管理建议。
Hand (N Y). 2021 Sep;16(5):686-693. doi: 10.1177/1558944719878846. Epub 2019 Oct 9.
2
Pediatric Hand and Wrist Fractures.小儿手和腕部骨折。
Clin Plast Surg. 2019 Jul;46(3):425-436. doi: 10.1016/j.cps.2019.02.012.
3
Pediatric hand fractures.小儿手部骨折
Hand Clin. 2013 Nov;29(4):569-78. doi: 10.1016/j.hcl.2013.08.009.
4
Seymour fractures.西摩骨折
J Hand Surg Am. 2013 Nov;38(11):2267-70; quiz 2270. doi: 10.1016/j.jhsa.2013.08.104.
5
Seymour fractures: retrospective analysis and therapeutic considerations.西摩骨折:回顾性分析与治疗考量
J Hand Surg Am. 2013 Feb;38(2):258-64. doi: 10.1016/j.jhsa.2012.11.015.
6
Hand fractures in children: epidemiology and misdiagnosis in a tertiary referral hospital.儿童手部骨折:一家三级转诊医院的流行病学及误诊情况
J Hand Surg Am. 2012 Aug;37(8):1684-8. doi: 10.1016/j.jhsa.2012.05.010. Epub 2012 Jul 3.