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疑似埃勒斯-当洛综合征患者的腕掌关节置换术和尺侧副韧带重建：病例报告及文献综述

Carpometacarpal Arthroplasty and Ulnar Collateral Ligament Reconstruction in a Patient with Suspected Ehlers-Danlos Syndrome: A Case Report and Review of the Literature.

作者信息

Samona Scott, Palazzo Michelle

机构信息

Christine M. Kleinert Institute for Hand and Microsurgery, Wixom, Michigan, United States.

Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, Kentucky, Unites States.

出版信息

J Hand Microsurg. 2020 Oct;12(Suppl 1):S64-S66. doi: 10.1055/s-0039-1688680. Epub 2019 Jun 2.

DOI:10.1055/s-0039-1688680
PMID:33335376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7735549/
Abstract

Ehlers-Danlos syndrome (EDS) is a disorder that presents with a heterogeneous constellation of symptoms, ranging from clinically silent to rapidly deteriorating. It is a multisystemic connective tissue disorder that may result in any number of manifestations, with joint hypermobility being a classic manifestation. We present a case of a 58-year-old woman, with suspected EDS, who presented with several years' history of bilateral thumb pain, with imaging and physical examination findings consistent with bilateral thumb carpometacarpal (CMC) arthritis with metacarpophalangeal joint (MPJ) hypermobility. The Beighton hypermobility score was consistent with suspected EDS. Our patient underwent thumb CMC arthroplasty with ulnar collateral ligament (UCL) reconstruction.

摘要

埃勒斯-当洛综合征（EDS）是一种表现出异质性症状群的疾病，症状范围从临床无症状到迅速恶化。它是一种多系统结缔组织疾病，可能导致多种表现，关节活动过度是其典型表现。我们报告一例58岁疑似患有EDS的女性病例，她有数年双侧拇指疼痛病史，影像学和体格检查结果符合双侧拇指腕掌关节（CMC）关节炎伴掌指关节（MPJ）活动过度。贝顿活动过度评分与疑似EDS相符。我们的患者接受了拇指CMC关节成形术并进行了尺侧副韧带（UCL）重建。

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本文引用的文献

1
Orthopaedic management of the Ehlers-Danlos syndromes.埃勒斯-当洛综合征的骨科治疗
Am J Med Genet C Semin Med Genet. 2017 Mar;175(1):188-194. doi: 10.1002/ajmg.c.31551. Epub 2017 Feb 13.
2
Bilateral arthroscopic tendon interposition arthroplasty of the thumb carpometacarpal joint in a patient with Ehlers-Danlos syndrome: a case report.1例患有埃勒斯-当洛综合征患者的拇指腕掌关节双侧关节镜下肌腱间置关节成形术：病例报告
J Hand Surg Am. 2005 Jul;30(4):673-6. doi: 10.1016/j.jhsa.2005.01.003.
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Painful subluxation of the carpometacarpal joint of the thumb in Ehlers-Danlos syndrome.埃勒斯-当洛综合征中拇指掌指关节的疼痛性半脱位
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