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经皮固定术后小儿桡骨远端布罗迪脓肿1例

A Case of Brodie's Abscess in Distal Radius of Pediatric following Percutaneous Fixation.

作者信息

Tabrizi Ali, Afshar Ahmadreza, Shishavan Seyed Amir Mahlisha Kazemi

机构信息

Department of Orthopedics, Urmia University of Medical Sciences, Imam Khomeini Hospital, Urmia, Iran.

Department of Orthopedics, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran.

出版信息

J Hand Microsurg. 2020 Dec;12(3):204-207. doi: 10.1055/s-0039-1683947. Epub 2019 Apr 17.

Abstract

Distal radius fractures are among the most common pediatric fractures. In unstable fractures, treatment methods include closed or open reduction and percutaneous pinning with Kirschner wire (K-wire). This report presents a 13-year-old boy with an unstable distal radius and ulnar fractures, following an accident, who was treated with open reduction and K-wire fixation. He had pain and limited wrist range of motion for 6 months. Conventional radiography revealed a lytic lesion with evident sclerotic margin. Chronic osteomyelitis and Brodie's abscess were also indicated. A complete curettage and antibiotic therapy for 3 months was successful. Culturing results showed that and pathologic findings were in favor of chronic osteomyelitis. Subacute osteomyelitis and Brodie's abscess are rare retarded complications in percutaneous pinning of distal radius pediatric fractures. The curettage of the lesion and antibiotic therapy for at least 3 months would be successful and could result in good prognosis among children.

摘要

桡骨远端骨折是最常见的儿童骨折之一。对于不稳定骨折,治疗方法包括闭合或切开复位以及克氏针经皮内固定。本报告介绍了一名13岁男孩,在一次事故后发生了不稳定的桡骨远端和尺骨骨折,接受了切开复位和克氏针内固定治疗。他持续疼痛且腕关节活动范围受限6个月。传统X线摄影显示有一个边界硬化明显的溶骨性病变。还提示有慢性骨髓炎和布罗迪脓肿。进行了彻底刮除术并给予3个月的抗生素治疗,治疗成功。培养结果及病理检查结果均支持慢性骨髓炎的诊断。亚急性骨髓炎和布罗迪脓肿是儿童桡骨远端骨折经皮穿针固定术后罕见的延迟并发症。对病变进行刮除并给予至少3个月的抗生素治疗会取得成功,且可使儿童获得良好预后。

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Brodie's abscess following percutaneous fixation of distal radius fracture in a child.儿童桡骨远端骨折经皮固定术后出现的布罗迪脓肿。
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Brodie's Abscess of the Radius in a Child.儿童桡骨的布罗迪脓肿
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本文引用的文献

1
Brodie's Abscess of the Radius in a Child.儿童桡骨的布罗迪脓肿
J Hand Surg Asian Pac Vol. 2017 Jun;22(2):244-247. doi: 10.1142/S0218810417720169.
2
Brodie's abscess following percutaneous fixation of distal radius fracture in a child.儿童桡骨远端骨折经皮固定术后出现的布罗迪脓肿。
Strategies Trauma Limb Reconstr. 2016 Apr;11(1):69-73. doi: 10.1007/s11751-016-0249-3. Epub 2016 Mar 16.
3
Wound irrigation within the surgical treatment of osteomyelitis.骨髓炎外科治疗中的伤口冲洗
GMS Interdiscip Plast Reconstr Surg DGPW. 2012 Jan 9;1:Doc08. doi: 10.3205/iprs000008. eCollection 2012.
4
The epidemiology and outcome of open distal radial fractures.桡骨远端开放性骨折的流行病学及预后
J Orthop. 2013 May 25;10(2):49-53. doi: 10.1016/j.jor.2013.04.002. eCollection 2013.
5
Complications of Kirschner-wire fixation in distal radius fractures.桡骨远端骨折克氏针固定的并发症
Tech Hand Up Extrem Surg. 2012 Sep;16(3):120-3. doi: 10.1097/BTH.0b013e31824b9ab0.

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