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先天性双足畸形——罕见的下肢重复畸形病例报告

Congenital diplopodia-A rare case of duplicated lower limb: A case report.

作者信息

Kitta Muhammad Ihsan, Azis Harry Supratama, Santoso Novra Yuditya, Fahlevi Reza Romadhona, Arden Ferdinand

机构信息

Pediatric Consultant of Orthopaedic and Traumatology Department, Hasanuddin University, Makassar, Indonesia; Lecturer of Medical Faculty of Muhammadiyah University, Makassar, Indonesia.

Resident of Orthopaedic and Traumatology Department, Hasanuddin University, Makassar, Indonesia.

出版信息

Int J Surg Case Rep. 2021 Oct;87:106390. doi: 10.1016/j.ijscr.2021.106390. Epub 2021 Sep 10.

Abstract

INTRODUCTION AND IMPORTANCE

Diplopodia is an extremely rare case in medical history, with an even fewer cases being reported in literature. We intended to enrich the literature about diplopodia with our own case report.

CASE PRESENTATION

We present a case about A boy, aged one year and four months old brought by his mother to the hospital with a chief complaint of a duplicated foot in his right lower leg. Physical examination demonstrated a normal left lower extremity and a relatively well-developed duplicate foot emanating from the posterior-lateral aspect of the mid-lower right leg.

CLINICAL DISCUSSION

Diplopodia consists of partial duplication of the foot, with or without hypoplasia or positional abnormality of the ipsilateral tibia and fibula. It must be differentiated from polydactyly where the additional structures consist of toes that may or may not have corresponding metatarsals but are devoid of tarsal bone. Treatment should be considered case-by-case basis and tailored appropriately to suit individual needs and circumstances.

CONCLUSION

In our case, operative treatment was done at an early walking age to provide plantigrade, functional foot. Timely surgical intervention will enable patient to adapt over time. The secondary aim is to reconstruct the foot to be more acceptable aesthetically.

摘要

引言与重要性

双足畸形在医学史上极为罕见,文献报道的病例更是少之又少。我们旨在通过自己的病例报告丰富有关双足畸形的文献资料。

病例介绍

我们呈现一例病例,一名1岁4个月大的男孩由母亲带到医院,主诉右小腿出现重复足。体格检查显示左下肢正常,右小腿中下段后外侧生出一个发育相对良好的重复足。

临床讨论

双足畸形包括足部部分重复,同侧胫腓骨可能伴有发育不全或位置异常。它必须与多指畸形相鉴别,多指畸形的额外结构由可能有或没有相应跖骨但没有跗骨的脚趾组成。治疗应根据具体情况考虑,并进行适当调整以满足个体需求和情况。

结论

在我们的病例中,在患儿开始行走的早期年龄进行了手术治疗,以提供足底着地、功能正常的足部。及时的手术干预将使患者随着时间推移逐渐适应。次要目标是重建足部使其在美学上更易被接受。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee01/8450246/4b468c7b5fd4/gr1.jpg

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