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创伤性颅脑损伤后肩关节强直:一种晚期表现。

Ankylosis of the Shoulder After Traumatic Head Injury: A Late Presentation.

作者信息

Elzaki Mohamed A, Alamin Mohammed, Kaar Kenneth, Kelly John

机构信息

Trauma and Orthopedics, University Hospital Galway, Galway, IRL.

Orthopedics and Traumatology, Sligo General Hospital, Sligo, IRL.

出版信息

Cureus. 2022 Mar 10;14(3):e23015. doi: 10.7759/cureus.23015. eCollection 2022 Mar.

DOI:10.7759/cureus.23015
PMID:35464576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9001249/
Abstract

Heterotopic ossification (HO) is the formation of bone in surrounding soft tissue. In the literature, several causes for this phenomenon were mentioned, trauma - including surgery, burns, and traumatic brain injury. HO in a shoulder is not frequently seen after traumatic brain injury (TBI). This relationship between TBI and HO can be explained in many ways. Surgical treatment entails many complications and important anatomical structures are at risk (e.g., axillary nerve). Surgeon must weigh both, risks and benefits and counsel the patient before taking a decision of surgical excision. We present a rare case of ankylosis of the shoulder following a traumatic brain injury.

摘要

异位骨化(HO)是指在周围软组织中形成骨组织。文献中提到了这种现象的几种原因,包括创伤——如手术、烧伤和创伤性脑损伤。创伤性脑损伤(TBI)后肩部出现HO的情况并不常见。TBI与HO之间的这种关系可以从多种角度来解释。手术治疗会带来许多并发症,重要的解剖结构也面临风险(如腋神经)。外科医生在决定进行手术切除之前,必须权衡风险和益处并向患者提供咨询。我们报告一例创伤性脑损伤后肩部强直的罕见病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ec5/9001249/a878726d831b/cureus-0014-00000023015-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ec5/9001249/9799f7d82e93/cureus-0014-00000023015-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ec5/9001249/a878726d831b/cureus-0014-00000023015-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ec5/9001249/9799f7d82e93/cureus-0014-00000023015-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ec5/9001249/a878726d831b/cureus-0014-00000023015-i02.jpg

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本文引用的文献

1
Relationship between heterotopic ossification and traumatic brain injury: Why severe traumatic brain injury increases the risk of heterotopic ossification.异位骨化与创伤性脑损伤之间的关系:为何重度创伤性脑损伤会增加异位骨化的风险。
J Orthop Translat. 2017 Nov 14;12:16-25. doi: 10.1016/j.jot.2017.10.002. eCollection 2018 Jan.
2
Bilateral Scapulohumeral Ankylosis after Prolonged Mechanical Ventilation.长期机械通气后双侧肩胛肱骨关节融合
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中枢神经系统创伤后异位骨化:当前综述。
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Serum after traumatic brain injury increases proliferation and supports expression of osteoblast markers in muscle cells.创伤性脑损伤后的血清可增加肌细胞的增殖并支持成骨细胞标志物的表达。
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Heterotopic ossification following traumatic brain injury and spinal cord injury.创伤性脑损伤和脊髓损伤后的异位骨化。
J Am Acad Orthop Surg. 2009 Nov;17(11):689-97. doi: 10.5435/00124635-200911000-00003.
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Heterotopic ossification.异位骨化
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Periarticular heterotopic ossification in head-injured adults. Incidence and location.头部受伤成人的关节周围异位骨化。发病率和部位
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The orthopaedic management of brain-injured children.
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