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桡骨半肢畸形 1 例报告

A rare case of radius hemimelia: a case report.

机构信息

Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India.

出版信息

Pan Afr Med J. 2022 Apr 14;41:304. doi: 10.11604/pamj.2022.41.304.32909. eCollection 2022.

DOI:10.11604/pamj.2022.41.304.32909
PMID:35855028
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9250680/
Abstract

Radial dysplasia congenital defect resulting in shortening of the forearm due to congenital shortening of the radius. Isidore Geoffroy Saint-Hilaire coined the term "hemimelia" around 1836-1837. Affected individuals may also have reduced limb functions abnormalities of the soft tissues, vasculature of the forearm. The management consist of splinting, stretching, and centralization. Physical therapy management plays a vital role in regaining hand function and improving quality of life. In severe cases, surgical correction such as osteotomy. Radial hemimelia is a rare disorder with 1/5000-30,000 live birth. A 16-year-old girl was admitted to Acharya Vinoba Bhave Rural Hospital (AVBRH) with complaints of weakness of the right upper limb along with a tingling sensation from the past 1 year. She was operated on with ulnar osteotomy and physical therapy management was initiated which consists of regaining mobility and strength and making the patient functionally independent. We concluded that a well structure physical therapy protocol along with medical therapy post-surgery improved the overall status of the patient.

摘要

先天性桡骨发育不全导致前臂缩短,这是一种先天性桡骨缩短引起的缺陷。伊西多尔·乔治·圣希莱尔(Isidore Geoffroy Saint-Hilaire)于 1836-1837 年左右创造了“半肢畸形”一词。受影响的个体还可能存在肢体功能障碍、软组织异常、前臂血管异常。治疗方法包括夹板固定、拉伸和中心化。物理治疗管理在恢复手部功能和提高生活质量方面起着至关重要的作用。在严重的情况下,可能需要手术矫正,如截骨术。桡骨半肢畸形是一种罕见疾病,每 5000-30000 例活产中会出现 1 例。一名 16 岁女孩因右上肢无力和麻木感 1 年来到阿查里亚·文卡塔·巴维农村医院(AVBRH)就诊。她接受了尺骨截骨术,同时开始进行物理治疗管理,包括恢复活动度和力量,使患者能够独立生活。我们得出结论,术后良好的物理治疗方案和医疗治疗可以改善患者的整体状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c6e/9250680/a3acb0d8c9b1/PAMJ-41-304-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c6e/9250680/520b132f026a/PAMJ-41-304-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c6e/9250680/a3acb0d8c9b1/PAMJ-41-304-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c6e/9250680/520b132f026a/PAMJ-41-304-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c6e/9250680/a3acb0d8c9b1/PAMJ-41-304-g002.jpg

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本文引用的文献

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An unusual phenotype of radial longitudinal deficiency (radial hemimelia) presenting in a young adult male.一名年轻成年男性出现的一种不寻常的桡骨纵向发育不全(桡骨半肢畸形)表型。
Radiol Case Rep. 2020 Apr 10;15(6):741-744. doi: 10.1016/j.radcr.2020.02.023. eCollection 2020 Jun.
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Ulnar hemimelia: a report of four cases.尺侧 (尺骨侧) 肢体缺如:四例报告。
Skeletal Radiol. 2019 Jul;48(7):1137-1143. doi: 10.1007/s00256-019-3167-x. Epub 2019 Feb 2.
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Femoral bifurcation and bilateral tibial hemimelia: case report.股动脉分叉及双侧胫骨半肢畸形:病例报告
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