Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Department of Orthopaedics, Warren Alpert Medical School of Brown University; University Orthopedics, Inc., Providence, RI.
R I Med J (2013). 2022 Sep 1;105(7):31-35.
Despite its classification as an atypical pneumonia, COVID-19 is a disease that is capable of inflicting damage beyond the respiratory system. The wide range of musculoskeletal complications secondary to acute COVID-19 are a significant source of morbidity in hospitalized patients. We present the case of a 23-year-old woman with severe COVID-19 who required intubation and had a prolonged hospital course that was complicated by partial-thickness necrosis of her fingers and heterotopic ossification of the distal thigh. We review current treatments for these orthopedic conditions in the setting of SARS-CoV-2 infection as well as highlight areas for future research. Additionally, we discuss the subacute musculoskeletal complications of COVID-19, which are among the most common long-term manifestations of the disease and are increasingly important for a growing number of COVID-19 survivors.
尽管 COVID-19 被归类为一种非典型性肺炎，但它是一种能够对呼吸系统以外的器官造成损害的疾病。急性 COVID-19 引发的广泛的肌肉骨骼并发症是住院患者发病率的一个重要来源。我们报告了一例 23 岁的重症 COVID-19 女性患者，她需要插管，并且住院时间延长，手指出现部分厚度坏死，大腿远端出现异位骨化。我们回顾了 SARS-CoV-2 感染背景下这些骨科疾病的当前治疗方法，并强调了未来研究的领域。此外，我们还讨论了 COVID-19 的亚急性肌肉骨骼并发症，这些并发症是该疾病最常见的长期表现之一，对于越来越多的 COVID-19 幸存者来说，这些并发症变得越来越重要。
