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手部撕脱伤的处理:一例39岁部分软组织撕脱患者的病例报告

Management of Hand Avulsion Injury: A Case Report of a 39-Year-Old With Partial Soft Tissue Avulsion.

作者信息

Josiah Gana, Thomas Azer, Onilede David A, Imafidon Eseleigbemen S, Jacks Boma E, Echezona Ukaejiofo, Agbaeze Onyekwere, Okobi Okelue E

机构信息

Plastic and Reconstructive Surgery, Federal Medical Center Keffi, Keffi, NGA.

Surgery, University of Maiduguri Teaching Hospital, Maiduguri, NGA.

出版信息

Cureus. 2022 Oct 30;14(10):e30882. doi: 10.7759/cureus.30882. eCollection 2022 Oct.

Abstract

Hand injuries occur distal to the wrist crease in the upper limb. Infrequently life-threatening, but with the potential for severe disabilities and far-reaching effects. Hand injuries are common among productive adults. The initial stage in managing hand injuries is identifying the affected structures, followed by determining the urgent procedures required to restore full function. For example, suppose the mechanism of injury, the composition of the avulsed tissue, the extent of damage to the underlying tissues, and the dimension, pattern, and orientation of the avulsed tissue are favorable. In that case, successful reattachment of the avulsed tissue can be achieved. In this article, we describe a 39-year-old woman who underwent immediate repair of a partial avulsion of the radial aspect of her right hand with an almost satisfactory outcome.

摘要

手部损伤发生在上肢腕横纹远端。虽很少危及生命,但有导致严重残疾和产生深远影响的可能性。手部损伤在有劳动能力的成年人中很常见。处理手部损伤的初始阶段是确定受影响的结构,然后确定恢复全部功能所需的紧急程序。例如,如果损伤机制、撕脱组织的组成、深层组织的损伤程度以及撕脱组织的尺寸、形态和方向有利,那么撕脱组织的成功再植是可以实现的。在本文中,我们描述了一名39岁女性,她接受了右手桡侧部分撕脱伤的即刻修复,结果几乎令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4236/9708061/a7077f95527c/cureus-0014-00000030882-i01.jpg

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