Pamuk Çağdaş, Moralar Ülker
Orthopaedics and Traumatology, Silivri Anadolu Special Hospital, Istanbul, TUR.
Cureus. 2023 Jan 20;15(1):e34024. doi: 10.7759/cureus.34024. eCollection 2023 Jan.
Although congenital pseudoarthrosis of the radius is a rare case, it has been reported many times in the literature in the past and it has been shown that it can be associated with neurofibromatosis type 1. However, traumatic radius pseudoarthrosis has never been reported before. In this case report, all treatment options were applied to the same patient over a four-year period and the results were reported. A two-year-old boy had a left radius diaphysis fracture after a simple fall, and bone union could not be achieved despite the application of cast immobilization, internal fixation grafting, and electrical stimulation in an external center. He was admitted to our hospital when he was six years old. A plain X-ray image and computed tomography scan showed that he had radius pseudoarthrosis and also he was diagnosed with neurofibromatosis type 1 on genetic analysis. The patient underwent wide resection of the segment with pseudoarthrosis and free vascularized fibula grafting. Bone union was achieved in the third postoperative month.
尽管先天性桡骨假关节是一种罕见病例,但过去在文献中已有多次报道,并且已表明它可能与1型神经纤维瘤病相关。然而,创伤性桡骨假关节此前从未有过报道。在本病例报告中,在四年时间里对同一患者应用了所有治疗方法并报告了结果。一名两岁男孩在一次简单摔倒后发生左桡骨干骨折,尽管在外院进行了石膏固定、内固定植骨和电刺激治疗,仍未实现骨愈合。他六岁时被收入我院。X线平片和计算机断层扫描显示他患有桡骨假关节,基因分析还诊断他患有1型神经纤维瘤病。患者接受了假关节节段的广泛切除及游离血管化腓骨移植术。术后第三个月实现了骨愈合。