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针对骨骼未成熟患者复发性非创伤性肘关节脱位的关节内稳定术

Internal Joint Stabilization for Recurrent Nontraumatic Elbow Dislocation in a Skeletally Immature Patient.

作者信息

Stoneham Adam C S, Lindisfarne Edward, Hargreaves David, Heifner John J

机构信息

University Hospitals, Southampton, United Kingdom.

Miami Orthopaedic Research Foundation, Miami, Florida.

出版信息

JBJS Case Connect. 2024 Jun 13;14(2). doi: 10.2106/JBJS.CC.24.00074. eCollection 2024 Apr 1.

DOI:10.2106/JBJS.CC.24.00074
PMID:38870329
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11168785/
Abstract

CASE

A 14-year-old adolescent boy with SCN1B mutation experienced frequent seizures and recurrent elbow dislocation, occurring up to 30 times per day. Following failed conservative treatment, the decision was made to surgically repair the lateral collateral ligament complex and stabilize the elbow with the internal joint stabilizer (IJS). At more than 3 years postoperatively, the patient has not had a dislocation event and will retain the device for the foreseeable future to maintain predictable elbow stability.

CONCLUSION

Although there is scant evidence supporting the use of the IJS in pediatric cases, the current case supports its use in pediatric elbow instability.

摘要

病例

一名患有SCN1B突变的14岁青少年男孩频繁癫痫发作且反复出现肘关节脱位，每天发作多达30次。保守治疗失败后，决定手术修复外侧副韧带复合体并用关节内稳定器（IJS）稳定肘关节。术后3年多来，患者未发生脱位事件，并且在可预见的未来将保留该装置以维持可预测的肘关节稳定性。

结论

尽管几乎没有证据支持在儿科病例中使用IJS，但当前病例支持其用于小儿肘关节不稳定的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/11168785/d668f18b3c80/jbjscc-14-e24.00074-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/11168785/a437c5d6fa83/jbjscc-14-e24.00074-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/11168785/9101b106b4b0/jbjscc-14-e24.00074-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/11168785/97155a8bde74/jbjscc-14-e24.00074-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/11168785/d668f18b3c80/jbjscc-14-e24.00074-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/11168785/a437c5d6fa83/jbjscc-14-e24.00074-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/11168785/9101b106b4b0/jbjscc-14-e24.00074-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/11168785/97155a8bde74/jbjscc-14-e24.00074-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/11168785/d668f18b3c80/jbjscc-14-e24.00074-g004.jpg

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本文引用的文献

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Revision management of a 17-year-old patient initially treated with radial head excision following terrible triad injury with associated Essex Lopresti.一名17岁患者的翻修治疗，该患者最初在伴有埃塞克斯-洛普雷斯蒂（Essex Lopresti）相关损伤的可怕三联征损伤后接受了桡骨头切除术。
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The Internal Joint Stabilizer of the Elbow: A Systematic Review of the Clinical and Biomechanical Evidence.肘部的内部关节稳定器：临床和生物力学证据的系统评价
J Hand Surg Glob Online. 2023 Oct 11;6(1):62-67. doi: 10.1016/j.jhsg.2023.09.004. eCollection 2024 Jan.
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Posterior approach to the elbow for insertion of the internal joint stabilizer.
用于植入关节内稳定器的肘部后路入路。
JSES Rev Rep Tech. 2021 Dec 30;2(2):230-237. doi: 10.1016/j.xrrt.2021.11.003. eCollection 2022 May.
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Stabilization of Recurrent Elbow Instability in the Presence of Hyperlaxity in Children Using a Nonanatomic Soft Tissue Reconstruction.采用非解剖软组织重建术治疗儿童伴过度松弛的复发性肘不稳定
Tech Hand Up Extrem Surg. 2023 Jun 1;27(2):115-119. doi: 10.1097/BTH.0000000000000420.
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SCN1B Genetic Variants: A Review of the Spectrum of Clinical Phenotypes and a Report of Early Myoclonic Encephalopathy.SCN1B基因变异：临床表型谱综述及早期肌阵挛性脑病报告
Children (Basel). 2022 Oct 1;9(10):1507. doi: 10.3390/children9101507.
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Posterolateral Rotary Instability of the Elbow in Adolescents: A Report of 2 Cases and Review of the Literature.青少年肘关节后外侧旋转不稳定：2例报告及文献复习
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