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尺骨远端干骺端骨折保守治疗后尺侧腕伸肌腱病:一例报告

Extensor Carpi Ulnaris Tendinopathy Following Conservative Treatment of a Distal Ulnar Metaphyseal Fracture: A Case Report.

作者信息

Kudo Takamasa, Ikumi Akira, Yoshii Yuichi, Totoki Yasukazu, Matsumoto Yukei

机构信息

Department of Orthopedic Surgery, Kikkoman General Hospital, Noda, JPN.

Department of Orthopedic Surgery, University of Tsukuba, Tsukuba, JPN.

出版信息

Cureus. 2024 Oct 7;16(10):e71027. doi: 10.7759/cureus.71027. eCollection 2024 Oct.

DOI:10.7759/cureus.71027
PMID:39507161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11540450/
Abstract

Distal ulnar metaphyseal fractures are often treated conservatively with good clinical outcomes. Extensor carpi ulnaris (ECU) tendinopathy after conservative treatment for distal ulnar metaphyseal fractures has not been reported. We present a case of a 20-year-old university baseball player who developed ECU tendinopathy after conservative treatment for a distal ulnar metaphyseal fracture. A slight step-off at the fracture site and repeated movements as a catcher were considered to have caused the ECU tendinopathy. Clinicians should be aware of ECU tendinopathy after distal ulnar metaphyseal fractures with repeated ECU loading in sports or occupations.

摘要

尺骨远端干骺端骨折通常采用保守治疗,临床效果良好。保守治疗尺骨远端干骺端骨折后发生尺侧腕伸肌(ECU)肌腱病的情况尚未见报道。我们报告一例20岁的大学棒球运动员,在保守治疗尺骨远端干骺端骨折后发生了ECU肌腱病。骨折部位的轻微台阶样畸形以及作为接球手的反复运动被认为是导致ECU肌腱病的原因。临床医生应注意在运动或职业中反复加载ECU的尺骨远端干骺端骨折后发生的ECU肌腱病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/30ccf308672f/cureus-0016-00000071027-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/e94796ed6fec/cureus-0016-00000071027-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/b4b59867251e/cureus-0016-00000071027-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/449832911e2c/cureus-0016-00000071027-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/a4a3a0eb8311/cureus-0016-00000071027-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/ca295994a3c0/cureus-0016-00000071027-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/30ccf308672f/cureus-0016-00000071027-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/e94796ed6fec/cureus-0016-00000071027-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/b4b59867251e/cureus-0016-00000071027-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/449832911e2c/cureus-0016-00000071027-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/a4a3a0eb8311/cureus-0016-00000071027-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/ca295994a3c0/cureus-0016-00000071027-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea23/11540450/30ccf308672f/cureus-0016-00000071027-i06.jpg

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本文引用的文献

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Is intramedullary pinning for isolated ulnar shaft fractures a surgical alternative to plate fixation?单纯尺骨干骨折髓内钉固定术是否可替代钢板固定术?
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