关节内固定治疗骨骼不成熟患者的复发性非创伤性肘关节脱位

Q4 Medicine JBJS case connector Pub Date : 2024-06-13 eCollection Date: 2024-04-01 DOI:10.2106/JBJS.CC.24.00074

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

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引用次数: 0

摘要

病例一名患有 SCN1B 基因突变的 14 岁少年频繁出现癫痫发作和反复肘关节脱位，每天多达 30 次。在保守治疗失败后，医生决定通过手术修复外侧副韧带复合体，并用内关节稳定器（IJS）稳定肘关节。术后三年多来，患者没有发生过脱位事件，并将在可预见的未来保留该装置，以保持可预测的肘部稳定性：尽管支持在儿科病例中使用 IJS 的证据很少，但目前的病例支持在儿科肘关节不稳定中使用 IJS。

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

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.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.