治疗罕见的前臂纵向不稳1例。

Q4 Medicine JBJS case connector Pub Date : 2025-01-09 eCollection Date: 2025-01-01 DOI:10.2106/JBJS.CC.24.00257
Elias G Joseph, Bryce A Cunningham
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引用次数: 0

摘要

病例:一名41岁男性从高处坠落,持续桡骨轴移位和尺骨茎突骨折,术后早期发现桡肱脱位和前臂纵向不稳,行桡骨切开复位内固定。术后13天进行翻修手术,包括环韧带重建,肘跨外固定和远端尺桡关节稳定。1年随访显示良好的功能和影像学结果。结论:前臂纵向失稳与多种类型的前臂骨折有关。早期识别损伤并进行适当的解剖重建可能会改善预后。
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Treatment of a Rare Case of Longitudinal Forearm Instability: A Case Report.

Case: A 41-year old man fell from height sustaining displaced radial shaft and ulnar styloid fractures underwent open reduction internal fixation of the radius with early recognition of a radiocapitellar dislocation and longitudinal forearm instability in the early postoperative period. Revision surgery was performed 13 days postoperatively involving annular ligament reconstruction, elbow spanning external fixation, and distal radioulnar joint stabilization. Favorable functional and radiographic outcomes are shown at 1-year follow-up.

Conclusion: Longitudinal forearm instability is associated with multiple patterns of forearm fractures. Early recognition of the injury with appropriate anatomic reconstruction likely results in improved outcome.

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来源期刊
JBJS case connector
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.
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