稳定型第五跖骨基底骨折患者的早期积极康复治疗1例。

Long Jiao, Juan Xi, Aicui Lin
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摘要

在中国,稳定型第五跖底骨折通常在四肢固定约4周后进行康复治疗。37岁女性第5跖骨基底骨折,骨折类型稳定。从骨折的第二天起,她同意参加不涉及手术或长期固定的康复治疗。骨折后14天,患者能够承受100%的体重,并在支撑肘部拐杖下以正常姿势站立20分钟。25天后,她依靠双肘拐杖重返工作岗位。在骨折后的第30天,患者能够在没有任何助行设备的情况下在室外行走300米,没有任何不适。骨折两个月后,患者开始慢跑,并参加所有正常的日常活动。本病例提示,对于第5跖底稳定型骨折,骨折后第2天开始进行康复治疗有助于加快患者恢复正常的身体活动。
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Early Active Rehabilitation Treatment for a Patient with a Stable Type of Fifth Metatarsal Base Fracture: a Case Report.

In China, the stable type of fifth metatarsal base fracture is usually treated by rehabilitation methods after the limbs have been fixed for approximately 4 weeks. A 37-year-old woman fractured her fifth metatarsal base, with a stable fracture type. From the second day of the fracture onward, she agreed to participate in rehabilitative treatment that did not involve surgery or long-term fixation. Fourteen days after the fracture, the patient was able to bear 100% of her body weight and stand for 20 min in a normal posture with supportive elbow crutches. She was able to return to work with double elbow crutches after 25 days. On the 30th day after the fracture, the patient was able to walk 300 m outdoors without any walking aids and with no discomfort. Two months after the fracture, the patient went jogging and was participating in all of her normal daily activities. This case shows that, for stable type fractures of the fifth metatarsal base, rehabilitation starting on the second day after the fracture can help accelerate the patient's return to normal physical activities.

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