儿童舟骨不连的保守治疗1例报告及文献复习

P. Vostrel, F. Kolo, J. Aaken
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引用次数: 0

摘要

舟状骨不连在儿童中并不常见。在缺乏治疗指南的情况下,手术和非手术治疗都是有效的选择。我们提出的情况下,13岁的男孩与一个建立不愈合的舟状骨后六个月的固定愈合。3.5个月后,在CT扫描上发现了细微的骨桥,需要进一步铸造。CT是检测早期愈伤组织形成的重要工具;我们提倡在放弃儿童舟状骨不连的非手术治疗之前使用它。
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Conservative Treatment of Scaphoid Nonunion in Children - A Case Report and Review of the Literature
Scaphoid nonunion is an infrequent finding in children. In the absence of treatment guidelines, both surgical and nonsurgical treatments are valid options. We present the case of a 13-year-old boy with an established nonunion of the scaphoid that healed after six months of immobilisation. Subtle bone bridging was detected on a Computed Tomography (CT) scan after 3.5 months, requiring further casting. CT is a valuable tool to detect early callus formation; we advocate its use before abandoning nonsurgical treatment in cases of scaphoid nonunion in children.
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