Mesh : Humans Adolescent Male Joint Dislocations / surgery diagnostic imaging Elbow Joint / surgery diagnostic imaging Joint Instability / surgery Elbow Injuries Recurrence

来  源:   DOI:10.2106/JBJS.CC.24.00074   PDF(Pubmed)

Abstract:
METHODS: 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.
CONCLUSIONS: Although there is scant evidence supporting the use of the IJS in pediatric cases, the current case supports its use in pediatric elbow instability.
摘要:
方法:一个SCN1B突变的14岁青少年男孩经历了频繁的癫痫发作和反复的肘关节脱位,每天发生30次。保守治疗失败后,我们决定手术修复外侧副韧带复合体,并用内关节稳定器(IJS)稳定肘部.术后3年以上,患者未发生脱位事件,并将在可预见的将来保留该装置,以保持可预测的肘部稳定性.
结论:尽管很少有证据支持在儿科病例中使用IJS,目前的情况下支持其在小儿肘关节不稳定的使用。
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