血管坏死(AVN),一种衰弱的状况,其特征是由于血液供应不足而导致骨组织死亡,会严重影响髋关节,导致疼痛,流动性有限,和关节功能障碍。髋关节上复杂的血液供应和机械应力使其特别容易受到AVN的影响。早期检测具有挑战性,因为AVN最初可能保持无症状,但是随着它的发展,会导致严重的关节退化.此病例报告概述了一名38岁有皮肌炎病史的男性患者的治疗方法,该患者因AVN引起双侧髋部疼痛。放射学检查诊断为左髋2级AVN和右髋3级AVN。患者接受左髋关节核心减压术以停止疾病进展,并接受右髋关节全髋关节置换术(THA)以减轻疼痛并恢复功能。为每个外科手术量身定制了一个为期三周的结构化康复计划,治疗前和治疗后的评估显示疼痛缓解显着改善,运动范围(ROM),和肌肉力量。这个病例强调了早期诊断的重要性,个性化的手术干预,皮肌炎患者AVN的综合康复治疗。物理治疗是至关重要的术前和术后增强身体功能,力量,和流动性。康复在术后恢复中也起着至关重要的作用,早期动员,功能恢复。在这种情况下采用的多方面方法突出了在皮肌炎患者中管理AVN时需要全面的策略,为类似案例提供有价值的见解。
Avascular necrosis (AVN), a debilitating condition characterized by bone tissue death due to inadequate blood supply, can severely impact the hip joint, leading to pain, limited mobility, and joint dysfunction. The complex blood supply and mechanical stress on the hip make it particularly vulnerable to AVN. Early detection is challenging as AVN may remain asymptomatic initially, but as it progresses, it results in severe joint degeneration. This
case report outlines the management of a 38-year-old male patient with a dermatomyositis history who presented with bilateral hip pain attributed to AVN. Radiological investigations diagnosed grade 2 AVN in the left hip and grade 3 AVN in the right hip. The patient underwent core decompression for the left hip to halt disease progression and total hip arthroplasty (THA) for the right hip to alleviate pain and restore function. A structured three-week rehabilitation program was tailored to each surgical procedure, with pre-and post-treatment assessments revealing notable improvements in pain relief, range of motion (ROM), and muscle strength. This
case underscores the importance of early diagnosis, personalized surgical interventions, and comprehensive rehabilitation in managing AVN in dermatomyositis patients. Physiotherapy is vital pre- and post-operatively to enhance physical function, strength, and mobility. Rehabilitation also plays a crucial role in postoperative recovery, early mobilization, and functional restoration. The multifaceted approach employed in this
case highlights the need for a comprehensive strategy when managing AVN in dermatomyositis patients, providing valuable insights for similar cases.