农村地区不遵医嘱治疗后肘部机械骨块的特点:来自某教学医院的回顾性研究

G. Dharmshaktu
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摘要

背景:肘关节功能对日常生活活动非常重要,肘关节活动范围的限制影响生活质量。各种局部原因,如创伤、先天性畸形和疾病,可能会改变骨骼解剖结构,导致关节运动不理想,需要适当的诊断和后续处理。因此,了解机械弯头堵塞的常见原因及其模式是很重要的。材料和方法:回顾性分析了一系列影像学表现为肘部运动骨障碍的机械屈曲阻滞病例,包括患者人口统计学、侧位、原因、解剖受损伤等相关特征,并记录了每个病例的既往和进一步治疗。结果:共有21例机械屈曲阻滞患者(男18例,女3例),平均年龄20.19岁。髁上骨折不愈合和桡骨头骨折不愈合通常被认为是导致骨块的原因,其次是其他单一原因。多数病例均行手术干预,1例采取保守治疗。缺乏专业医生,缺乏定期前往更高中心的交通,以及经济问题是不遵守治疗的原因。结论:机械运动阻滞是一种致残性疾病,需要针对性的预防和治疗干预。儿童病例可以观察到重塑失败,可以进行手术干预。在选择性的成人病例中,手术效果良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Characteristics of mechanical bony block at the elbow region following noncompliant treatment in rural settings: A retrospective study from a teaching hospital
Background: Elbow function is important for activities of daily living and restriction of its full range of motion affects the quality of life. Various localized reasons such as trauma, congenital deformities, and diseases may alter bony anatomy resulting in suboptimal joint movement and require appropriate diagnosis and subsequent management. It is therefore important to know the common causes of mechanical elbow block and their pattern. Materials and Methods: A retrospective account of serial cases of mechanical flexion block with the radiological presence of bony hindrance to elbow motion were included with relevant characteristics like patient demographics, laterality, reason, anatomical involvement, previous and further treatment were noted for each of them. Result: A total of 21 cases (18 males and 3 females) with mechanical flexion block were part of the study with a mean age of 20.19 years. Malunited supracondylar and malunited radial head fractures were commonly identified the reason for the bony block, followed by other singular causes. Operative intervention was done in most of the cases, while one case was managed conservatively. Lack of availability of specialist doctors, lack of regular transport to higher center, and financial issues were reasons behind noncompliance to the treatment. Conclusion: Mechanical motion block is disabling condition and dedicated preventive and therapeutic intervention is required to deal with it. The pediatric cases can be observed for remodeling failing which operative intervention can be done. The surgery in selective adult cases leads to good outcome.
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