Duchenne肌营养不良的罕见骨折:一例报告。

IF 0.8 Q4 PEDIATRICS
Lyndsey N Booker, Jaclyn Omura
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引用次数: 0

摘要

儿童肱骨近端骨折并不常见。这是一例17岁的Duchenne肌营养不良患者的病例报告,该患者患有隐性肱骨近端骨折。患者服用了慢性类固醇,有脊椎和长骨骨折史。受伤时,他正在公共交通工具上使用轮式移动设备。他的X光片呈阴性,但核磁共振成像显示右肱骨近端骨折。他受影响的肢体活动减少,限制了日常生活活动,包括驾驶电动轮椅。经过六周的保守管理,他恢复到了基线活动水平。重要的是要认识到,长期使用类固醇会对骨骼健康产生不利影响,骨折可能会在初次成像时被遗漏。为了确保足够的安全,提供者、患者及其家人应接受《美国残疾人法案》关于在公共交通工具上使用轮式移动设备的指导方针的教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Uncommon fracture in Duchenne muscular dystrophy: A case report.

Proximal humerus fractures in pediatric patients are uncommon. This is a case report of a 17-year-old patient with Duchenne muscular dystrophy who sustained an occult proximal humerus fracture. The patient was on chronic steroids and had a history of vertebral and long bone fractures. He was using a wheeled mobility device on public transportation at the time of injury. He had a negative radiograph, but an MRI revealed a right proximal humerus fracture. He had decreased mobilization in the affected extremity, which limited activities of daily living including driving his power wheelchair. After six weeks of conservative management, he returned to his baseline level of activity. It is important to recognize that chronic steroid use adversely affects bone health, and fractures may be missed on initial imaging. To ensure adequate safety, providers, patients, and their families should be educated on the Americans with Disabilities Act guidelines for using wheeled mobility devices on public transportation.

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来源期刊
CiteScore
2.30
自引率
5.30%
发文量
139
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