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Close-Wedge Osteotomy for Bony Locking Stiffness of the Elbow in Gorham Disease Patients: A Case Report

封閉契形切骨術治療戈罕氏病患手肘骨性閉鎖僵硬-病例報告

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摘要


戈罕氏病是一所謂大量自發溶骨性疾病或消失的骨疾病。大量自發溶骨性疾病是否由內皮增生造成與侵犯骨骼各處的情形仍是一團謎。診斷困難並且是建立在臨床與影像及組織上的表現之相關性。各種治療方法有各式各樣的結果。吾人報告一個在創傷後肘部與掌骨骨頭消失的病例。這個十三歲男孩抱怨右手肘活動受限與變形。我們提出在肱骨外髁處施行封閉契形切骨作關節整形術來解決這個問題。

並列摘要


Gorham disease is a so-called massive idiopathic osteolysis or vanishing bone disorder. Massive osteolysis remains an enigmatic condition that involves various skeletal locations and is caused by endothelial proliferation. The diagnosis is difficult and is established via the association of clinical, radiologic and histologic pictures. Treatment modalities yield variable results. We report a case of vanishing bone in the elbow joint and carpal bones following trauma. This 13-year-old boy complained of severe restricted motion and deformity of the right elbow. We managed the problem using arthroplasty with close-wedge osteotomy on the lateral condyle of the humerus.

並列關鍵字

osteotomy Gorham disease

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