临床小儿外科杂志2024，Vol.23Issue(2)：158-161,4.DOI:10.3760/cma.j.cn101785-202307006-011
超声引导下骨骺内闭合截骨治疗儿童先天性拇指尺偏畸形
Treatment of congenital thumb ulnar deviation in children with closed osteotomy in epiphyseal by ultra-sonography
摘要
Abstract
Objective To explore the application of ultrasonography for congenital thumb ulnar deviation in children.Methods From July 2018 to February 2021,the relevant clinical datas were retrospectively reviewed for 8 children(10 thumbs)undergoing ultrasound-guided closed osteotomy in epiphyseal.There were 4 boys and 4 girls.Involvement was unilateral(n=3)and bilateral(n=5).Ulnar deviated angle and actively flexion angle of interphalangeal joint and Tada scoring standard were measured for evaluating thumb functions(range of mo-tion,joint stability and alignment of interphalangeal joint).Results The results showed that 8 cases with 10 thumbs were followed up for a period of(21.75±11.83)(8-57)months.Average preoperative values of ulnar deviated angle of thumb and mean actively flexion angle of interphalangeal joint were(40.12±13.44)° and(38.90±5.34)°.At the final follow-up,mean values of ulnar deviated angle of thumb and actively flexion angle of inter-phalangeal joint were(7.65±2.56)° and(36.20±3.36)°.Comparing the preoperative ulnar deviated angle and ac-tively flexion angle of interphalangeal joint in 10 children with thumb,there were significant statistical differences(P＜0.05).According to the Tada scoring criteria(range of motion,joint stability and alignment of interphalangeal joint),the outcomes were excellent(8 thumbs)and decent(2 thumbs).Conclusions With an accurate localiza-tion,ultrasonography is an effective method for osteotomy with congenital thumb ulnar deviation in children关键词
超声/骨骺畸形/截骨/外科手术/儿童Key words
Ultrasound/Epiphyseal Deformity/Osteotomy/Surgical Procedures,Operative/Child引用本文复制引用
孟喜军,于立松,李俊,王敏,沈先涛..超声引导下骨骺内闭合截骨治疗儿童先天性拇指尺偏畸形[J].临床小儿外科杂志,2024,23(2):158-161,4.基金项目
湖北省自然科学基金资助项目(2013CKB026)Natural Science Foundation of Hubei Province(2013CKB026) （2013CKB026）
