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Serial Casting of the Ankle and Knee in a Child With Vascular Anomaly of the Calf Musculature: A Case Report.

小腿肌肉血管异常患儿踝膝连续铸造 1 例。

  • 影响因子:2.66
  • DOI:10.1093/ptj/pzz147
  • 作者列表:"Peyton C
  • 发表时间:2020-02-07
Abstract

BACKGROUND AND PURPOSE:Contracture and toe-walking in children due to vascular anomaly of the calf musculature is rarely described, and there is limited evidence regarding treatment. The purpose of this case is to describe the novel use of serial casting, combining the knee and ankle, to reduce contracture in a child with hemangioma of the calf. CASE DESCRIPTION:An 11-year-old girl received 12 casts of the ankle and knee, followed by custom orthotics, to address chronic contracture and gait impairments caused by a vascular anomaly in the posterior compartment of the lower extremity. OUTCOMES:After casting, the patient had fully restored knee range of motion and improved ankle range of motion by 45 degrees. She received custom orthotics and maintained her range of motion 4 months after casting. DISCUSSION:Serial casting of the knee and ankle may be a useful alternative to surgical lengthenings in patients with chronic contractures caused by vascular anomalies of the lower extremity.

摘要

背景和目的: 由于小腿肌肉血管异常引起的儿童挛缩和足趾行走很少被描述,关于治疗的证据有限。本案例的目的是描述结合膝盖和脚踝的连续铸造的新用途,以减少患有小腿血管瘤的儿童的挛缩。 病例简介: 一个 11 岁的女孩接受了 12 个脚踝和膝盖的铸型,然后是定制矫形器,解决下肢后房室血管异常引起的慢性挛缩和步态障碍。 结果: 铸造后,患者完全恢复膝关节活动范围,踝关节活动范围改善 45 度。她接受了定制矫形器,并在铸造后 4 个月保持了她的活动范围。 讨论: 对于下肢血管异常引起的慢性挛缩患者,膝关节和踝关节连续铸造可能是手术延长的有用替代方法。

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发表时间:2020-01-01
DOI:10.1002/acr.23824
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