Clin Osteol 2021; 26(1): 36-39

Traumatická bilaterálna kapitelárna zlomenina na pozadí liečby kortikosteroidmi: kazuistikaCase reports

Witkowski Christopher1, Cosic Filip2, Mattern Owen3
1 Radiology Department, Wagga Wagga Health Service, Wagga Wagga, New South Wales, Australia
2 Orthopaedic Department, Alfred Hospital, Melbourne, Victoria, Australia
3 Orthopaedic Department, Sandringham Hospital, Sandringham, Victoria, Australia

Případy kapitelárních zlomenin jsou vzácné a dosud bylo popsáno jen několik případů bilaterálního zranění. Kortikosteroidy indukovaná avaskulární nekróza (AVN) je nejčastější příčinou netraumatické AVN, avšak onemocnění postihující capitullum humeri je velmi neobvyklé. Popisujeme případ bilaterální kapitelární fraktury u ženy ve věku přibližně 35 let léčené vysokými dávkami kortikosteroidů pro podezření na uveitidu. Během několika týdnů pacientka utrpěla téměř identické koronálně orientované smykové zlomeniny obou hlaviček, které byly léčeny intraoseální šroubovou fixací a časnou aktivní mobilizací. Prezentovaná kazuistika je první kazuistikou, která popisuje bilaterální kapitelární zlomeninu na pozadí užívání kortikosteroidů. I přesto, že pacientka měla příznivé klinické výsledky, tento případ zdůrazňuje, že pro prevenci potenciálních zranění tohoto typu je zásadní uvážlivé předepisování léčby kortikosteroidy.

Keywords: avaskulární nekróza; kapitulum; kortikosteroid; osteonekróza; zlomenina

Published: June 11, 2021  Show citation

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Witkowski C, Cosic F, Mattern O. Traumatická bilaterálna kapitelárna zlomenina na pozadí liečby kortikosteroidmi: kazuistika. Clinical Osteology. 2021;26(1):36-39.
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