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Ulnar Fracture Nonunion in a Patient with Syringomyelia. Case Report Yusuke SAKAI 1 , Kazuhiro UESUGI 1 , Hiroaki FUJISHIMA 1 , Takayuki TSUDA 1 , Tsuyoshi MURASE 2 1Department of Orthopaedic Surgery, Minoh City Hospital 2Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka University Keyword: 脊髄空洞症 , syringomyelia , 偽関節 , nonunion , 橈骨頭亜脱臼 , radius head subluxation pp.819-823
Published Date 2013/8/25
DOI https://doi.org/10.11477/mf.1408102802
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 Patients with nociceptive disorders have been reported to sustain injuries without realizing it, thereby leading to delays in medical treatment. We report a case of ulnar fracture nonunion in a patient with syringomyelia. The patient was a 39-year-old woman who noticed a crack in her hand after a fall and was diagnosed with an ulnar shaft fracture one month later, when the diagnosis of syringomyelia was also made. Conservative therapy was ineffective, and the result was ulnar nonunion and radius head dislocation. Plate osteosynthesis with autologous bone grafting was performed 3 years after the injury. We concluded that it is necessary to be aware of nociceptive disorders when diagnosing and treating bone fractures in patients with syringomyelia. Early surgical treatment should have been considered in our patient.


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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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