MBT Sito Ufficiale,Thigh muscles of paraplegic pat

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Thigh muscles of paraplegic patients report of 3 cases the gap hematoma

Of: Lin Shide, Zhangyun Chang, Zhao Ting Bao
Key words Paraplegia gap thigh muscle hematoma
From February 2004 ~ June 2006, of treatment and rehabilitation process in paraplegia were found in 3 cases (4 parts) and thigh muscle hematoma formation clearance of cases, the report is as follows:
1 clinical data
1.1 General Information
This group 3 patients, all male, aged 22,25,34 years old, mean 27 years old. C7T1 vertebral joint fracture in 1, T1L2 vertebral joint fracture in 1, T12 vertebral fracture in 1, spinal cord injury were, Frankel classification [1] A 2 cases, B 1 case. Hematoma after injury time are 2 to 6 months between. Hematoma parts: 1 case before the rectus femoris,[link widoczny dla zalogowanych], vastus medialis and the rectus femoris muscle gap 2 (3 parts), 1 case of bilateral femoral medial rectus muscle and there were gaps hematoma. The patients were both lower extremities muscle atrophy, the muscle strength were 0, muscle tension were increased, according to the modified Ashworth spasticity scale [2]: 4 in 1 case, 1 case of grade 3, grade 2 in 1. 1 case of hematoma of the rectus femoris muscle in patients with hematoma formation prior to wear leg braces in the process of rehabilitation exercises, 2 patients vastus medialis and rectus femoris gap hematoma in patients with lower limb tendon reflexes are often occurs with hyperthyroidism and atrial muscle cramps, convulsions. The cases were diagnosed by B-(Figure 1), hematoma most about 210 mm × 50 mm × 31 mm, the smallest of about 52 mm × 30 mm × 19 mm, an average of about 145 mm × 57 mm × 29 mm. 2 cases associated with inguinal lymphadenopathy.
1.2 treatment
1.2.1 Brake acute bed rest,[link widoczny dla zalogowanych], cold, 48 h after the heat given such treatment.
1.2.2 hematoma local elastic bandage pressure bandage, and promote absorption of hematoma.
1.2.3 give greater puncture hematoma, blood clots out. 1 case of bilateral femoral medial rectus muscle and those gaps have repeatedly emerged hematoma volume of blood taken 3 times brown, a total of about 125 ml.
1.2.4 for the associated inguinal lymph nodes, suspected infection, given antibiotics.
2 treatment results
After the above treatments, the result is good,[link widoczny dla zalogowanych], 2 (3 parts) complete absorption of hematoma and no complications. 1 case associated with inguinal lymph node enlargement, which will eventually form a heterotopic ossification (Figure 2), because of the right hip joint and rehabilitation training, the six underwent resection of heterotopic bone, the effect is good. Figure 1 Bilateral thigh full scan, muscle strips in both exploration and mixed cystic and solid mass, boundary definition, form the rules yet, no obvious capsule. Figure 1a size of 165 mm × 45 mm × 13 mm, the echo of a strong and uneven,[link widoczny dla zalogowanych], the upper part of the heterogeneous hyperechoic mass in the middle for the liquid dark area, poor sound transmission,[link widoczny dla zalogowanych], CDFI observed solid There were no significant part of the blood flow signal. Figure 1b size of 210 mm × 50 mm × 31 mm, heterogeneous mass in the upper half as hyperechoic mass, lower dark area is liquid, transparent sound good. Figure 2 X-ray film after treatment

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