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指骨软骨瘤引发的骨折在法医临床鉴定实践中并不常见,稍不注意极有可能忽视了软骨瘤的存在而导致错误的鉴定意见。笔者遇到1例,供同道参考。1案例资料某女,52岁。某日因琐事与他人发生争执,在用手抵挡长条木凳打击的过程中致右手环指损伤。伤后半小时到某医院就诊。专科检查:右手环指肿胀明显,压痛明显,可及骨擦感,手指活动受限,末梢血运尚可。当日行DR检查示:右第4指骨中节基底部示
Fractures induced by osteochondroma are uncommon in clinical practice of forensic medicine. It may be very overlooked that it is very likely that the presence of chondroma will lead to wrong identification. I encountered 1 case, for fellow reference. 1 case information a woman, 52 years old. One day because of trivial disputes with others, in the process of using hand against the long wooden bench hit the right ring means injury. Half an hour after injury to a hospital. Specialist examination: The ring on the right hand ring is obviously swollen, the tenderness is obvious, it can touch the bone, the finger movement is limited, the peripheral blood supply is acceptable. The same day, DR examination showed: the fourth base of the right phalangeal base shows