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В результате постоянной искривленной позы и связанного с этим напряжения и нарастающей боли в области плеча он больше не мог заниматься своей профессией.",[],[338],"lg:col-span-6",{"_uid":340,"image":341,"title":344,"component":345,"copyright":9,"image_style":346,"component_style":347},"681b5e04-476c-4569-bb0a-6e5d6fa49476",{"id":342,"alt":101,"name":9,"focus":101,"title":101,"filename":343,"copyright":101,"fieldtype":11},1773132,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1979x2638\u002F28b7187203\u002Fcase6_1.jpg","Укорочение левой руки на 14 см","Image",[],[348],"col-span-3",{"_uid":350,"image":351,"title":354,"component":345,"copyright":9,"image_style":355,"component_style":356},"3bb80328-fb66-4beb-a733-4e2ba385100e",{"id":352,"alt":101,"name":9,"focus":101,"title":101,"filename":353,"copyright":101,"fieldtype":11},1773130,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1440x1920\u002F9f73171df9\u002Fcase6_2.jpg","Значительно укороченная плечевая кость",[],[348],{"_uid":358,"text":359,"component":325,"text_style":360,"component_style":361},"42b63679-6355-46bf-b13e-ed58032ff603","## Лечение",[],[],{"_uid":363,"image":364,"title":367,"component":345,"copyright":9,"image_style":368,"component_style":369},"fda71a98-7144-4026-a8ff-fb8cf69d1717",{"id":365,"alt":9,"name":9,"focus":101,"title":9,"filename":366,"copyright":9,"fieldtype":11},2077171,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F3236x1798\u002Faba61f9ad8\u002Fcase6_6.jpg","Ход удлинения плеча",[],[],{"_uid":371,"text":372,"component":325,"text_style":373,"component_style":374},"0299d2ba-6bbd-42b9-8793-73edbd8ea5c7","Из-за небольшой исходной длины левого плеча первоначально был имплантирован короткий дистракционный интрамедуллярный гвоздь FITBONE, изготовленный на заказ, с помощью которого удалось добиться удлинения на 4 см. Через два месяца имплантат был заменен на обычный дистракционный интрамедуллярный гвоздь с более длинным ходом 6 см. Процедура удлинения была практически безболезненной для пациента. Желаемое удлинение на 10 см было достигнуто в соответствии с планом, без осложнений. В течение всего курса лечения подвижность левой руки была неограниченной.",[],[],{"_uid":376,"text":377,"component":325,"text_style":378,"component_style":379},"eb1da6c7-dc84-492b-abdb-78b765d5dfe3","## Результат",[],[],{"_uid":381,"text":382,"component":325,"text_style":383,"component_style":384},"cb816814-a9dc-4843-ad55-482184380a72","Сразу же после консолидации кости пациент смог вернуться к своей работе водителя без ограничений. Дооперационная хроническая боль в плечевом поясе полностью исчезла. В течение 6 месяцев мышечная сила вернулась к исходному уровню и даже улучшилась благодаря силовым тренировкам.",[],[338],{"_uid":386,"image":387,"title":390,"component":345,"copyright":9,"image_style":391,"component_style":392},"fd67caef-6c85-477c-9540-f71c37a07f94",{"id":388,"alt":101,"name":9,"focus":101,"title":101,"filename":389,"copyright":101,"fieldtype":11},1773131,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1210x1613\u002F66f4db21c7\u002Fcase6_3.jpg","После лечения обе руки имеют почти одинаковую длину",[],[348],{"_uid":394,"image":395,"title":398,"component":345,"copyright":9,"image_style":399,"component_style":400},"95708aa4-f73b-47d6-8c6d-120455f7ed81",{"id":396,"alt":101,"name":9,"focus":101,"title":101,"filename":397,"copyright":101,"fieldtype":11},1773129,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1427x1902\u002Ff8ee0d94a4\u002Fcase6_4.jpg","Левая плечевая кость после удлинения",[],[348],{"_uid":402,"title":403,"stories":404,"component":418},"b0322016-634a-4d3f-b56a-f323cbdf48e7","Дополнительная информация",[405,414],{"uuid":406,"full_slug":407,"content":408},"2ad0b3c2-c705-426f-914e-e118457e77d3","ru\u002Fspektr-lecheniya\u002Fudlinenie-ruki",{"_uid":409,"_editable":-1,"image":410,"intro":413,"meta_title":221},"631b2003-7551-4171-b470-5a4976fdc69e",{"id":411,"alt":101,"name":9,"focus":101,"title":101,"filename":412,"copyright":101,"fieldtype":11},2692146,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F6083x2600\u002F481d0fdda4\u002Ffitbone_humerus.png","Если одна рука значительно короче другой, это часто приводит к болезненному напряжению в области плеча или даже к функциональным нарушениям. У пациентов невысокого роста, когда обе руки слишком короткие, часто затрудняется элементарная личная гигиена. С помощью моторизованных дистракционных интрамедуллярных гвоздей можно комфортно и безболезненно удлинить плечевые кости - без внешних фиксаторов.",{"uuid":45,"full_slug":53,"content":415},{"_uid":416,"_editable":-1,"image":417,"intro":9,"meta_title":52},"ca719f33-d56b-4cff-b25f-641c7d8ff8b4",{"id":101,"alt":101,"name":9,"focus":101,"title":101,"filename":9,"copyright":101,"fieldtype":11},"Reference",{"id":420,"alt":9,"name":9,"focus":101,"title":9,"filename":421,"copyright":9,"fieldtype":11},1773633,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1796x3592\u002F55dd44f725\u002Fcase6_5.jpg","У 42-летнего пациента было врожденное укорочение плеча почти на 14 см.","Page",[],[426],"max-w-screen-lg","У 42-летнего пациента было врожденное укорочение руки на 14 см. Вождение автомобиля и работа на компьютере были напряженными и болезненными.","angeborene-armverkuerzung","ru\u002Ftematicheskie-issledovaniya\u002Fvrozhdennoe-ukorochenie-ruki",90,[],5185868,"548f7522-a8e3-463b-8f48-d7aeb1f3b3cf","2020-12-29T13:15:35.000Z",[],"fallbeispiele\u002Fangeborene-armverkuerzung",[438,442,446,450,452],{"path":439,"name":440,"lang":441,"published":21},"cases\u002Fcongenital-arm-shortening","Congenital arm shortening","en",{"path":443,"name":444,"lang":445,"published":21},"estudios-de-caso\u002Facortamiento-congenito-del-brazo","Acortamiento congénito del brazo","es",{"path":447,"name":448,"lang":449,"published":21},"drasat-alhalh\u002Ftqsyr-althraa-alkhlqy","تقصير الذراع الخلقي","ar",{"path":451,"name":279,"lang":203,"published":21},"tematicheskie-issledovaniya\u002Fvrozhdennoe-ukorochenie-ruki",{"path":453,"name":454,"lang":455,"published":21},"an4-li4-yan2-jiu1\u002Fxian1-tian1-xing4-shou3-bi4-guo4-duan3","先天性手臂过短","zh",1793077564657]