Chua S G Karen, Kong K H
Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore, Republic of Singapore.
Brain Inj. 2006 Jun;20(6):669-72. doi: 10.1080/02699050600676842.
Acute hamstring rupture is an uncommon event often occurring during high impact sports. Such events have not been previously reported during neurological rehabilitation. This case report describes a 30 year-old Chinese male presenting in a minimally responsive state 5 years after a severe traumatic brain injury. He was tetraplegic and bed-bound with spasticity involving all four limbs and flexion contracture of the right knee. During an episode of inpatient rehabilitation, he developed acute swelling and bruising of the posterior proximal thigh region associated with fever, tachycardia and diaphoresis. MRI showed a large soft tissue rim-enhancing mass in the right proximal hamstring muscle. During surgical exploration, complete rupture of the right semi-membranosus muscle was found without evidence of pus. The possible causative factors of hamstring rupture in this subject and a brief literature review are discussed. To the authors' knowledge, this is the first such reported case.
急性腘绳肌断裂是一种罕见事件，常发生于高冲击力运动中。此前尚未有在神经康复期间发生此类事件的报道。本病例报告描述了一名30岁中国男性，在严重创伤性脑损伤5年后呈最低反应状态。他四肢瘫痪，卧床不起，四肢均有痉挛，右膝有屈曲挛缩。在一次住院康复期间，他出现大腿近端后侧急性肿胀和瘀伤，并伴有发热、心动过速和出汗。MRI显示右近端腘绳肌有一个大的软组织边缘强化肿块。手术探查时，发现右半膜肌完全断裂，无脓液迹象。讨论了该患者腘绳肌断裂的可能致病因素并进行了简要文献综述。据作者所知，这是首例此类报道病例。
