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一名举重运动员股外侧肌肌腱附着点孤立性撕脱伤：病例报告

Isolated avulsion of the vastus lateralis tendon insertion in a weightlifter: a case report.

作者信息

Phadnis Joideep, Trikha Paul S, Wood David G

机构信息

Department of Trauma and Orthopaedics, Epsom General Hospital, Dorking Road, Epsom, Surrey, KT18 7EG, UK.

出版信息

Cases J. 2009 Aug 25;2:7905. doi: 10.4076/1757-1626-2-7905.

DOI:10.4076/1757-1626-2-7905
PMID:19918436
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2769386/
Abstract

INTRODUCTION

We report a case of isolated, unilateral avulsion of the vastus lateralis tendon from its insertion at the patella. This was diagnosed by magnetic resonance imaging, and underwent successful surgical repair.

CASE PRESENTATION

A healthy 32-year-old national level power lifter presented with an isolated avulsion of the vastus lateralis tendon. After a failed course of conservative therapy he underwent surgical repair and a graded physical therapy programme. One year later he returned to full training with no evidence of re-rupture.

CONCLUSION

This is the first reported case of an isolated vastus lateralis avulsion. Our experience suggests that magnetic resonance imaging is invaluable in the diagnosis of this condition and that surgical repair provides a good outcome in high demand patients.

摘要

引言

我们报告一例股外侧肌肌腱自髌骨附着处发生孤立性、单侧撕脱的病例。该病例经磁共振成像诊断，并成功接受了手术修复。

病例介绍

一名健康的32岁国家级力量举重运动员出现股外侧肌肌腱孤立性撕脱。在保守治疗失败后，他接受了手术修复及分级物理治疗方案。一年后，他恢复了全面训练，没有再次断裂的迹象。

结论

这是首例报告的股外侧肌孤立性撕脱病例。我们的经验表明，磁共振成像在该疾病的诊断中具有重要价值，并且手术修复对于有高需求的患者能带来良好的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/353a62449e5c/1757-1626-0002-0000007905-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/7a45de724b58/1757-1626-0002-0000007905-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/d2eed4ca352b/1757-1626-0002-0000007905-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/aefa1c43c48d/1757-1626-0002-0000007905-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/86a81811ff55/1757-1626-0002-0000007905-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/45a9e1568950/1757-1626-0002-0000007905-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/353a62449e5c/1757-1626-0002-0000007905-006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/7a45de724b58/1757-1626-0002-0000007905-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/d2eed4ca352b/1757-1626-0002-0000007905-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/aefa1c43c48d/1757-1626-0002-0000007905-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/86a81811ff55/1757-1626-0002-0000007905-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/45a9e1568950/1757-1626-0002-0000007905-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f5/2769386/353a62449e5c/1757-1626-0002-0000007905-006.jpg

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本文引用的文献

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Simultaneous bilateral quadriceps tendon rupture in a patient on chronic haemodialysis. (Short-term results of treatment with transpatellar sutures augmented with a quadriceps tendon flap).一名慢性血液透析患者双侧股四头肌肌腱同时断裂。（采用股四头肌肌腱瓣加强的经髌缝线治疗的短期结果）
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