Phadnis Joideep, Trikha Paul S, Wood David G
Department of Trauma and Orthopaedics, Epsom General Hospital, Dorking Road, Epsom, Surrey, KT18 7EG, UK.
Cases J. 2009 Aug 25;2:7905. doi: 10.4076/1757-1626-2-7905.
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.
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.
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.
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。
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。
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。