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不配合患者股四头肌肌腱撕裂的超声诊断

Ultrasound diagnosis of quadriceps tendon tear in an uncooperative patient.

作者信息

Secko Michael, Diaz Michelle, Paladino Lorenzo

机构信息

Department of Emergency Medicine, SUNY Downstate/Kings County Hospital Center, Brooklyn, New York, USA.

出版信息

J Emerg Trauma Shock. 2011 Oct;4(4):521-2. doi: 10.4103/0974-2700.86652.

DOI:10.4103/0974-2700.86652
PMID:22090751
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3214514/
Abstract

A 38-year-old intoxicated man presented to the emergency department with a painful, swollen left knee and inability to ambulate after being tackled to the ground. The patient was uncooperative, and physical examination of the lower extremities was limited by his intoxication. Radiographic examination of the knee was unremarkable. Ultrasound of the knee revealed a quadriceps tendon rupture. The sonographic features of quadriceps tendon rupture are described, as is the role ultrasound plays in the assessment of a swollen, painful knee.

摘要

一名38岁的醉酒男子因被摔倒在地后左膝疼痛、肿胀且无法行走而被送往急诊科。患者不配合,因醉酒限制了对其下肢的体格检查。膝关节的X线检查未见异常。膝关节超声检查显示股四头肌肌腱断裂。本文描述了股四头肌肌腱断裂的超声特征,以及超声在评估肿胀、疼痛膝关节中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfaf/3214514/8a8dd7ca089c/JETS-4-521-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfaf/3214514/ee06df56f134/JETS-4-521-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfaf/3214514/8a8dd7ca089c/JETS-4-521-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfaf/3214514/ee06df56f134/JETS-4-521-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfaf/3214514/8a8dd7ca089c/JETS-4-521-g002.jpg

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引用本文的文献

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The use of diagnostic musculoskeletal ultrasound to document soft tissue treatment mobilization of a quadriceps femoris muscle tear: a case report.使用诊断性肌肉骨骼超声记录股四头肌撕裂的软组织治疗松动术:病例报告
Int J Sports Phys Ther. 2012 Jun;7(3):342-9.

本文引用的文献

1
Ultrasound diagnosis of quadriceps tendon rupture.股四头肌肌腱断裂的超声诊断
J Emerg Med. 2008 Oct;35(3):293-5. doi: 10.1016/j.jemermed.2007.05.015. Epub 2007 Sep 17.
2
Sonography of partial-thickness quadriceps tendon tears with surgical correlation.部分厚度股四头肌肌腱撕裂的超声检查及其与手术的相关性
J Ultrasound Med. 2003 Dec;22(12):1323-9; quiz 1330-1. doi: 10.7863/jum.2003.22.12.1323.
3
Radiographic diagnosis of quadriceps tendon rupture: analysis of diagnostic failure.
J Emerg Med. 1994 Mar-Apr;12(2):225-9. doi: 10.1016/0736-4679(94)90703-x.
4
Diagnosis of tears of the quadriceps tendon of the knee: value of sonography.膝关节股四头肌肌腱撕裂的诊断:超声检查的价值
AJR Am J Roentgenol. 1994 May;162(5):1137-40. doi: 10.2214/ajr.162.5.8165998.
5
MR imaging of the quadriceps tendon: normal layered configuration and its importance in cases of tendon rupture.股四头肌肌腱的磁共振成像:正常分层结构及其在肌腱断裂病例中的重要性。
AJR Am J Roentgenol. 1992 Nov;159(5):1031-4. doi: 10.2214/ajr.159.5.1414770.