Bunshah Jamshed Jal, Raghuwanshi Sagar, Sharma Deepak, Pandita Aakash
Department of Orthopedics, BD Petit Parsee General Hospital, Mumbai, Maharashtra, India.
Department of Neonatology, Fernandez Hospital, Hyderabad, Andhra Pradesh, India.
BMJ Case Rep. 2015 Mar 12;2015:bcr2014206446. doi: 10.1136/bcr-2014-206446.
Triceps tendon disruption is a rare orthopaedic injury that can lead to poor outcomes if misdiagnosed or managed inappropriately. This case report illustrates the importance of early, precise diagnosis of triceps rupture by clinical and radiological examination with appropriate management. A weightlifter who had fallen while riding his bike presented with pain, swelling around the posterior aspect of the left arm just above the elbow. Physical examination revealed ecchymosis and weakness in elbow extension. A radiograph of the elbow showed a small fleck of bone proximal to the tip of the olecranon. The patient was initially stabilised. Early intervention in the form of primary tendon repair was performed within 3 days and rehabilitation was started. The patient improved significantly to his best possible functional status with Mayo elbow score of 85. Early intervention was the key to better prognosis.
肱三头肌腱断裂是一种罕见的骨科损伤，如果误诊或处理不当，可能导致不良后果。本病例报告说明了通过临床和影像学检查进行早期、精确诊断肱三头肌断裂并进行适当处理的重要性。一名骑自行车时摔倒的举重运动员，表现为左臂肘部上方后侧疼痛、肿胀。体格检查发现瘀斑和伸肘无力。肘部X线片显示鹰嘴尖端近端有一小片骨块。患者最初得到了稳定。在3天内进行了一期肌腱修复的早期干预，并开始康复治疗。患者功能显著改善，梅奥肘关节评分为85分，达到了最佳功能状态。早期干预是获得更好预后的关键。
