肱二头肌因外周静脉导管渗漏导致的纵向撕裂。
Longitudinal tear of the biceps brachii from peripheral intravenous catheter infiltration.
作者信息
Nagpal Ameet S, Benfield Jon A, Dy Rochelle T
机构信息
Department of Anesthesiology, University of Texas Health Science Center at San Antonio, USA.
Department of Physical Medicine & Rehabilitation, University of Texas Health Science Center at San Antonio, USA.
出版信息
Muscles Ligaments Tendons J. 2015 Jul 3;5(2):120-3. eCollection 2015 Apr-Jun.
BACKGROUND
although peripheral intravenous catheter (PIV) infiltration is a frequent hospital occurrence, muscle rupture is a previously unknown complication of line infiltration. We present the case of a 21-year-old male with a history of cystic fibrosis, bilateral lung transplant, and chronic corticosteroid use, with longitudinal tear of the biceps brachii muscle as a complication of PIV infiltration.
METHODS
case report describing a unique case of a longitudinal tear of the biceps brachii.
RESULTS
magnetic resonance imaging revealed longitudinal tear of the biceps brachii with sparing of the proximal and distal tendons. Nerve conduction studies and electromyography revealed bicipital denervation, most likely due to mechanical compression.
CONCLUSION
we hypothesize that the patient's chronic corticosteroid use predisposed him to muscle injury, as did basilic vein thrombosis caused by PIV infiltration, and this combination of factors led to bicipital rupture. To our knowledge, this is also the first case report to document longitudinal tear of the biceps brachii with sparing of the distal and proximal tendinous insertions of the muscle.
背景
尽管外周静脉导管（PIV）渗漏在医院中很常见，但肌肉破裂是此前未知的静脉渗漏并发症。我们报告了一例21岁男性病例，该患者有囊性纤维化、双侧肺移植病史且长期使用皮质类固醇，其肱二头肌出现纵向撕裂，这是PIV渗漏的并发症。
方法
病例报告描述了一例肱二头肌纵向撕裂的独特病例。
结果
磁共振成像显示肱二头肌纵向撕裂，近端和远端肌腱未受影响。神经传导研究和肌电图显示肱二头肌失神经支配，很可能是由于机械压迫所致。
结论
我们推测，患者长期使用皮质类固醇使其易发生肌肉损伤，PIV渗漏导致的贵要静脉血栓形成也是如此，这些因素共同导致了肱二头肌破裂。据我们所知，这也是第一例记录肱二头肌纵向撕裂且肌肉远端和近端肌腱附着处未受影响的病例报告。
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