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两名大学棒球投手的肱后旋动脉动脉瘤

Posterior Humeral Circumflex Artery Aneurysms in Two Collegiate Pitchers.

作者信息

Scrivens Brian, Redinger Derek, Vela Luis, Aukerman Douglas

机构信息

Department of Orthopedics, Good Samaritan Regional Medical Center, Corvallis, OR (Dr. Scrivens and Dr. Vela); Western University of Health Sciences, Lebanon, OR (Dr. Redinger); and Samaritan Athletic Medicine and Oregon State University, Corvallis (Dr. Aukerman).

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2017 Nov 1;1(8):e051. doi: 10.5435/JAAOSGlobal-D-17-00051. eCollection 2017 Nov.

DOI:10.5435/JAAOSGlobal-D-17-00051
PMID:30211367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6132343/
Abstract

UNLABELLED

Posterior humeral circumflex artery aneurysms in upper extremity athletes are a rarely described entity now beginning to gain wider recognition in the medical literature. Recent studies have demonstrated that these aneurysms may be underdiagnosed and that appropriate recognition with early diagnosis is imperative for improved outcomes. This case report aims to increase awareness of posterior humeral circumflex artery aneurysms and to educate physicians on the appropriate recognition of symptoms, diagnosis, and treatment. We describe two presentations of the same injury, as well as an approach to diagnosis and treatment. We also discuss new diagnostic techniques and future research plans.

LEVEL OF EVIDENCE

Level III diagnostic study.

摘要

未标记

上肢运动员的肱后旋动脉动脉瘤是一种很少被描述的疾病,现在开始在医学文献中得到更广泛的认可。最近的研究表明,这些动脉瘤可能未被充分诊断,早期诊断并正确识别对于改善预后至关重要。本病例报告旨在提高对肱后旋动脉动脉瘤的认识,并教育医生正确识别症状、诊断和治疗方法。我们描述了同一损伤的两种表现形式,以及诊断和治疗方法。我们还讨论了新的诊断技术和未来的研究计划。

证据级别

III级诊断研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b441/6132343/55a64db0e9e7/jagrr-1-e051-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b441/6132343/ef1f313c9133/jagrr-1-e051-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b441/6132343/55a64db0e9e7/jagrr-1-e051-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b441/6132343/ef1f313c9133/jagrr-1-e051-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b441/6132343/55a64db0e9e7/jagrr-1-e051-g002.jpg

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本文引用的文献

1
Ultrasound assessment of the posterior circumflex humeral artery in elite volleyball players: Aneurysm prevalence, anatomy, branching pattern and vessel characteristics.精英排球运动员肱后旋动脉的超声评估:动脉瘤患病率、解剖结构、分支模式及血管特征
Eur Radiol. 2017 Mar;27(3):889-898. doi: 10.1007/s00330-016-4401-8. Epub 2016 Jun 2.
2
B-Mode Sonographic Assessment of the Posterior Circumflex Humeral Artery: The SPI-US Protocol-A Technical Procedure in 4 Steps.肱后旋动脉的B超评估:SPI-US方案——四步技术流程
J Ultrasound Med. 2016 May;35(5):1015-20. doi: 10.7863/ultra.15.05037. Epub 2016 Apr 12.
3
Positional compression of the axillary artery causing upper extremity thrombosis and embolism in the elite overhead throwing athlete.
精英上肢投掷运动员腋动脉位置性压迫导致上肢血栓形成和栓塞。
J Vasc Surg. 2011 May;53(5):1329-40. doi: 10.1016/j.jvs.2010.11.031. Epub 2011 Jan 26.
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J Vasc Surg. 2001 May;33(5):935-42. doi: 10.1067/mva.2001.115162.
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Arterial injuries in the thoracic outlet syndrome.胸廓出口综合征中的动脉损伤。
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Axillary artery compression and thrombosis in throwing athletes.投掷运动员的腋动脉压迫与血栓形成
J Vasc Surg. 1990 Jun;11(6):761-8; discussion 768-9.