Khalil Lafi S, Alkhelaifi Khalid, Meta Fabien, Lizzio Vincent A, Shehab Ramsey, Makhni Eric C
Department of Orthopedic Surgery, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI 48202, United States.
J Orthop Case Rep. 2018 Sep-Oct;8(5):15-18. doi: 10.13107/jocr.2250-0685.1188.
With the increasing number of children and adolescents participating in sports, pathologies once reserved for high-level athletes are now emerging in this younger population. Distal triceps tendon tears represent an injury infrequently seen even among older, skeletally mature athletes. We report a case of distal triceps tendon tear with concomitant ulnar collateral ligament (UCL) injury in a skeletally-immature football player.
This is a rare case of traumatic triceps tendon tear with UCL injury in a 13-year-old male football player during a fall and hyperextension of his elbow. Management included surgical treatment of the triceps tear with suture anchors in double row technique. The concomitant UCL injury was treated conservatively.
This case suggests that this type of injury can occur in young athletes, but good prognosis can be expected with prompt management. Surgical repair of a functionally deficient triceps tendon tear and conservative management of associated UCL injury can result in returntoplay within 6 months.
随着参与体育运动的儿童和青少年数量不断增加,曾经仅见于高水平运动员的病症如今在这个更年轻的人群中也开始出现。肱三头肌远端肌腱撕裂即使在年龄较大、骨骼成熟的运动员中也是一种不常见的损伤。我们报告一例骨骼未成熟的足球运动员发生肱三头肌远端肌腱撕裂并伴有尺侧副韧带(UCL)损伤的病例。
这是一例罕见的13岁男性足球运动员在肘部摔倒和过度伸展时发生的创伤性肱三头肌肌腱撕裂并伴有UCL损伤的病例。治疗包括采用双排技术用缝合锚钉对肱三头肌撕裂进行手术治疗。同时存在的UCL损伤采用保守治疗。
该病例表明这种类型的损伤可发生在年轻运动员中,但及时处理有望获得良好预后。对功能不全的肱三头肌肌腱撕裂进行手术修复以及对相关的UCL损伤进行保守治疗可使运动员在6个月内重返赛场。