Day Molly A, Owens Jessell M, Rosneck James T, Westermann Robert W
Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Department of Orthopaedic Surgery, Cleveland Clinic, Garfield Heights, Ohio.
JBJS Case Connect. 2019 Jul-Sep;9(3):e0289. doi: 10.2106/JBJS.CC.18.00289.
A 22-year-old man sustained complete transection of his right distal biceps femoris tendon by a hockey skate. He experienced persistent pain and disability, symptoms of peroneal neuritis, and an inability to return to hockey. At 3-months postinjury, he underwent biceps femoris repair and peroneal neurolysis. At 9-months postoperatively, the patient returned to full activity and played a full season collegiate hockey.
Isolated distal biceps femoris transection is rare and may be associated with peroneal neuritis. Primary repair and peroneal neurolysis is a viable treatment option (even 3 months postinjury), with satisfactory outcomes and full return to high-level activity.
一名22岁男性被曲棍球冰鞋完全切断右股二头肌远端肌腱。他经历了持续的疼痛和功能障碍、腓骨神经炎症状，并且无法重返曲棍球运动。受伤后3个月，他接受了股二头肌修复和腓骨神经松解术。术后9个月，患者恢复了全部活动，并参加了一个完整赛季的大学曲棍球比赛。
孤立性股二头肌远端横断伤罕见，可能与腓骨神经炎有关。一期修复和腓骨神经松解术是一种可行的治疗选择（即使在受伤后3个月），具有满意的效果且能完全恢复高水平活动。
