Bahman Hospital, Department of Radiology, Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Department of Radiology, VA Boston Healthcare System, Boston, MA, USA.
Skeletal Radiol. 2021 Jul;50(7):1479-1483. doi: 10.1007/s00256-020-03707-2. Epub 2021 Jan 27.
Industrial disasters related to high-order explosives result in characteristic injuries that are seldom seen among civilians. Survivors of these disasters often present with injuries of the musculoskeletal system. Awareness of explosion and blast injuries for healthcare providers who care for civilians is important considering the possibility of such events as demonstrated in the past two decades, including the Boston Marathon bombing in 2013 and the explosion of the port of Tianjin, China, in 2015. We report an unusual presentation of isolated bilateral rupture of the knee extensor mechanism in a 46-year-old healthy male, with history of anabolic androgen steroid (AAS) use. He was standing 1.5 miles from the site of the site of explosion of the port of Beirut on August 4, 2020. We discuss the imaging appearance of this injury, the different mechanisms of blast-related injuries, the role of possible underlying pathology, and the management of this patient.
工业灾难与高级爆炸物有关，导致了在平民中很少见到的特征性损伤。这些灾难的幸存者经常出现肌肉骨骼系统损伤。考虑到过去二十年中发生的此类事件的可能性，如 2013 年波士顿马拉松爆炸案和 2015 年中国天津港爆炸案，对于照顾平民的医疗保健提供者来说，了解爆炸和爆炸伤是很重要的。我们报告了一例不常见的 46 岁健康男性双侧股四头肌机制孤立性破裂的病例，该患者有使用合成代谢雄激素类固醇（AAS）的病史。他于 2020 年 8 月 4 日站在贝鲁特港口爆炸现场 1.5 英里处。我们讨论了这种损伤的影像学表现、与爆炸相关的损伤的不同机制、可能潜在病理学的作用以及对该患者的治疗。
