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孤立性三角肌中部撕裂伤:病例报告。

Isolated Traumatic Tear of the Middle Head of the Deltoid Muscle: A Case Report.

机构信息

Wright State University Boonshoft School of Medicine, Dayton, Ohio.

Department of Orthopaedic Surgery, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio.

出版信息

JBJS Case Connect. 2021 Jan-Mar;11(1):e20.00305. doi: 10.2106/JBJS.CC.20.00305.

DOI:10.2106/JBJS.CC.20.00305
PMID:33929809
Abstract

CASE

A 27-year-old male pedestrian struck presented with left shoulder pain and weakness 4 months postinjury, with an isolated middle head of the deltoid tear. The patient's pain persisted despite extensive nonoperative management. The deltoid was primarily repaired to the lateral acromion using a transosseous suture repair technique.

CONCLUSION

Suture repair of the deltoid to the acromion using transosseous tunnel fixation is a successful treatment for traumatic, isolated tears of the middle head of the deltoid muscle that fail conservative treatment. After surgical repair and physical therapy, our patient recovered full, pain-free range of motion and strength at 6 months.

摘要

病例

一名 27 岁男性行人在受伤后 4 个月出现左肩部疼痛和无力,伴有孤立的三角肌中部撕裂。尽管进行了广泛的非手术治疗,但患者的疼痛仍持续存在。使用经骨隧道固定的缝合修复技术将三角肌主要修复至外侧肩峰。

结论

对于经保守治疗失败的创伤性、孤立性三角肌中部撕裂,使用经骨隧道固定的缝合修复技术将三角肌修复至肩峰是一种成功的治疗方法。在手术后和物理治疗后,我们的患者在 6 个月时恢复了完全无痛的活动范围和力量。

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