Pereira Vitor Luis, Andreoli Carlos Vicente, Santos Rafaella Figueiredo Vieira, Belangero Paulo Santoro, Ejnisman Benno, de Castro Pochini Alberto
Orthopedics and Traumatology Department, Traumatology Sports Center, Escola Paulista de Medicina, Federal University of São Paulo, São Paulo, SP, Brazil.
Technology and Science University, Salvador, BA, Brazil.
J Surg Case Rep. 2022 Jul 16;2022(7):rjac335. doi: 10.1093/jscr/rjac335. eCollection 2022 Jul.
The gastrocnemius medial head distal musculotendinous junction injury is relatively common. Musculature contraction in an already stretched structure leads to muscle breakdown. Patients affected are often physically active middle-aged men. The typical presentation includes sudden pain, audible popping, bruising and localized tenderness. Occasionally, there is a palpable defect if the rupture is complete. Although the initial diagnosis can be made on the basis of a careful history and clinical examination, ultrasound or magnetic resonance imaging can be used to better describe the lesion. In complete ruptures, even when conservative treatment shows good results, it is common that the patient presents decreased muscle strength, difficulty returning to sports and permanent and visible gap. Considering surgical treatment in patients with complete ruptures and extensive injuries with a more than 5 cm gap may lead to better healing process, rapid rehabilitation and more efficient return to sports.
腓肠肌内侧头远端肌腱交接处损伤较为常见。在已经拉伸的结构中肌肉收缩会导致肌肉断裂。受影响的患者通常是身体活跃的中年男性。典型表现包括突然疼痛、可闻及的爆裂声、瘀斑和局部压痛。如果破裂完全，偶尔可触及缺损。虽然初步诊断可以基于仔细的病史和临床检查做出，但超声或磁共振成像可用于更好地描述病变。在完全断裂的情况下，即使保守治疗显示出良好效果，患者通常仍会出现肌肉力量下降、难以恢复运动以及永久性且明显的间隙。对于完全断裂且损伤广泛、间隙超过5厘米的患者，考虑手术治疗可能会导致更好的愈合过程、快速康复以及更有效地恢复运动。
