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一名16岁患者肱二头肌亚急性实质内破裂的修复

Repair of Subacute Intrasubstance Rupture of the Biceps Brachii in a 16-Year-Old Patient.

作者信息

Lackey Joshua T, Murray Erin P, Winston Mark J, Stechschulte Daniel J

机构信息

Department of Orthopaedic Surgery, University of Missouri - Kansas City School of Medicine, Kansas City, MO.

Kansas City Orthoaedic Institute, Leawood, KS.

出版信息

J Hand Surg Glob Online. 2022 Jun 20;4(5):295-298. doi: 10.1016/j.jhsg.2022.05.013. eCollection 2022 Sep.

DOI:10.1016/j.jhsg.2022.05.013
PMID:36157299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9492800/
Abstract

A 16-year-old boy sustained a complete, closed, intrasubstance rupture of both heads of the biceps brachii after a rope swing accident. The patient was managed with open direct repair of the muscle belly. After the surgery, he underwent an extensive physical therapy regimen and regained full range of motion and strength. To our knowledge, this is the youngest reported case of a subacute intrasubstance rupture of the biceps brachii muscle treated surgically in the literature. There is no consensus in the literature regarding the optimal management of these injuries. Given the satisfactory outcome, we suggest that open direct repair of the muscle belly is a reasonable option for the pediatric population.

摘要

一名16岁男孩在一次绳索秋千事故后，肱二头肌两头发生完全性、闭合性、肌腹内断裂。该患者接受了肌腹开放直接修复术。术后，他接受了广泛的物理治疗方案，并恢复了全关节活动范围和力量。据我们所知，这是文献中报道的接受手术治疗的最年轻的肱二头肌亚急性肌腹内断裂病例。关于这些损伤的最佳治疗方法，文献中尚无共识。鉴于结果令人满意，我们建议肌腹开放直接修复术对儿童患者是一种合理的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/18f1a562fcf2/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/d7716ceb0684/gr1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/fd6803ebaa5d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/cfb29189c329/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/ec2419beb5c7/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/d5fdcaaef6a4/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/18f1a562fcf2/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/d7716ceb0684/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/f864866fa580/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/fd534e2763f3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/fd6803ebaa5d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/cfb29189c329/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/ec2419beb5c7/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/d5fdcaaef6a4/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdcc/9492800/18f1a562fcf2/gr8.jpg

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