Patil Anil, Biswal Udit Kumar
Department of Orthopaedics, Sparsh Hospital, Bengaluru, Karnataka, India.
J Orthop Case Rep. 2023 Mar;13(3):23-27. doi: 10.13107/jocr.2023.v13.i03.3570.
Complete avulsion of the common extensor origin of the elbow is a very rare injury which significantly weakens upper limb function. The restoration of the extensor origin is indispensable to the function of the elbow. There are very few reports of such injuries and their reconstruction.
We present a case report of a 57-year-old male who presented with pain and swelling of elbow with inability to lift objects for 3 weeks. We diagnosed a complete common extensor origin rupture due to prior degeneration after corticosteroid injection for tennis elbow. The patient underwent reconstruction of the extensor origin with suture anchor. His wound healed well and he was mobilized from 2 weeks onward. At 3 months, he had full recovery of range of movement.
It is crucial to diagnose these injuries, reconstruct them anatomically, and ensure good rehabilitation for optimum results.
肘部伸肌总起点完全撕脱是一种非常罕见的损伤,会显著削弱上肢功能。伸肌起点的恢复对于肘部功能不可或缺。关于此类损伤及其重建的报道极少。
我们报告一例57岁男性病例,该患者肘部疼痛、肿胀,无法提物3周。我们诊断为因既往网球肘注射皮质类固醇后发生退变导致伸肌总起点完全断裂。患者接受了缝线锚钉固定伸肌起点的重建手术。其伤口愈合良好,术后2周开始活动。3个月时,他的活动范围完全恢复。
准确诊断这些损伤、进行解剖重建并确保良好的康复,对于获得最佳效果至关重要。