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双侧肱三头肌断裂的手术治疗:病例报告及文献综述

Surgical Management of Bilateral Triceps Muscle Rupture: A Case Report and Literature Review.

作者信息

Bandyopadhyay Abhijit, Hoban Katie A, Jariwala Arpit C

机构信息

University Department of Orthopaedic and Trauma Surgery, Tort Centre, Ninewells Hospital, Dundee, Scotland.

出版信息

J Orthop Case Rep. 2023 Aug;13(8):79-83. doi: 10.13107/jocr.2023.v13.i08.3824.

Abstract

INTRODUCTION

Triceps tendon avulsion is a rare tendinous injury that can be easily overlooked. If left untreated, such injuries can lead to a weakening of a patient's elbow extension and thereby cause significant disability; therefore, early identification and appropriate surgical intervention are important.

CASE REPORT

We report bilateral triceps tendon avulsion injuries in a 49-year-old, right-hand dominant airline pilot. The patient fell while running and injured both his elbows. X-rays of both elbows showed displaced olecranon avulsion fractures, confirming triceps tendon injuries. Bone tendons were repaired with the suture anchor technique, and a solid repair was achieved. 3 months post-surgery, the post-operative progress of the patient was satisfied with full function, a range of motion of 5-150° on the left arm, and 0-150° on the right arm and ability to return to work with no restrictions.

CONCLUSION

Triceps tendon avulsion is a rare injury with few reported cases. Literature suggests that the successful outcome of the patient depends on early identification and timely intervention, such as surgical repair through a trans-osseous suture technique. Our report adds to the knowledge base available in the existing medical literature for future reference by healthcare professionals.

摘要

引言

肱三头肌腱撕脱是一种罕见的肌腱损伤,很容易被忽视。如果不进行治疗,此类损伤会导致患者肘部伸展功能减弱,从而造成严重残疾;因此,早期识别和适当的手术干预很重要。

病例报告

我们报告了一名49岁、惯用右手的航空公司飞行员双侧肱三头肌腱撕脱伤的病例。患者跑步时摔倒,双肘受伤。双肘X线片显示尺骨鹰嘴撕脱骨折移位,证实肱三头肌腱损伤。采用缝线锚钉技术修复骨肌腱,实现了牢固修复。术后3个月,患者术后恢复情况良好,功能完全恢复,左臂活动范围为5-150°,右臂为0-150°,且能够不受限制地重返工作岗位。

结论

肱三头肌腱撕脱是一种罕见的损伤,报告病例较少。文献表明,患者的成功预后取决于早期识别和及时干预,如通过经骨缝合技术进行手术修复。我们的报告为现有医学文献增添了知识基础,供医疗专业人员未来参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4129/10465747/8945895fe9d8/JOCR-13-79-g001.jpg

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