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猫咬伤后拇长伸肌腱断裂:一例报告及文献复习

Extensor Pollicis Longus Tendon Rupture Following a Cat Bite: A Case Report and Review of Literature.

作者信息

Singh Sushmit, Adamji Salim, Badge Ravi

机构信息

Trauma and Orthopaedics, Warrington and Halton Hospitals NHS Foundation Trust, Warrington, GBR.

出版信息

Cureus. 2023 Aug 22;15(8):e43940. doi: 10.7759/cureus.43940. eCollection 2023 Aug.

DOI:10.7759/cureus.43940
PMID:37746487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10513725/
Abstract

This case report describes the first reported occurrence of extensor pollicis longus (EPL) tendon rupture caused by a cat bite. Animal bites, particularly from cats, can cause various complications, including damage to tendons and bones. In our case, a 43-year-old female suffered an EPL rupture in her dominant hand after being bitten by her cat. The patient underwent EPL reconstruction by means of extensor indicis proprius (EIP) using standard techniques, with a positive functional outcome reported. The case highlights the importance of considering the risk of tendon injuries following animal bites and prompt treatment to prevent permanent disability. This report calls for a high index of suspicion for tendon injury following animal bites, even if there are no signs of infection.

摘要

本病例报告描述了首例因猫咬伤导致的拇长伸肌腱(EPL)断裂。动物咬伤,尤其是猫咬伤,可引发各种并发症,包括肌腱和骨骼损伤。在我们的病例中,一名43岁女性被其猫咬伤后,优势手的拇长伸肌腱发生断裂。患者通过使用标准技术采用示指固有伸肌(EIP)进行了拇长伸肌腱重建,报告显示功能预后良好。该病例凸显了考虑动物咬伤后肌腱损伤风险以及及时治疗以防止永久性残疾的重要性。本报告呼吁对动物咬伤后的肌腱损伤保持高度怀疑指数,即使没有感染迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aed/10513725/d7606fc643b2/cureus-0015-00000043940-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aed/10513725/c0a8f17d8dba/cureus-0015-00000043940-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aed/10513725/d7606fc643b2/cureus-0015-00000043940-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aed/10513725/c0a8f17d8dba/cureus-0015-00000043940-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aed/10513725/d7606fc643b2/cureus-0015-00000043940-i02.jpg

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