Sanoja Alejandro J, Shalaby Michael
Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida.
Clin Pract Cases Emerg Med. 2024 May;8(2):159-162. doi: 10.5811/cpcem.1670.
Rectus abdominis muscle strains are common and can be debilitating in both professional and amateur athletes who engage in strenuous activity.
We report a rare case of rectus abdominis muscle tear in an amateur bodybuilder diagnosed by point-of-care ultrasound (POCUS) in the emergency department (ED). The patient had presented to the ED three separate times after strenuous exercise, received costly diagnostic workups, and ultimately was diagnosed on the third visit with grade 2 bilateral rectus abdominis tear. The patient was given appropriate education and sports medicine follow-up. He underwent rehabilitation focused on trunk and core stability. At eight-week follow-up, the patient had made a full recovery.
To our knowledge, a case of bilateral rectus abdominis tear diagnosed by ultrasound in the emergency setting has not been previously published. Our case report highlights the utility of POCUS in diagnosing musculoskeletal pathology and preventing costly bounce-back visits.
腹直肌拉伤很常见，对于从事剧烈活动的职业和业余运动员来说，都可能导致身体虚弱。
我们报告了一例罕见的业余健美运动员腹直肌撕裂病例，该病例在急诊科通过即时超声（POCUS）诊断。患者在剧烈运动后三次前往急诊科就诊，接受了昂贵的诊断检查，最终在第三次就诊时被诊断为双侧腹直肌二级撕裂。患者接受了适当的教育并接受了运动医学随访。他接受了以躯干和核心稳定性为重点的康复治疗。在八周的随访中，患者已完全康复。
据我们所知，此前尚未发表过在急诊环境中通过超声诊断双侧腹直肌撕裂的病例。我们的病例报告强调了即时超声在诊断肌肉骨骼疾病和避免昂贵的复诊方面的作用。
