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青少年足球运动员半膜肌和长收肌的脱套性肌内损伤

Degloving intramuscular injuries of the semimembranosus and adductor longus muscles in adolescent soccer players.

作者信息

Bordalo Marcelo, de Aysa Patricia Nunez, Helito Paulo Victor Partezani, Djadoun Mohamed Abdelatif, Gulde Maria Lua Sampaio, Alonso Juan Manuel

机构信息

Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar.

出版信息

Skeletal Radiol. 2025 Apr;54(4):887-892. doi: 10.1007/s00256-024-04757-6. Epub 2024 Jul 23.

DOI:10.1007/s00256-024-04757-6
PMID:39042199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11845424/
Abstract

Degloving muscle injury was described for the rectus femoris where the inner bipennate component is dissociated from its superficial unipennate component. The semimembranosus muscle displays a distinctive dual morphology, featuring both unipennate and bipennate muscle fibers. Nevertheless, this specific tear pattern has not been previously documented. Conversely, the adductor longus muscle showcases an elongated intramuscular tendon segment, indicating a multipennate morphology. We present two separate cases of previous undescribed degloving injuries of the semimembranosus and the adductor longus in teenage soccer players with MRI and ultrasound diagnosis, ultrasound-guided hematoma aspiration, and recovery timelines for return-to-play.

摘要

股直肌出现了脱套性肌肉损伤，其中内侧羽状肌成分与其浅表的单羽状肌成分分离。半膜肌呈现出独特的双重形态，兼具单羽状和双羽状肌纤维。然而，这种特定的撕裂模式此前尚未有文献记载。相反，长收肌展示出一段延长的肌内肌腱段，表明其为多羽状形态。我们报告了两例青少年足球运动员中半膜肌和长收肌此前未被描述的脱套性损伤病例，包括磁共振成像（MRI）和超声诊断、超声引导下血肿抽吸以及恢复比赛的时间线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a5/11845424/3c688a1d07c5/256_2024_4757_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a5/11845424/cc55938eaebb/256_2024_4757_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a5/11845424/feb14bb2d09c/256_2024_4757_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a5/11845424/053b778a3585/256_2024_4757_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a5/11845424/edeb98d553ae/256_2024_4757_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a5/11845424/3c688a1d07c5/256_2024_4757_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a5/11845424/cc55938eaebb/256_2024_4757_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a5/11845424/d836ce72429e/256_2024_4757_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a5/11845424/feb14bb2d09c/256_2024_4757_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a5/11845424/053b778a3585/256_2024_4757_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a5/11845424/edeb98d553ae/256_2024_4757_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4a5/11845424/3c688a1d07c5/256_2024_4757_Fig6_HTML.jpg

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本文引用的文献

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The mechanism of hamstring injuries - a systematic review.腘绳肌损伤机制——一项系统综述
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