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一名职业体操运动员大圆肌腱外伤性断裂的手术治疗：病例报告

Surgical treatment of traumatic rupture of the teres major tendon in a professional gymnast: a case report.

作者信息

Berto Leonardo, Paroneto Arthur Cardoso, Vasconcelos Gabriel Ferreira Santos, Lima Ewerton Borges de Souza, Lara Paulo Henrique Schmidt, Belangero Paulo Santoro, Andreoli Carlos Vicente, Pochini Alberto de Castro, Ejnisman Benno

机构信息

Disciplina de Medicina Esportiva e Atividade Física, Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, Rua Estado de Israel, 713 - Vila Clementino, São Paulo, SP 04022-002, Brazil.

Programa de Pós-Graduação em Radiologia Clínica, Departamento de Diagnóstico por Imagem, Escola Paulista de Medicina, Universidade Federal de São Paulo, Rua Napoleão de Barros, 800 - Vila Clementino, São Paulo, SP 04024-002, Brazil.

出版信息

J Surg Case Rep. 2024 Sep 5;2024(9):rjae568. doi: 10.1093/jscr/rjae568. eCollection 2024 Sep.

DOI:10.1093/jscr/rjae568
PMID:39239140
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11374378/
Abstract

Teres major injuries are rare and are generally treated conservatively, except in high-performance athletes. This report describes a case of traumatic rupture of the teres major at its myotendinous junction in a professional gymnast. The patient underwent surgical treatment 10 days after the injury. Six months post-surgery, the patient achieved complete recovery of the range of motion and strength, returning to the pre-injury performance level, guided by physiotherapy rehabilitation. This is the first documented case in the literature of surgical treatment of this injury in a professional gymnast. The main lesson from this case is that early surgical repair in elite athletes can result in excellent functional outcomes and allow return to sport at the pre-injury performance level.

摘要

大圆肌损伤较为罕见，一般采用保守治疗，但高性能运动员除外。本报告描述了一名职业体操运动员的大圆肌在肌腱结合处发生创伤性断裂的病例。患者在受伤10天后接受了手术治疗。术后6个月，在物理治疗康复的指导下，患者的活动范围和力量完全恢复，恢复到受伤前的表现水平。这是文献中首次记载的职业体操运动员该损伤的手术治疗病例。该病例的主要经验是，精英运动员早期手术修复可带来优异的功能结果，并能使其恢复到受伤前的运动表现水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf89/11374378/4d046dda0800/rjae568f8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf89/11374378/4d046dda0800/rjae568f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf89/11374378/51ad6e689411/rjae568f1.jpg
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本文引用的文献

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Surgical treatment of patients with chronic rupture of the pectoralis major muscle tendon. Prospective comparative study with 2 years of follow-up.胸大肌肌腱慢性断裂患者的手术治疗。一项为期2年随访的前瞻性对照研究。
J Surg Case Rep. 2024 Mar 16;2024(3):rjae093. doi: 10.1093/jscr/rjae093. eCollection 2024 Mar.
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Nonoperative treatment of a conjoined tendon avulsion tear of latissimus dorsi and teres major in a high performing, middle-aged, artistic gymnast: Diagnostic and classificational challenges, and clinical result.
一名高水平中年艺术体操运动员背阔肌和大圆肌联合肌腱撕脱伤的非手术治疗：诊断和分类挑战及临床结果
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Surgical treatment of pectoralis major muscle rupture with adjustable cortical button.可调式皮质纽扣治疗胸大肌断裂的手术治疗
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Performance and return to sport in elite baseball players and recreational athletes following repair of the latissimus dorsi and teres major.阔背肌和大圆肌修复后，优秀棒球运动员和业余运动员的表现和重返运动情况。
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Isolated Teres Major Rupture: A case report with a suggested dedicated imaging protocol and review of the literature.孤立性大圆肌断裂：一例报告及建议的专用成像方案与文献综述
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