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肉毒杆菌毒素在耻骨前腱膜复合体损伤中的应用：一例报告

The Use of Botulinum Toxin in Pre-Pubic Aponeurotic Complex Injuries: A Case Report.

作者信息

Bisciotti Gian Nicola, Alessio Auci, Bisciotti Andrea, Bisciotti Alessandro

机构信息

Kinemove Rehabilitation Centers Pontremoli- La Spezia, Pontremoli, Italy.

Azienda USL Toscana Nord-Ovest, Marina di Massa, Italy.

出版信息

J Orthop Case Rep. 2024 Oct;14(10):60-66. doi: 10.13107/jocr.2024.v14.i10.4812.

DOI:10.13107/jocr.2024.v14.i10.4812
PMID:39381315
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11458203/
Abstract

INTRODUCTION

The pre-pubic aponeurotic complex (PPAC) is a fibrous capsule which lines the anterior of the pubic symphysis. The PPAC may be injured during pelvic torsional movements and single-stance maneuvers.

CASE REPORT

This case report describes a PPAC lesion in a 23-year-old professional male athlete specializing in decathlon on a national level. The lesion was treated with US-guided infiltration therapy with botulinum toxin (BTX) and platelet-rich plasma therapy (PRPt) to the longus adductor (LA) and rectus abdominis (RA) muscles. The magnetic resonance imaging control performed at 24 weeks after BTX infiltration and PRPt showed a total restitution ad integrum of the lesion area. At a 3-year follow-up, the subject no longer complained of pain and was restored to his pre-injury level of sport.

CONCLUSION

The distention of LA and RA obtained by BTX infiltration coupled with PRPt allowed PPAC to heal. The BTX infiltrative therapy coupled with PRPt may represent a new and promising treatment for PPAC lesions.

摘要

引言

耻骨前腱膜复合体（PPAC）是一层纤维性包膜，覆盖耻骨联合前部。PPAC可能在骨盆扭转运动和单腿站立动作中受损。

病例报告

本病例报告描述了一名23岁的国家级十项全能专业男性运动员的PPAC损伤。该损伤采用超声引导下向内收长肌（LA）和腹直肌（RA）注射肉毒杆菌毒素（BTX）和富血小板血浆疗法（PRPt）进行治疗。BTX注射和PRPt治疗24周后进行的磁共振成像检查显示，损伤区域完全恢复正常。在3年的随访中，该受试者不再抱怨疼痛，运动能力恢复到受伤前水平。

结论

BTX注射联合PRPt使LA和RA扩张，从而使PPAC得以愈合。BTX浸润疗法联合PRPt可能是一种治疗PPAC损伤的新的、有前景的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/ba6599b6ee7b/JOCR-14-60-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/f21f9e23d4a3/JOCR-14-60-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/7ae104253aa9/JOCR-14-60-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/1577d3c4af18/JOCR-14-60-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/83fc3d57b734/JOCR-14-60-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/08fe234da3bb/JOCR-14-60-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/4dc7b12ff1e7/JOCR-14-60-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/ba6599b6ee7b/JOCR-14-60-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/f21f9e23d4a3/JOCR-14-60-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/7ae104253aa9/JOCR-14-60-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/1577d3c4af18/JOCR-14-60-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/83fc3d57b734/JOCR-14-60-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/08fe234da3bb/JOCR-14-60-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/4dc7b12ff1e7/JOCR-14-60-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4457/11458203/ba6599b6ee7b/JOCR-14-60-g007.jpg

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