Pathak Neil, Luo Xuan, Riedel Matthew D
Yale University, Department of Orthopaedics and Rehabilitation, New Haven, CT 06510, United States of America.
Trauma Case Rep. 2024 Nov 23;54:101118. doi: 10.1016/j.tcr.2024.101118. eCollection 2024 Dec.
A 13-year-old male presented with an open left humeral shaft fracture with intramuscular distal biceps rupture after being struck by a car. He underwent washout, humerus fixation, and open biceps repair. Immediate postoperative course was complicated by deep infection and failure of biceps repair. He subsequently required two additional surgeries. One year later, he exhibited full, painless elbow range of motion and biceps strength. This case is the first to report an open humeral shaft fracture with concomitant intramuscular, mid-substance biceps rupture in a pediatric patient. This was successfully treated with a full functional recovery.
一名13岁男性在被汽车撞击后，出现左肱骨干开放性骨折并伴有肱二头肌远端肌内断裂。他接受了清创、肱骨固定和肱二头肌开放性修复手术。术后即刻出现深部感染和肱二头肌修复失败等并发症。随后他又接受了两次手术。一年后，他的肘关节活动范围完全恢复且无痛，肱二头肌力量也恢复正常。该病例是首例报道的小儿患者开放性肱骨干骨折合并肱二头肌肌内、肌腹中部断裂的病例。通过治疗，患者功能完全恢复。
