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一名15岁青少年的胸大肌断裂:病例报告

Pectoralis Major Rupture in a 15-year-old Teenager: Case Report.

作者信息

Piluski Paulo César Faiad, Bonadiman João Artur, Moreira Eduardo Necher, Rodriguez Carlos Humberto Castillo, Lech Osvandré

机构信息

Instituto de Ortopedia e Traumatologia/Hospital São Vicente de Paulo, Passo Fundo, RS, Brasil.

Instituto Brasil de Tecnologias da Saúde, Rio de Janeiro, RJ, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 May 19;59(Suppl 2):e199-e202. doi: 10.1055/s-0044-1785448. eCollection 2024 Nov.

Abstract

Rupture of the pectoralis major muscle is extremely rare in adolescents. The current literature contains only 5 reports of this condition in patients under 20 years old, with 2 reports in subjects under 16. In the present article, we report the case of a 15-year-old volleyball player who suffered a traumatic rupture of the pectoralis major in a match during the serve movement. After excluding endocrinological abnormalities as a cause of tendon weakening, the patient underwent surgical treatment due to muscle retraction, strength deficit, high demand, and esthetic concerns. Early diagnosis is crucial to successful outcomes, and the surgical intervention enabled early rehabilitation and a provided a higher likelihood of return to high-level competitive sports.

摘要

青少年胸大肌断裂极为罕见。目前的文献中仅有5例20岁以下患者出现这种情况的报告,其中16岁以下患者有2例报告。在本文中,我们报告了一名15岁排球运动员的病例,该运动员在比赛发球动作中胸大肌发生创伤性断裂。在排除内分泌异常作为肌腱弱化原因后,由于肌肉回缩、力量不足、需求高以及美观问题,患者接受了手术治疗。早期诊断对于成功治疗至关重要,手术干预使早期康复成为可能,并提高了重返高水平竞技运动的可能性。

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