Upper Limb Ischaemia Secondary to a Bifurcated Distal Biceps Tendon: A Case Report

T. Aherne , F.M. Shaikh , P. Naughton , H. Mullett , D. Moneley
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引用次数: 0

Abstract

Introduction

Clinical manifestations of hypertrophic bifurcated distal biceps tendons are rarely described. We report the first known case of brachial arterial entrapment resulting from this unusual anatomical variable.

Report

A 24-year-old gentleman presented with positional upper limb ischaemic symptoms. Initial investigation was unremarkable. Operative exposure of the ante-cubital fossa revealed compression of the brachial artery by a hypertrophic bifurcated distal biceps tendon. Partial division of the tendon led to resolution of symptoms.

Discussion

In challenging cases of upper limb ischaemia surgical, intervention may be justified for both diagnostic and therapeutic purposes.

二头肌远端肌腱分叉继发上肢缺血1例报告
摘要肱二头肌远端分叉肌腱肥大的临床表现很少被报道。我们报告了第一例已知的由这种不寻常的解剖变量引起的肱动脉夹闭。报告一位24岁的男士,表现为上肢位置性缺血症状。最初的调查并不引人注目。手术暴露肘前窝显示肱动脉压迫肥厚分叉远端肱二头肌肌腱。肌腱部分分裂导致症状缓解。在上肢缺血手术的挑战性病例中,干预可能是合理的诊断和治疗目的。
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