使用半腱肌移植物和生物纤维手术治疗慢性孤立性股直肌断裂:病例报告

Kunal Nune, Shripad Joshi, Parth Mehta, G. Gadekar
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引用次数: 0

摘要

股直肌撕裂十分罕见,在急诊中常被忽视。大多数股四头肌肌腹损伤可以成功地进行保守治疗,对于活动量较少、年龄较大的人群,非手术治疗也是合理的。本病例报告的是一名 19 岁的男性卡巴迪运动员,他在 5 个月前的比赛中受伤,伤及股直肌肌腹。尽管进行了 5 个月的物理治疗和非手术治疗,但这名年轻患者仍未能恢复跑步和参加卡巴迪比赛所需的功能,并主诉大腿中部疼痛,屈髋和伸膝时股四头肌无力。这导致跳跃、奔跑和踢球动作受阻。大腿中部有触痛,在抵抗性屈髋或伸膝时可触及缺损和疼痛。超声波和核磁共振检查证实了临床诊断。手术治疗使用半腱肌同种异体移植和生物纤维重建系统来增强股直肌修复,使膝关节能够立即完全被动屈曲,并通过早期分级物理治疗计划,恢复了跑步和以前的运动水平,没有受到任何限制。对于慢性股直肌撕裂,手术治疗似乎是一个不错的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Operative management of chronic isolated rectus femoris rupture with semitendinosus graft and biofiber: A case report
Rectus femoris tear is rare and often overlooked in emergencies. The majority of quadriceps muscle belly injuries can be successfully treated conservatively and for less active, older populations Non-operative management is reasonable. A case report of a 19-year-old male Kabbaddi player who sustained an injury to his rectus femoris muscle belly while playing 5 months back. This young patient did not recover the functional outcome required to get back to running and participating in kabaddi despite 5 months of physiotherapy and non-operative management and had complaints of Pain over midthigh and weakness in quadriceps during hip flexion and knee extension. This leads to Hindrances in Jumping, running, and kicking movements. Tenderness over the midthigh and palpable defect with Pain upon resisted hip flexion or extension was seen.3/5 quadriceps power was noted. Ultrasound and MRI were done to confirm the clinical diagnosis. Operative treatment using the semitendinosus allograft with bio fiber reconstruction system to augment rectus femoris repair allowed immediate full passive flexion of the knee and an early graduated physiotherapy program leading to a return to running and his previous level of sport without any restrictions. Surgical treatment of rectus femoris tear seems to be a good option for Chronic tears.
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