一名老年患者髂腰肌腱的孤立性自发性非插入性撕裂:超声波成像的意义。

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
S Chapala, S Mettu, K Shirodkar, Karthikeyan P Iyengar, D Beale, Rajesh Botchu
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引用次数: 0

摘要

髂腰肌腱非插入部分无任何潜在损伤的孤立性自发性撕裂并不常见,尤其是在老年人中。我们描述了一例 88 岁男性的病例,他的右腹股沟疼痛是由髂腰肌腱自发性非插入性撕裂引起的,该撕裂是通过超声波发现并经核磁共振成像确认的。超声波检查发现髂腰肌腱的非插入部分存在低瘀血,从而迅速确定了病因并进行了保守治疗,取得了良好的功能效果。本病例报告强调了在评估急性腹股沟疼痛病例时考虑自发性非插入性髂腰肌腱撕裂的重要性。这一发现凸显了超声波作为一种初步诊断工具的有效性,它可以对髋关节周围的软组织损伤进行早期、经济有效的诊断,尤其是在资源匮乏的地区。及时发现和处理有助于避免不必要的手术干预,促进患者更快更好地康复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Isolated spontaneous non-insertional tear of the iliopsoas tendon in an elderly patient: significance of ultrasound imaging.

Isolated spontaneous tears in the non-insertional portion of the iliopsoas tendon without any underlying injury are uncommon, especially among elderly individuals. We describe the case of an 88-year-old man who experienced right groin pain caused by a spontaneous non-insertional tear in the iliopsoas tendon identified through ultrasound and confirmed via MRI. Ultrasound revealed hypoechogenicity in the non-insertional portion of the iliopsoas tendon, leading to quick identification and conservative treatment and resulting in positive functional outcomes. This case report emphasises the significance of considering spontaneous non-insertional iliopsoas tendon tears when evaluating cases of acute groin pain. This finding underscores the effectiveness of ultrasound as an initial diagnostic tool for the early cost-effective diagnosis of soft tissue injuries around the hip joint, especially in low-resource settings. Timely detection and management can help avoid unnecessary operative interventions and facilitate faster and better recovery.

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来源期刊
Journal of Ultrasound
Journal of Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
4.10
自引率
15.00%
发文量
133
期刊介绍: The Journal of Ultrasound is the official journal of the Italian Society for Ultrasound in Medicine and Biology (SIUMB). The journal publishes original contributions (research and review articles, case reports, technical reports and letters to the editor) on significant advances in clinical diagnostic, interventional and therapeutic applications, clinical techniques, the physics, engineering and technology of ultrasound in medicine and biology, and in cross-sectional diagnostic imaging. The official language of Journal of Ultrasound is English.
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