腓肠肌内侧头部分撕裂:一例32岁休闲运动员半月板症状报告。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-02-06 DOI:10.1007/s00113-025-01534-5
Daniel P Berthold, Fabian Traub, Fabian Gilbert, Wolfgang Böcker, Boris Holzapfel, Markus Bormann
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引用次数: 0

摘要

本病例报告介绍了一名32岁男性休闲运动员的临床表现和治疗方法,他表现为持续4个月的膝盖疼痛,没有外伤史。患者行走时间歇性疼痛,尤其是长时间坐着后,半月板检查呈阳性。然而,他能够毫无痛苦地参加体育活动。磁共振成像(MRI)显示腓肠肌内侧头部分撕裂,证实了诊断。保守治疗,包括休息、物理治疗和逐渐恢复体育活动,导致明显的症状改善。本病例强调了考虑罕见损伤的重要性,如腓肠肌内侧头的孤立撕裂,在持续的膝关节疼痛和半月板症状的患者中,即使没有创伤事件。先前关于这种特殊损伤的报道很少,表明其罕见性,并强调需要进一步了解和记录。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Partial tear of the medial gastrocnemius head : A case report of meniscal symptoms in a 32-year-old recreational athlete.

This case report presents the clinical findings and management of a 32-year-old male recreational athlete who presented with ongoing knee pain for 4 months, without a history of trauma. The patient experienced intermittent pain during walking, particularly after prolonged periods of sitting, and exhibited positive findings on meniscus tests. However, he was able to participate in sports activities without pain. Magnetic resonance imaging (MRI) revealed a partial tear of the medial gastrocnemius head, confirming the diagnosis. Conservative treatment, including rest, physical therapy, and a gradual return to sports activities, led to significant symptom improvement. This case highlights the importance of considering rare injuries, such as isolated tears of the medial gastrocnemius head, in patients with persistent knee pain and meniscal symptoms, even in the absence of traumatic events. Previous reports on this specific injury are sparse, indicating its rarity and underscoring the need for further understanding and documentation.

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