柔术运动员足尖大破裂1例。

Acta ortopedica mexicana Pub Date : 2025-07-01
D Drummond, L C Lopes-Ferreira-Júnior, L H Paiva-D'Elia, L R De Oliveira-Revite, M L Duarte
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引用次数: 0

摘要

大圆肌破裂是棒球、曲棍球和网球等体育运动中常见的情况。关于治疗方法,文献中没有真正的共识,方法在功能和手术方法之间变化。虽然功能性治疗似乎是一种可行的选择,但缺乏证据表明上述治疗后内侧旋转强度有显著改善。我们报告了一位30岁的男性,在过去的10天里,由于柔术训练,右腋窝以下疼痛,显示大圆肌的肌肉腱交界处完全撕裂,以及部分插入性撕裂(大约75%的厚度)的脊上和脊下肌腱,以及在胸大肌的肌肉腱过渡萎缩。患者接受了镇痛药物治疗,同时进行了物理治疗,包括电热光疗、激光/LED治疗、手工治疗,并进行了为期14周的有组织的运动治疗,逐渐重新引入运动专项训练。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Teres major rupture: case report in a jiu-jitsu athlete.

The rupture of the teres major muscle is a well-known condition in sports activities like baseball, hockey, and tennis. There is no real consensus in the literature regarding treatment, with approaches varying between functional and surgical methods. While functional treatment appears to be a viable option, there is a lack of evidence indicating significant improvement in medial rotation strength after aforementioned treatment. We report a 30-year-old male with pain below the right armpit for the past 10 days, attributed to jiu-jitsu training which revealed a complete tear of the musculotendinous junction of the teres major and a partial insertional tear (approximately 75% of thickness) of the supraspinatus and infraspinatus tendons, along with atrophy in the musculotendinous transition of the pectoralis major. The patient was treated with analgesic medication, accompanied by physiotherapeutic treatment included electrothermophototherapy, laser/LED therapy, manual therapy, and a structured exercise regimen over 14 weeks, gradually reintroducing sport-specific training.

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