12歳レスラーにおける肩甲下筋腱断裂
Jaren C LaGreca1, Karina Dias1, Matthew Kolevar1
1Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Video journal of sports medicine
|February 6, 2026
まとめ
本症例報告は、小児患者における外傷性肩甲下筋腱断裂および小結節剥離骨折の観血的修復の成功について詳述する。患者は合併症なく完全に回復し、痛みや機能障害なくスポーツに復帰した。
科学分野:
- 整形外科学
- 小児スポーツ医学
- 外傷学
背景:
- 外傷性回旋腱板損傷は小児ではまれである。
- 小結節剥離骨折を伴う孤立性肩甲下筋損傷は、しばしば外科的介入を必要とするが、報告はまれである。
研究 の 目的:
- 肩甲下筋損傷および小結節剥離骨折を呈した12歳レスラーの症例を提示する。
- このまれな小児肩関節損傷の外科的治療および転帰を記述する。
主な方法:
- 肩の痛みを訴えた12歳男性はMRI検査を受け、小結節剥離を伴う肩甲下筋腱断裂が明らかになった。
- 診断的関節鏡視検査は、剥離断片に対するオールソーチャーアンカーを用いた観血的修復に移行された。
主要な成果:
- 観血的肩甲下筋修復術は合併症なく施行された。
- 患者は12週までに肩の可動域を完全に回復し、術後6ヶ月でスポーツに復帰した。
結論:
- 小結節剥離を伴う小児肩甲下筋腱断裂の観血的修復は、優れた転帰をもたらす可能性がある。
- 適切な管理により、傷害前のレベルの運動活動への復帰が可能となる。
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