阶段性非同时双边状肌破裂,用直接修复和带增大治疗
Yuko Yagi1, Hironori Kojima1,2, Aiichiro Yamamoto1
1Orthopedics, Otakanomori Hospital, Kashiwa, JPN.
Cureus
|November 12, 2025
概括
这份病例报告详细介绍了一位患有未诊断糖尿病的肥胖患者罕见的双侧骨肌破裂. 在两周内进行早期的手术修复可能会改善功能结果.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 创伤学 创伤学 创伤学
背景情况:
- 双边骨肌破裂是罕见的,通常在患有全身性疾病的患者中同时发生.
- 诱导因素包括肥胖,糖尿病和慢性肌退行.
研究的目的:
- 报告一个独特的阶段性,非同时发生的双边状肌破裂病例.
- 讨论这种损伤的手术管理和功能结果.
- 突出时间对外科修复结果的潜在影响.
主要方法:
- 一个47岁的男性患有肥胖和未诊断的糖尿病的案例研究.
- 诊断通过体检 (双侧骨高部) 和X射线检查得到确认.
- 手术管理涉及直接修复两条骨肌,并用带进行增强.
主要成果:
- 在手术中成功地修复了两条腿骨肌.
- 在手术后九个月后,人们注意到了有利的功能恢复.
- 与急性破裂相比,亚急性破裂 (在两周后修复) 显示运动范围略有减少,残留度略有减少.
结论:
- 在具有代谢和机械风险因素的个体中,可以发生分阶段的双边状肌破裂.
- 在两周内进行手术修复可能会比延迟修复带来更好的功能结果.
- 这一案例强调了识别肌损伤的微妙风险因素的重要性.
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