{"title":"一名士兵的肱三头肌腱撕脱伤:病例报告","authors":"Rita Chorba, Collin Hu, Jess Feldtmann","doi":"10.26603/001c.116276","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Clinical assessment of triceps brachii tendon tears is challenging, and conventional imaging methods have limitations. Timely surgical referral is important in high-grade tears to maximize patient outcomes, and musculoskeletal ultrasound (MSK US) can be used at the time of clinical examination to identify such injuries requiring advanced imaging and orthopedic referral.</p><p><strong>Hypothesis/purpose: </strong>The purpose of this case report is to describe how MSK US was used to facilitate advanced imaging and timely orthopedic referral for a patient presenting to a physical therapist with a high-grade triceps tendon avulsion.</p><p><strong>Study design: </strong>Case Report.</p><p><strong>Case description: </strong>A 35-year-old male soldier presented to a direct access sports physical therapist with acute-on-chronic right elbow pain. Physical examination and MSK US were used to identify a high-grade partial triceps brachii tendon tear. The MSK US findings informed the physical therapist's decision-making process to refer the subject for timely advanced imaging studies as well as referral to an orthopedic physician.</p><p><strong>Outcomes: </strong>A high-grade partial triceps tendon avulsion was confirmed on magnetic resonance imaging (MRI). The subject was then seen by an orthopedic surgeon and underwent surgical repair of the tendon within the recommended three-week timeframe for optimal outcomes. The subject completed a post-operative rehabilitation program and returned to full physical and occupational activities.</p><p><strong>Conclusion: </strong>MSK US can assist in the diagnosis of challenging triceps tendon injuries, facilitating timely advanced imaging and orthopedic referrals for high-grade injuries to optimize patient outcomes.</p><p><strong>Level of evidence: </strong>5.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11065787/pdf/","citationCount":"0","resultStr":"{\"title\":\"Triceps Tendon Avulsion in a Soldier: A Case Report.\",\"authors\":\"Rita Chorba, Collin Hu, Jess Feldtmann\",\"doi\":\"10.26603/001c.116276\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Clinical assessment of triceps brachii tendon tears is challenging, and conventional imaging methods have limitations. Timely surgical referral is important in high-grade tears to maximize patient outcomes, and musculoskeletal ultrasound (MSK US) can be used at the time of clinical examination to identify such injuries requiring advanced imaging and orthopedic referral.</p><p><strong>Hypothesis/purpose: </strong>The purpose of this case report is to describe how MSK US was used to facilitate advanced imaging and timely orthopedic referral for a patient presenting to a physical therapist with a high-grade triceps tendon avulsion.</p><p><strong>Study design: </strong>Case Report.</p><p><strong>Case description: </strong>A 35-year-old male soldier presented to a direct access sports physical therapist with acute-on-chronic right elbow pain. Physical examination and MSK US were used to identify a high-grade partial triceps brachii tendon tear. The MSK US findings informed the physical therapist's decision-making process to refer the subject for timely advanced imaging studies as well as referral to an orthopedic physician.</p><p><strong>Outcomes: </strong>A high-grade partial triceps tendon avulsion was confirmed on magnetic resonance imaging (MRI). The subject was then seen by an orthopedic surgeon and underwent surgical repair of the tendon within the recommended three-week timeframe for optimal outcomes. The subject completed a post-operative rehabilitation program and returned to full physical and occupational activities.</p><p><strong>Conclusion: </strong>MSK US can assist in the diagnosis of challenging triceps tendon injuries, facilitating timely advanced imaging and orthopedic referrals for high-grade injuries to optimize patient outcomes.</p><p><strong>Level of evidence: </strong>5.</p>\",\"PeriodicalId\":47892,\"journal\":{\"name\":\"International Journal of Sports Physical Therapy\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11065787/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Sports Physical Therapy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.26603/001c.116276\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Sports Physical Therapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.26603/001c.116276","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0
摘要
背景:肱三头肌肌腱撕裂的临床评估具有挑战性,传统的成像方法存在局限性。假设/目的:本病例报告的目的是描述如何使用 MSK US 为一名因肱三头肌肌腱撕脱而向物理治疗师求诊的患者提供高级影像学检查和及时的骨科转诊:研究设计:病例报告:一名35岁的男性士兵因急性右肘慢性疼痛而直接向运动理疗师求诊。通过体格检查和 MSK US 确定肱三头肌腱部分撕裂。MSK US 的检查结果为理疗师的决策过程提供了依据,以便及时将患者转诊接受先进的影像学检查,并转诊给骨科医生:结果:磁共振成像(MRI)证实了肱三头肌腱部分撕脱。随后,该受试者接受了骨科医生的诊治,并在建议的三周时间内接受了肌腱修复手术,以达到最佳效果。受试者完成了术后康复计划,恢复了全面的体能和职业活动:结论:MSK US可协助诊断具有挑战性的肱三头肌肌腱损伤,有助于及时进行高级成像和骨科转诊,以优化患者预后:5.
Triceps Tendon Avulsion in a Soldier: A Case Report.
Background: Clinical assessment of triceps brachii tendon tears is challenging, and conventional imaging methods have limitations. Timely surgical referral is important in high-grade tears to maximize patient outcomes, and musculoskeletal ultrasound (MSK US) can be used at the time of clinical examination to identify such injuries requiring advanced imaging and orthopedic referral.
Hypothesis/purpose: The purpose of this case report is to describe how MSK US was used to facilitate advanced imaging and timely orthopedic referral for a patient presenting to a physical therapist with a high-grade triceps tendon avulsion.
Study design: Case Report.
Case description: A 35-year-old male soldier presented to a direct access sports physical therapist with acute-on-chronic right elbow pain. Physical examination and MSK US were used to identify a high-grade partial triceps brachii tendon tear. The MSK US findings informed the physical therapist's decision-making process to refer the subject for timely advanced imaging studies as well as referral to an orthopedic physician.
Outcomes: A high-grade partial triceps tendon avulsion was confirmed on magnetic resonance imaging (MRI). The subject was then seen by an orthopedic surgeon and underwent surgical repair of the tendon within the recommended three-week timeframe for optimal outcomes. The subject completed a post-operative rehabilitation program and returned to full physical and occupational activities.
Conclusion: MSK US can assist in the diagnosis of challenging triceps tendon injuries, facilitating timely advanced imaging and orthopedic referrals for high-grade injuries to optimize patient outcomes.