Ultrasound of the pectoralis major muscle after reverse shoulder arthroplasty: a case report.
Ultrasound of the pectoralis major muscle after reverse shoulder arthroplasty: a case report.
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反向肩关节置换术后胸大肌的超声检查：病例报告。
DOI：
10.1097/phm.0000000000000197
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发表时间：
2014
影响因子：
3
通讯作者：
Jain,NitinB
中科院分区：
文献类型：
--
作者：
Mascarinas,AngelieL;Newman,JoelS;Warner,JonJP;Jain,NitinB
文献中对胸大肌进行超声检查的报道很少。本文报告一例胸大肌萎缩，经超音波诊断为持续性内旋转无力的病人，因肩部植入物而有多次手术及核磁共振检查禁忌症。这位病人的体格检查显示胸大肌收缩的轮廓异常，因此他被转介到诊断性超声检查。超声是指导患者治疗的关键，因为如果发现撕裂的胸大肌，手术修复是有计划的。超声检查未见胸大肌撕裂或断裂，但有胸大肌萎缩的迹象。因此，避免了手术，患者能够继续他的物理治疗计划。
Only a few reports exist in the literature for sonographic assessment of the pectoralis major muscle. Presented is a case of pectoralis major muscle atrophy as a cause of persistent internal rotation weakness diagnosed via ultrasound in a patient with multiple previous surgeries and contraindication to magnetic resonance imaging because of a shoulder implant. This patient’s physical examination suggested an abnormal contour of the pectoralis major muscle on contraction, so he was referred for diagnostic ultrasound. The ultrasound was key to guiding the management of this patient because surgical repair of a torn pectoralis major muscle was planned if this was found. No pectoralis major tear or rupture was seen on ultrasound, but there was evidence of pectoralis major muscle atrophy. Accordingly, surgery was avoided and the patient was able to continue with his physical therapy program.