Rupture of the Short Head of the Biceps Brachii Muscle Belly Caused by a Rock-Climbing Accident
Rupture of the Short Head of the Biceps Brachii Muscle Belly Caused by a Rock-Climbing Accident
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攀岩事故致肱二头肌肌腹短头断裂
DOI：
10.1016/j.wem.2020.04.006
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发表时间：
2020
影响因子：
1.4
通讯作者：
V. Schöffl
中科院分区：
文献类型：
--
作者：
M. Simon;C. Lutter;V. Schöffl
本文介绍了一名 42 岁攀岩者的病例，他在抱石时上臂着地，导致肱二头肌短头完全、孤立性断裂。这是登山事故后首次描述这种罕见的伤害。此外，对于这种情况下是否以及何时需要进行手术干预，目前还没有明确的共识。我们通过开放手术方法对肌腹进行直接端对端缝合。术后，我们进行了详细的随访，包括临床检查以及超声检查和磁共振成像以检查缝合线的完整性。 6 个月后，我们的患者恢复了全方位的运动，没有功能不适或疼痛。关于特定运动的结果，我们仅发现攀岩能力略有下降（与受伤前的 VIII 级相比，手术后国际登山协会难度等级为 VII+ 级）。总之，我们建议早期手术使肌腹重新接近可能是运动员这种严重但罕见的损伤的最佳治疗选择。
The case of a 42-y-old rock climber who sustained a complete, isolated rupture of the short head of the biceps brachii muscle after falling onto his upper arm while bouldering is presented. This is the first description of this rare injury after a climbing accident. Moreover, there is no definitive consensus on whether and when surgical intervention is necessary in such a case. We performed a direct end-to-end suture of the muscle belly through an open surgical approach. Postoperatively, we performed a detailed follow-up, including clinical examinations and sonography and magnetic resonance imaging to check the integrity of the suture. After 6 mo, our patient had regained a full range of motion without functional complaints or pain. Concerning the sports-specific outcome, we only found a slight decrease in rock-climbing abilities (Union Internationale des Associations d’Alpinisme Scale of Difficulty grade VII+ postsurgery compared to VIII preinjury). In conclusion, we suggest that early surgical reapproximation of the muscle belly might be the best treatment option for this severe but rare injury in athletes.