Acil Serviste İnspeksiyon ve Ultrasonografi ile Tanı; Biceps Tendon Rüptürü

Öz

Giriş: Biceps proksimal uzun tendon (PBUT) rüptürü direk ve indirek travma sonrası görülen nadir bir klinik tablodur. Bu yazıda acil serviste fizik muayene ve yatak başı ultrasonografi (USG) ile tanı koyulan bir PBUT rüptürü olgusu sunuldu. Olgu Sunumu: 55 yaşında sağ elini kullanan bir erkek hasta acil servise sağ omuzda ağrı ve dirseği bükmede güçsüzlük şikayeti ile başvurdu. Öyküsünde 2 gün önce yerden yaklaşık 5 kg’lık bir ağırlığı kaldırırken sağ omuzda ani ağrı, yanma hissi ve çarpma sesi meydana geldiği öğrenildi. Fizik muayenede palpasyonla sağ omuz anteriorda ağrı ve hassasiyet dirsek fleksiyonunda distal yerleşimli biseps kası kitlesi tespit edildi. Acil servis hekimi tarafından 7.5-12 MHz linear prob ile yapılan yatak başı USG'de sağ omuz bicipital olukta tendon liflerinin olmadığı bir hipoekoik alan görüntülendi. Fizik muayene ve USG bulguları ile hastaya PBUT rüptür tanısı konuldu. Sonuç: Acil servislerde PBUT total rüptür tanısında yatak başı USG hızlı, yeterli ve ucuz bir tanı yöntemidir.

Anahtar Kelimeler

• Biseps, ultrasonografi, tendon rüptürü

Biceps Tendon Rupture Diagnosed by Physical Examination and Bedside Ultrasonography in the Emergency Department

Öz

Introduction: A complete tear of the proximal long head of biceps tendon is a rare clinical condition that is caused by direct or indirect trauma. We report the case of a patient with a proximal long-head biceps (PLHB) rupture diagnosed by bedside ultrasonography (BUS) and physical examination in the emergency department (ED).Case Report: A-55-year-old, right-handed man presented to ED with pain in the right shoulder and weakness in the elbow. Two days before, while he was lifting a 5-kg object from the ground, he felt a sudden pain, a burning sensation, and an audible pop in his right shoulder. On physical examination, there was a severe pain and tenderness over the anterior aspect of the shoulder, proximal part of the biceps muscle, and distally located biceps muscle mass. An emergency medicine physician performed BUS with a 7.5- to 12- MHz linear transducer. In BUS, there was a hypoechoic area in the right shoulder bicipital groove, but there were no tendon fibers. The evaluation of both the physical examination and sonographic findings revealed a PLHB rupture. Conclusion: BUS is a fast and cost-effective imaging method for the diagnosis of PLHB total rupture in ED

Anahtar Kelimeler

• Biceps, ultrasound, tendon rupture

Kaynakça

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