BibTex RIS Kaynak Göster

Acil Serviste İnspeksiyon ve Ultrasonografi ile Tanı; Biceps Tendon Rüptürü

Yıl 2015, Cilt: 6 Sayı: 4, 78 - 80, 01.10.2015

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.

Kaynakça

  • Elser F, Braun S, Dewing CB, Giphart JE, Millett PJ. Anatomy, function, injuries, and treatment of the long head of the biceps brachii tendon. Arthroscopy 2011; 27: 581-92. [CrossRef]
  • Carter AM, Erickson SM. Proximal biceps tendon rupture primarily an injury of middle age. Physician Sports Med 1999; 27: 95-102.
  • Ramsey ML. Distal biceps tendon injuries: diagnosis and management. J Am Acad Orthop Surg 1999; 7: 199-207.
  • Miller R, Dlabach J. Sports medicine. In: Canale ST, Beaty JH, editors. Camp- bell’s Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007, p. 2601-775.
  • Kannus P, Jozsa L. Histopathological changes preceding spontaneous rup- ture of the tendon. A controlled study of 891 patients. J Bone Joint Surg Am 1991; 73: 1507-25.
  • Hetsroni I, Pilz-Burstein R, Nyska M, Back Z, Barchilon V, Mann G. Avulsion of the distal biceps brachii tendon in middle-aged population: is surgical repair advisable? A comparative study of 22 patients treated with either nonoperative management or early anatomical repair. Injury 2008; 39: 753-60. [CrossRef]
  • Viscomi GN, Gonzalez R, Taylor KJ, Crade M. Ultrasonic evaluation of hepatic and splenic trauma. Arch Surg 1980; 115: 320-1. [CrossRef]
  • Melniker LA, Leibner E, McKenney MG, Lopez P, Briggs WM, Mancuso CA. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med 2006; 48: 227-35. [CrossRef]
  • Wu TS, Roque PJ, Green J, Drachman D, Khor KN, Rosenberg M, et al. Bed- side ultrasound evaluation of tendon injuries. Am J Emerg Med 2012; 30: 1617-21. [CrossRef]
  • Petranova T, Vlad V, Porta F, Radunovic G, Micu MC, Nestorova R, et al. Ultrasound of the shoulder. Med Ultrason 2012; 14: 133-40.

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

Yıl 2015, Cilt: 6 Sayı: 4, 78 - 80, 01.10.2015

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

Kaynakça

  • Elser F, Braun S, Dewing CB, Giphart JE, Millett PJ. Anatomy, function, injuries, and treatment of the long head of the biceps brachii tendon. Arthroscopy 2011; 27: 581-92. [CrossRef]
  • Carter AM, Erickson SM. Proximal biceps tendon rupture primarily an injury of middle age. Physician Sports Med 1999; 27: 95-102.
  • Ramsey ML. Distal biceps tendon injuries: diagnosis and management. J Am Acad Orthop Surg 1999; 7: 199-207.
  • Miller R, Dlabach J. Sports medicine. In: Canale ST, Beaty JH, editors. Camp- bell’s Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007, p. 2601-775.
  • Kannus P, Jozsa L. Histopathological changes preceding spontaneous rup- ture of the tendon. A controlled study of 891 patients. J Bone Joint Surg Am 1991; 73: 1507-25.
  • Hetsroni I, Pilz-Burstein R, Nyska M, Back Z, Barchilon V, Mann G. Avulsion of the distal biceps brachii tendon in middle-aged population: is surgical repair advisable? A comparative study of 22 patients treated with either nonoperative management or early anatomical repair. Injury 2008; 39: 753-60. [CrossRef]
  • Viscomi GN, Gonzalez R, Taylor KJ, Crade M. Ultrasonic evaluation of hepatic and splenic trauma. Arch Surg 1980; 115: 320-1. [CrossRef]
  • Melniker LA, Leibner E, McKenney MG, Lopez P, Briggs WM, Mancuso CA. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med 2006; 48: 227-35. [CrossRef]
  • Wu TS, Roque PJ, Green J, Drachman D, Khor KN, Rosenberg M, et al. Bed- side ultrasound evaluation of tendon injuries. Am J Emerg Med 2012; 30: 1617-21. [CrossRef]
  • Petranova T, Vlad V, Porta F, Radunovic G, Micu MC, Nestorova R, et al. Ultrasound of the shoulder. Med Ultrason 2012; 14: 133-40.
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Diğer ID JA22VR84RS
Bölüm Case Report
Yazarlar

Ahmet Yıldırım Bu kişi benim

Okhan Akdur Bu kişi benim

Serdal Balcı Bu kişi benim

Halil Beggi Bu kişi benim

Yayımlanma Tarihi 1 Ekim 2015
Gönderilme Tarihi 1 Ekim 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 6 Sayı: 4

Kaynak Göster

APA Yıldırım, A., Akdur, O., Balcı, S., Beggi, H. (2015). Biceps Tendon Rupture Diagnosed by Physical Examination and Bedside Ultrasonography in the Emergency Department. Journal of Emergency Medicine Case Reports, 6(4), 78-80.
AMA Yıldırım A, Akdur O, Balcı S, Beggi H. Biceps Tendon Rupture Diagnosed by Physical Examination and Bedside Ultrasonography in the Emergency Department. Journal of Emergency Medicine Case Reports. Ekim 2015;6(4):78-80.
Chicago Yıldırım, Ahmet, Okhan Akdur, Serdal Balcı, ve Halil Beggi. “Biceps Tendon Rupture Diagnosed by Physical Examination and Bedside Ultrasonography in the Emergency Department”. Journal of Emergency Medicine Case Reports 6, sy. 4 (Ekim 2015): 78-80.
EndNote Yıldırım A, Akdur O, Balcı S, Beggi H (01 Ekim 2015) Biceps Tendon Rupture Diagnosed by Physical Examination and Bedside Ultrasonography in the Emergency Department. Journal of Emergency Medicine Case Reports 6 4 78–80.
IEEE A. Yıldırım, O. Akdur, S. Balcı, ve H. Beggi, “Biceps Tendon Rupture Diagnosed by Physical Examination and Bedside Ultrasonography in the Emergency Department”, Journal of Emergency Medicine Case Reports, c. 6, sy. 4, ss. 78–80, 2015.
ISNAD Yıldırım, Ahmet vd. “Biceps Tendon Rupture Diagnosed by Physical Examination and Bedside Ultrasonography in the Emergency Department”. Journal of Emergency Medicine Case Reports 6/4 (Ekim 2015), 78-80.
JAMA Yıldırım A, Akdur O, Balcı S, Beggi H. Biceps Tendon Rupture Diagnosed by Physical Examination and Bedside Ultrasonography in the Emergency Department. Journal of Emergency Medicine Case Reports. 2015;6:78–80.
MLA Yıldırım, Ahmet vd. “Biceps Tendon Rupture Diagnosed by Physical Examination and Bedside Ultrasonography in the Emergency Department”. Journal of Emergency Medicine Case Reports, c. 6, sy. 4, 2015, ss. 78-80.
Vancouver Yıldırım A, Akdur O, Balcı S, Beggi H. Biceps Tendon Rupture Diagnosed by Physical Examination and Bedside Ultrasonography in the Emergency Department. Journal of Emergency Medicine Case Reports. 2015;6(4):78-80.