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Brachialis Muscle Rupture in a Pediatric Patient Followed Up by Ultrasound Examinations: A Rare Case Report

Isolated brachial muscle injuries are relatively rare injuries and reportedly occur during forced elbow extension. Though commonly conservative treatment approach is adopted, the treatment criteria remain unclear. Here, we report the case of a patient who experienced functional recovery after conser...

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Autores principales: Yamaji, Akihiro, Uesugi, Masafumi, Kamada, Hiroshi, Ichimura, Harumitsu, Yamazaki, Masashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9246635/
https://www.ncbi.nlm.nih.gov/pubmed/35783672
http://dx.doi.org/10.1155/2022/3391350
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author Yamaji, Akihiro
Uesugi, Masafumi
Kamada, Hiroshi
Ichimura, Harumitsu
Yamazaki, Masashi
author_facet Yamaji, Akihiro
Uesugi, Masafumi
Kamada, Hiroshi
Ichimura, Harumitsu
Yamazaki, Masashi
author_sort Yamaji, Akihiro
collection PubMed
description Isolated brachial muscle injuries are relatively rare injuries and reportedly occur during forced elbow extension. Though commonly conservative treatment approach is adopted, the treatment criteria remain unclear. Here, we report the case of a patient who experienced functional recovery after conservative treatment for an isolated brachial muscle injury. The patient was an 8-year-old boy whose chief complaint was left elbow pain. The injury occurred when the patient fell while playing on gymnastics bars and bruised the palmar side of his left elbow on the bar. Owing to the pain in the left elbow, the patient came to our institution. There were no clear signs of deformities or swelling in the left elbow and no obvious tenderness. X-ray and computed tomography (CT) imaging examinations revealed no signs of a fracture or dislocation, and the patient was diagnosed with left brachialis muscle rupture based on magnetic resonance imaging (MRI). Although the brachialis muscle was complete ruptured, a healing tendency was seen on body surface ultrasound examinations over time, and the patient was treated conservatively. After 3 weeks of cast immobilization, the patient underwent range of motion exercises. Two months after the injury, there were no issues with elbow joint function in daily life activities and no limitations in range of motion. Here, MRI was used to diagnose brachialis muscle rupture, and ultrasound examinations were utilized to make treatment decisions.
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spelling pubmed-92466352022-07-01 Brachialis Muscle Rupture in a Pediatric Patient Followed Up by Ultrasound Examinations: A Rare Case Report Yamaji, Akihiro Uesugi, Masafumi Kamada, Hiroshi Ichimura, Harumitsu Yamazaki, Masashi Case Rep Orthop Case Report Isolated brachial muscle injuries are relatively rare injuries and reportedly occur during forced elbow extension. Though commonly conservative treatment approach is adopted, the treatment criteria remain unclear. Here, we report the case of a patient who experienced functional recovery after conservative treatment for an isolated brachial muscle injury. The patient was an 8-year-old boy whose chief complaint was left elbow pain. The injury occurred when the patient fell while playing on gymnastics bars and bruised the palmar side of his left elbow on the bar. Owing to the pain in the left elbow, the patient came to our institution. There were no clear signs of deformities or swelling in the left elbow and no obvious tenderness. X-ray and computed tomography (CT) imaging examinations revealed no signs of a fracture or dislocation, and the patient was diagnosed with left brachialis muscle rupture based on magnetic resonance imaging (MRI). Although the brachialis muscle was complete ruptured, a healing tendency was seen on body surface ultrasound examinations over time, and the patient was treated conservatively. After 3 weeks of cast immobilization, the patient underwent range of motion exercises. Two months after the injury, there were no issues with elbow joint function in daily life activities and no limitations in range of motion. Here, MRI was used to diagnose brachialis muscle rupture, and ultrasound examinations were utilized to make treatment decisions. Hindawi 2022-06-23 /pmc/articles/PMC9246635/ /pubmed/35783672 http://dx.doi.org/10.1155/2022/3391350 Text en Copyright © 2022 Akihiro Yamaji et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Yamaji, Akihiro
Uesugi, Masafumi
Kamada, Hiroshi
Ichimura, Harumitsu
Yamazaki, Masashi
Brachialis Muscle Rupture in a Pediatric Patient Followed Up by Ultrasound Examinations: A Rare Case Report
title Brachialis Muscle Rupture in a Pediatric Patient Followed Up by Ultrasound Examinations: A Rare Case Report
title_full Brachialis Muscle Rupture in a Pediatric Patient Followed Up by Ultrasound Examinations: A Rare Case Report
title_fullStr Brachialis Muscle Rupture in a Pediatric Patient Followed Up by Ultrasound Examinations: A Rare Case Report
title_full_unstemmed Brachialis Muscle Rupture in a Pediatric Patient Followed Up by Ultrasound Examinations: A Rare Case Report
title_short Brachialis Muscle Rupture in a Pediatric Patient Followed Up by Ultrasound Examinations: A Rare Case Report
title_sort brachialis muscle rupture in a pediatric patient followed up by ultrasound examinations: a rare case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9246635/
https://www.ncbi.nlm.nih.gov/pubmed/35783672
http://dx.doi.org/10.1155/2022/3391350
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