비복근 근육파열의 진단 및 치유과정을 근골격계 초음파로 관찰하는 논문

[문형철]

비복근 근육파열의 진단 및 치유과정을 근골격계 초음파로 관찰하는 논문

비복근 파열의 흔한 부위는 내측 medial head 부위!!

panic bird....

비복근 파열.pdf

Objective: The purpose of this study was to demonstrate the ultrasonographic (US) findings of rupture and the healing process of the medial head of the gastrocnemius (“Tennis Leg”). 

Materials and Methods: Twenty-two patients (age range: 30 to 45 years) with clinically suspected ruptures of the medial head of the gastrocnemius were referred to us for US examination. All the patients underwent US of the affected limb and the contralateral asymptomatic limb. Follow-up clinical eval‎uation and US imaging of all patients were performed at two-week intervals during the month after injury and at one-month intervals during the following six months. 

Results: Of the 22 patients who had an initial US examination after their injury, partial rupture of the medial head of the gastrocnemius muscle was identified in seven patients (31.8%); the remaining 15 patients were diagnosed with complete rupture. Fluid collection between the medial head of the gastrocnemius and the soleus muscle was identified in 20 patients (90.9%). The thickness of the fluid collection, including the hematoma in the patients with complete rupture (mean: 9.7 mm), was significantly greater than that seen in the patients with partial tear (mean: 6.8 mm) (p < 0.01). The primary union of the medial head of the gastrocnemius with the soleus muscle in all the patients with muscle rupture and fluid collection was recognized via the hypoechoic tissue after four weeks. 

Conclusion: Ultrasonography is a useful imaging modality for the diagnosis and follow-up examination for the patients suffering with rupture of the medial head of the gastrocnemius.

[문형철]

비복근 파열의 흔한 부위는 내측 medial head 부위!!