RESUMEN
CASE: A 25-year-old professional boxer presented with a right distal flexor carpi radialis (FCR) tendon avulsion after sustaining an injury while boxing. The avulsion was identified and confirmed with magnetic resonance imaging, and the tendon was successfully reinserted into the trapezium. The patient returned to professional boxing 10 months later without complication. CONCLUSIONS: Distal FCR tendon avulsions are rare. Occasionally, this tendon can avulse after an application of excessive force. For some patients, unrepaired distal FCR tendon avulsions may prevent competitive performance. In this case, the tendon was reattached to the trapezium to aid wrist motion and stability, which are essential for professional boxing.
Asunto(s)
Boxeo/lesiones , Traumatismos de la Mano/cirugía , Huesos del Metacarpo/lesiones , Traumatismos de los Tendones/cirugía , Adulto , Fijación Interna de Fracturas , Fracturas Óseas/cirugía , Traumatismos de la Mano/diagnóstico por imagen , Humanos , Masculino , Huesos del Metacarpo/diagnóstico por imagen , Traumatismos de los Tendones/diagnóstico por imagen , Hueso Trapecio/cirugíaAsunto(s)
Artroscopía/efectos adversos , Artroscopía/métodos , Lesiones del Manguito de los Rotadores , Manguito de los Rotadores/cirugía , Contraindicaciones , Humanos , Manguito de los Rotadores/patología , Síndrome de Abducción Dolorosa del Hombro/diagnóstico , Síndrome de Abducción Dolorosa del Hombro/cirugíaRESUMEN
The development of arthroscopic techniques has provided the shoulder surgeon with new opportunities to improve the chances of salvaging these difficult rotator cuff tears while generally avoiding the potential disastrous consequences attendant to the open procedures. The arthroscope can be used to review and document the status of the joint and cuff, assess the tear pattern, debride damaged tissues, and smooth the acromion. In addition, a trained shoulder arthroscopist can mobilize the available tissues and repair any viable tendon to bone, without damage to the overlying muscles, through small cosmetic incisions in an outpatient surgery setting. If there proves to be an irreparable injury, debridement and bone smoothing can be readily performed, avoiding iatrogenic injury to the remaining healthy tissues, especially the deltoid muscle. The patient and the surgeon must accept that the arthroscope is merely a helpful surgical tool, a convenient method to visualize the anatomy without damaging other tissues. When one attempts to repair a massive cuff tear, even with the aid of the arthroscope, there are no miracles or magic involved and often the results are less than perfect. Fortunately, once one can see the relevant anatomy, the opportunities to safely repair the tissues are then unprecedented.
