RESUMO
Distal biceps injuries are a relatively uncommon clinical condition that typically affect middle-aged males. They commonly occur due to an eccentric overload as the arm is forced from a flexed to extended position. Patients may experience an acute 'pop' and present with arm pain, swelling, and ecchymosis. Treatment options include nonoperative management or surgical repair. The aim of this concise review of distal biceps ruptures is to examine the relevant anatomy, clinical evaluation, diagnosis, and treatment options for these injuries.
Assuntos
Traumatismos do Braço/terapia , Braço , Músculo Esquelético/lesões , Ruptura/terapia , Traumatismos dos Tendões/terapia , Tendões , Traumatismos do Braço/diagnóstico , Humanos , Masculino , Ruptura/diagnóstico , Traumatismos dos Tendões/diagnósticoRESUMO
CASE: We report the case of a 3-year-old boy who presented with a distal ulnar fracture through a mixed sclerotic and lytic expansile lesion. The underlying lesion, an enchondroma protuberans, can mimic either benign or malignant bone tumors. It was successfully treated with casting and intralesional treatment. CONCLUSION: Enchondroma protuberans is a rare entity that mimics enchondroma, osteochondroma, periosteal chondroma, or chondrosarcoma. Diagnosis is typically made through both radiographic and histologic means. In this case, the pathologic fracture was successfully treated with casting followed by intralesional curettage and bone-grafting. There was no evidence of recurrence at 18 months.