Acute brachialis muscle tear in a pediatric patient

Forsythe, Charlie M.; Burtis, Michael T.; Pfeiffer, David C.; Spurling, Gregory R.; Ashby, Dallen B.

doi:10.1016/j.radcr.2020.01.041

Cited by 4 publications

(7 citation statements)

References 22 publications

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“…According to the extent of our search, this was the second case report of a brachialis muscle rupture in children [ 5 ]. We believe that the brachialis muscle ruptured due to a hyperextension injury in this patient.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, a study has reported using ultrasound to diagnose brachial muscle rupture. Previously, brachialis injuries were treated among immature patients using the MRI or contrast MRI as prognostic tool [ 5 ]. Despite the fact that it may be objectively more difficult to assess the outcomes of body surface ultrasound examinations than that of MRIs and that MRIs may be necessary for definitive diagnoses, body surface ultrasound examinations are necessary to evaluate the size of the tear and dynamic continuity in the area of the rupture [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, there have been 10 case reports of this injury in physically active individuals such as athletes, with ages ranging from 8 to 67 years; additionally, the patients were predominantly male [1][2][3][4][5][6][7][8][9][10]. Reportedly, this injury was commonly caused by an external force forcing the extension of the elbow joint and when the elbow joint was bent due to lifting an object or was forced to extend when performing actions such as tackling in contact sports.…”

Section: Discussionmentioning

confidence: 99%

“…Conservative and surgical treatments are reported as treatment options; however, there is no standard treatment policy. Among the 10 case reports, 9 were treated conservatively [1][2][3][4][5][6][7][8][9][10]. Surgical treatment was considered in only one patient who was a rugby player.…”

Section: Discussionmentioning

confidence: 99%

“…A closed rupture of the brachialis muscle is a rare injury [1][2][3][4]. Although some studies have reported this condition in adults, only a few studies have reported it in children [5]. It is observed from the past literature that the conservative approach had been preferred over surgical intervention; yet, the criteria for selecting the treatment method have not been clarified.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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

Yamaji¹,

Uesugi²,

Kamada

et al. 2022

Case Reports in Orthopedics

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%