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NEJM：Popeye征-病例报道

2017-11-16 xing.T MedSci原创

Popeye征肌腱断裂
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由于肩关节及相关的肌肉、肌腱和韧带出现了与过度使用和老化有关的的退行性改变，肱二头肌肌腱断裂通常发生近端肌腱以及经常发生在老年患者中。近端肱二头肌肌腱断裂通常进行非手术治疗，只有运动员或其他需要完全运用手臂力量的从业者才可能需要手术修复。

患者为一名79岁的男性，因左上臂出现一个大的隆起而到矫形外科诊所就诊。肿胀出现于就诊前2天，当他举起一个物体时，突然感觉左肩剧痛。



体格检查发现前上臂中部有明显的畸形，在屈肘过程中变得更加明显。肩关节磁共振成像显示肱二头肌长头腱完全断裂。被称为Popeye征，或者Popeye畸形，体格检查中发现的这一体征是由肱二头肌肌腱断裂后肌腹鼓胀造成的；然而，肌腱断裂的患者并不总是表现为Popeye征。

由于肩关节及相关的肌肉、肌腱和韧带出现了与过度使用和老化有关的的退行性改变，肱二头肌肌腱断裂通常发生近端肌腱以及经常发生在老年患者中。近端肱二头肌肌腱断裂通常进行非手术治疗，只有运动员或其他需要完全运用手臂力量的从业者才可能需要手术修复。

该患者接受非甾体抗炎药治疗。在最初就诊4个月后的随访中，病人的疼痛减轻，不再影响其日常生活。

原始出处：

Naoki Yoshida,et al. “Popeye” Sign.N Engl J Med 2017. http://www.nejm.org/doi/full/10.1056/NEJMicm1704705

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    2018-06-03 ms8888626721583891

    #eye#

    0

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    2018-06-22 feather89

    #PE#

    0

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    2017-11-18 暂20a6e63m

    不错难得

    0

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    2017-11-16 Y—xianghai

    学习了新知识

    0

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    2017-11-16 榄枷檬

    谢谢分享

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2029834, encodeId=e8602029834c7, content=<a href='/topic/show?id=fedde18245' target=_blank style='color:#2F92EE;'>#eye#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7182, encryptionId=fedde18245, topicName=eye)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/1103841572/7F67E3BE360D6DD1D0A62E3E71E23CB6/100, createdBy=9d8a2500148, createdName=ms8888626721583891, createdTime=Sun Jun 03 22:53:00 CST 2018, time=2018-06-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1726882, encodeId=16251e268828b, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Fri Jun 22 00:53:00 CST 2018, time=2018-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=262186, encodeId=f3db2621866b, content=不错难得, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/20/02e70d8a81756be978c1ac6ecae73990.jpg, createdBy=a0592196997, createdName=暂20a6e63m, createdTime=Sat Nov 18 07:34:01 CST 2017, time=2017-11-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=261649, encodeId=dea126164917, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Thu Nov 16 07:53:14 CST 2017, time=2017-11-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=261638, encodeId=8ff72616384e, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Thu Nov 16 07:18:48 CST 2017, time=2017-11-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=261625, encodeId=5b2126162529, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Thu Nov 16 07:06:00 CST 2017, time=2017-11-16, status=1, ipAttribution=)]
    2017-11-16 明月清辉

    谢谢分享.学习了

    0