Percutaneous Release of Abductor Pollicis Brevis Muscle Fibrosis in a Bowler-a Case Report

一位34歲女性病人在六年前打保齡球時不慎受傷，右拇指腫脹疼痛，經過接骨師推拿治療。到本院求診前不久覺得右拇指背面有慢性疼痛及拇指無法攤平。理學檢查發現病人之拇指外展短肌肌肉有纖維化之情況，使得拇指保持在掌面外展之位置，與食指形成60度角，而與手掌面形成90度角。觸診可以明確摸到緊繃之纖維化肌肉，在局部麻醉之下以針頭經皮穿刺切斷纖維化之肌肉。病之拇指立刻得到緩解而可以攤平外展。根據我們所知尚未有文獻報告類似的病例，因此我們特別提出報告之。

關鍵字

無資料

並列摘要

The authors reported a patient with abductor pollicis brevis muscle fibrosis of the right thumb, stemming from a bowling injury that had occurred 6 years previously. At that time in the acute stage, a Chinese bonesetter treated the injury using manipulation, massage and herbal drugs. Abduction contracture of the patient's right thumb developed. She began to experience chronic pain at dorsal side of her right thumb and discovered that she could not move her thumb into a retro position. When she came into our hospital, physical examination revealed an abduction contracture of patient's right thumb, the angle of separation was 60 degrees, and the angle of circumduction was fixed at 90 degrees. In addition, a fibrotic band was palpable in abductor pollicis brevis muscle. The patient responded well to percutaneous release and physical therapy. As far as we know, this is an unusual case, which has not been reported before.

並列關鍵字

bowling ； muscle fibrosis

國際替代計量

Percutaneous Release of Abductor Pollicis Brevis Muscle Fibrosis in a Bowler-a Case Report

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