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Published in: International Journal of Emergency Medicine 1/2011

Open Access 01-12-2011 | Case report

A brachialis muscle rupture diagnosed by ultrasound; case report

Authors: Titus JA Schönberger, Miranda F Ernst

Published in: International Journal of Emergency Medicine | Issue 1/2011

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Abstract

Trauma to the elbow caused by lifting heavy objects frequently involves rupture of the tendon of the biceps brachii muscle. Less frequently a rupture of the brachialis muscle occurs. To our knowledge, only five cases involving traumatic rupture of the brachialis muscle were described in the past 20 years. We will briefly report these cases.
To demonstrate and evaluate muscle injuries, magnetic resonance imaging (MRI) is considered the most sensitive and specific method of choice. We report an isolated brachialis muscle rupture caused by resisted flexion and pronation of the lower arm. Physical examination combined with ultrasound evaluation confirmed the diagnosis of ruptured brachialis muscle. Treatment was non-operative with full restoration of function.
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Literature
1.
go back to reference Chavan PR, Duquin TR: Repair of the ruptured distal biceps tendon: a systematic review. Am J Sports Med 2008, 36(8):1618–24. 10.1177/0363546508321482CrossRefPubMed Chavan PR, Duquin TR: Repair of the ruptured distal biceps tendon: a systematic review. Am J Sports Med 2008, 36(8):1618–24. 10.1177/0363546508321482CrossRefPubMed
2.
go back to reference Safran MR, Graham SM: Distal biceps tendon ruptures: incidence, demographics, and the effect of smoking. Clin Orthop Relat Res 2002, 404: 275–83.CrossRefPubMed Safran MR, Graham SM: Distal biceps tendon ruptures: incidence, demographics, and the effect of smoking. Clin Orthop Relat Res 2002, 404: 275–83.CrossRefPubMed
3.
go back to reference Gray H: Gray's Anatomy. 29th edition. Philadelphia: Lea & Febiger; 1985. Gray H: Gray's Anatomy. 29th edition. Philadelphia: Lea & Febiger; 1985.
4.
go back to reference Leonello DT, Galley IJ: Brachialis muscle anatomy. A study in cadavers. J Bone Joint Surg Am 2007, 89(6):1293–7. 10.2106/JBJS.F.00343CrossRefPubMed Leonello DT, Galley IJ: Brachialis muscle anatomy. A study in cadavers. J Bone Joint Surg Am 2007, 89(6):1293–7. 10.2106/JBJS.F.00343CrossRefPubMed
5.
go back to reference Van den Berghe GR, Queenan JF: Isolated rupture of the brachialis: a case report. J Bone Joint Surg Am 2001, 83-A: 1074–5.PubMed Van den Berghe GR, Queenan JF: Isolated rupture of the brachialis: a case report. J Bone Joint Surg Am 2001, 83-A: 1074–5.PubMed
6.
go back to reference Nishida Y, Tsukushi S: Brachialis muscle tear mimicking an intramuscular tumor: a report of two cases. J Hand Surg Am 2007, 32: 1237–41. 10.1016/j.jhsa.2007.06.002CrossRefPubMed Nishida Y, Tsukushi S: Brachialis muscle tear mimicking an intramuscular tumor: a report of two cases. J Hand Surg Am 2007, 32: 1237–41. 10.1016/j.jhsa.2007.06.002CrossRefPubMed
7.
go back to reference Winblad JB, Escobedo E, Hunter JC: Brachialis Muscle Rupture and Hematoma. Radiology Case Reports 2008, 3: 251.CrossRef Winblad JB, Escobedo E, Hunter JC: Brachialis Muscle Rupture and Hematoma. Radiology Case Reports 2008, 3: 251.CrossRef
8.
go back to reference Wasserstein D, White L: Traumatic brachialis muscle injury by elbow hyperextension in a professional hockey player. Clin J Sport Med 2010, 20: 211–2. 10.1097/JSM.0b013e3181df1ed4CrossRefPubMed Wasserstein D, White L: Traumatic brachialis muscle injury by elbow hyperextension in a professional hockey player. Clin J Sport Med 2010, 20: 211–2. 10.1097/JSM.0b013e3181df1ed4CrossRefPubMed
Metadata
Title
A brachialis muscle rupture diagnosed by ultrasound; case report
Authors
Titus JA Schönberger
Miranda F Ernst
Publication date
01-12-2011
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Emergency Medicine / Issue 1/2011
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI
https://doi.org/10.1186/1865-1380-4-46

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