Avtor/Urednik		Drobnič, Matej; Stražar, Klemen; Zupanc, Oskar
Naslov		Endoscopic evacuation of an organized quadriceps haematoma. A case report with a technical note
Prevedeni naslov		Endoskopska odstranitev organiziranega hematoma kvadricepsa. Opis primera in opeativne tehnike
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 79, št. 6
Leto izdaje		2010
Obseg		str. 512-6
Jezik		eng
Abstrakt		Backgrounds: Thigh contusion is a common sports injury which results in the localized muscular rupture and haematoma formation causing temporary quadriceps dysfunction. The therapeutical approach is typically conservative, unless an organized large size haematoma is encountered. In such patients the prolonged morbidity and high incidence of myositis ossificans warrant surgical evacuation, which is routinely performed by open approach and thus causing additional trauma to the recovering muscle. Conclusions: The endoscopic evacuation of a large (12 cm x 5 cm) organized post-contusion haematoma in the vastus lateralis in and adolescent handball player in described. The procedure was performed under general anaesthesia using a standard arthroscope and a soft-tissue shaver. The postoperative ultrasound revealed a remnant of fluid (1.5 cm in diameter) in the mid-portion of a previous haematoma that later asymptomatically ossified. The patient's fulI knee function was regained at 6 weeks; the return to fulI sports activities was alIowed at 10 weeks. The endoscopic evacuation appears to be a successful minimally invasive surgical intervention for organized post-traumatic quadriceps haematomas.
Deskriptorji		THIGH CONTUSIONS HEMATOMA SPORTS SURGERY, ENDOSCOPIC CHILD TREATMENT OUTCOME