Acil Serviste Odaklanmış Kas-İskelet Ultrasonografisi ile Kas Yaralanmalarının Tanısı: Bir Olgu Sunumu

Aim: In this case report, we describe a patient who presented with the complaint of walking difficulties to the emergency department and an ecchymosis on his leg, and found partial rupture in the semitendinosus muscle by bedside point of care ultrasonography. Case Report: A 31-year-old male patient applied to the emergency department with complaints of pain and bruising on his left leg. It was learned from the anamnesis of the patient that he was a dancer, suddenly felt severe pain and burning in his left leg during a movement called "spagat position" during the dance show, and a bruise developed in the leg the next day. The patient also stated that he had increased pain during walking and had difficulty walking. In the physical examination of the patient, swelling, ecchymosis and palpation sensitivity were found in the region near the middle point on the back of the left leg, and the pain in the lesion area described during the abduction of the leg and knee was increased. Following obtaining verbal and written consent from the patient, bedside point of care ultrasonography was performed on the left leg of the patient by the emergency physician. The point of care ultrasonography examination revealed fluid collection compatible with hematoma between the left leg semitendinosus muscle fibers and partial rupture in the semitendinosus muscle. On the tenth day of the trauma, magnetic resonance images of the patient reported that a partial rupture was observed in the semitendinosus muscle, measuring antero-posterior diameter of 25 mm, covering more than 50% of the muscle, and hematoma in the rupture region was observed in the subacute period in the rupture region and fluid collection were observed in the rupture region. Conclusion: Muscle injuries are among the common applications to the emergency department. Point of care ultrasonography can be used in the emergency department as an alternative imaging method for the evaluation, grading and treatment decision of hamstring muscle injuries.