Traumatic Rupture of the Superior Oblique Muscle Tendon
نویسندگان
چکیده
Traumatic rupture of the superior oblique muscle is rare. We report a case of a 54-year-old man injured by the metal hook of a hanger, resulting in a rupture of the superior oblique muscle tendon. He complained of torsional diplopia when in the primary position. The distal margin of the superior oblique muscle was reattached to sclera 5 and 9 mm apart from the medial insertion of the superior rectus muscle. One week after the operation, torsional diplopia disappeared. However, a 4-prism diopter ipsilateral hypertropia was observed. Three months later, hypertropia gradually increased to 20 prism dioptors and the second operation was done to correct vertical diplopia.
منابع مشابه
Tendon Expansion with Fascia Lata in Treatment of A-Pattern Strabismus due to Superior Oblique Overaction
Background: In 1991, Wright described a superior oblique expander procedure for browns syndrome and superior overaction with good results. Originally, this procedure has been performed with silicone band expander. The aim of this study was to report the results of treatment of a series of patients with A-pattern strabismus associated with overacting superior oblique muscle using the fascia lata...
متن کاملSuperior oblique tendon incarceration syndrome.
OBJECTIVE To describe the clinical features, etiology, and management of superior oblique tendon incarceration syndrome. METHODS This series consists of all patients I treated between September 15, 1974, and March 1, 2006, for restrictive hypertropia in which the superior oblique tendon was found scarred to the superior rectus muscle insertion after prior surgery. RESULTS Twenty eyes in 18 ...
متن کاملReconstruction of long digital extensor tendon by cranial tibial muscle fascia graft in a dog
Tendon rupture in dogs is generally the result of a direct trauma. This report described the use of adjacent muscle autogenic fascial graft for reconstruction of distal rupture of long digital extensor tendon in a dog. A two-year-old male mix breed dog, was presented with a non-weight bearing lameness of the right hind limb and a deep rupture of lateral side of right tarsus. History taking reve...
متن کاملBilateral superior oblique tendon sheath syndrome. Occurrence and spontaneous recovery in one of uniovular twins.
Brown (I950) defined the features of the superior oblique tendon sheath syndrome and reported five cases. He postulated that the restriction in elevation of the affected eye in the adducted position was caused by a congenitally short anterior tendon sheath of the superior oblique muscle. As the eye moved into adduction, this ligament-like sheath became taut and strongly opposed the action of th...
متن کاملIdentifying masked superior oblique involvement in thyroid eye disease to avoid postoperative A-pattern exotropia and intorsion.
PURPOSE To report masked superior oblique muscle tightness as a possible mechanism causing A-pattern exotropia with intorsion after inferior rectus muscle recession in the context of thyroid eye disease. METHODS Three patients with thyroid eye disease and involvement of the superior oblique muscle are presented, along with a fourth comparison case without superior oblique muscle involvement. ...
متن کامل