Scapinelli R, Candiotto S, Ferrari G P, Iacobellis C
Clinica Ortopedica e Traumatologica, Università, Padova.
Chir Organi Mov. 1999 Jul-Sep;84(3):229-37.
Ruptures of the long head of the biceps brachii are mostly of degenerative nature, secondary to subacromial impingement and morphological changes in the bicipital groove. Clinical findings are typical. Treatment is controversial, as it may either be surgical or non-surgical. The authors considered only those cases in which tendinous rupture was the first manifestation of pathology caused by wearing, with typical deformity of the profile of the arm. The favorable results of surgical treatment in 14 patients aged from 38 to 70 years, followed-up after an average of 10.9 years, are reported. Among surgical methods used, tenodesis at the bicipital groove currently constitutes the method of choice.
肱二头肌长头肌腱断裂大多具有退行性本质，继发于肩峰下撞击和肱二头肌沟的形态学改变。临床表现具有典型性。治疗存在争议，因为既可以采用手术治疗，也可以采用非手术治疗。作者仅考虑那些肌腱断裂是由磨损导致的病理状态的首发表现且伴有典型手臂外形畸形的病例。报告了对14例年龄在38岁至70岁之间的患者进行手术治疗的良好结果，平均随访10.9年。在所采用的手术方法中，目前肱二头肌沟处的腱固定术是首选方法。
