Loitz D, Klonz A, Reilmann H
Unfallchirurgie, Städtisches Klinikum Braunschweig, Germany.
Unfallchirurg. 2002 Sep;105(9):837-42. doi: 10.1007/s00113-002-0432-5.
From May 1999 to November 2001 an anatomical attachment of a ruptured distal biceps tendon to the radial tuberosity was performed through a limited anterior approach in 8 male patients with an age of 37 to 47 years. Through a small incision in the cubital fossa (3-4 cm) the remaining synovial sheet of the biceps tendon was followed to insert absorbable anchor hooks into the radial tuberosity. The distal biceps tendon then was anatomically reattached. Instruments for arthroscopic Bankart-repair were used. There were no specific complications like neurovascular damage or significant functional impairment. The contour of the biceps muscle was restored in all cases. 3 out of 7 patients developed mild heterotopic ossifications without functional deficits. In our experience the presented technique is a possible minimal invasive procedure of distal biceps tendon repair without major complications and with good functional results.
1999年5月至2001年11月,对8例年龄在37至47岁的男性患者,通过有限的前入路将破裂的肱二头肌远端肌腱解剖附着于桡骨粗隆。通过肘窝处一个小切口(3 - 4厘米),顺着肱二头肌肌腱剩余的滑膜片,将可吸收锚钉插入桡骨粗隆。然后将肱二头肌远端肌腱进行解剖复位。使用了关节镜下Bankart修复器械。未出现神经血管损伤或明显功能障碍等特殊并发症。所有病例肱二头肌的轮廓均得以恢复。7例患者中有3例出现轻度异位骨化,但无功能缺陷。根据我们的经验,所介绍的技术是一种可能的肱二头肌远端肌腱修复的微创手术,无重大并发症且功能效果良好。