Stroman High School, Victoria, TX 77904.
J Athl Train. 1998 Jan;33(1):62-4.
To provide health care personnel with guidelines for the management of a distal biceps tendon rupture.
Traumatic ruptures of the biceps tendon are rare, but serious, and usually involve the long head of the proximal insertion. Ruptures of the distal tendon account for only 3% of all biceps tendon ruptures. A history of tendinitis, overuse, or anabolic steroid abuse may predispose tendons to rupture. Surgical repair, followed by a comprehensive rehabilitation program, is indicated to regain full strength and range of motion in both flexion and supination.
Rupture of the distal head of the biceps brachii muscle at the insertion on the radial tuberosity.
After the injury, the athlete continued to compete for the remainder of the collegiate football season. He then underwent surgery to repair the tendon at its insertion. Post- operatively, the athlete was immobilized in a cast and then a brace to prevent any movement of the muscle. Rehabilitation proceeded with isometric exercises and manual resistive exercises of the shoulder and wrist. At 16 weeks, the athlete was cleared for biceps curls and wrist supination. At 6 months, the athlete had regained full use of the muscle.
This is a relatively rare injury, usually occurring at the proximal tendon insertion and in those who are middle aged (30 to 50 years old). Also, the surgical intervention in this case was delayed without detrimental effects to the patient.
This study shows that, while surgical intervention to repair a ruptured distal biceps tendon is necessary, appropriate conservative measures can be taken to allow surgery to be delayed without harm to the patient. The athletic trainer should be aware of how to recognize and treat this injury.
为医务人员提供管理肱二头肌远端肌腱断裂的指南。
肱二头肌肌腱外伤性断裂较为罕见，但较为严重，通常涉及近端插入的长头。远端肌腱断裂仅占所有肱二头肌肌腱断裂的 3%。肌腱炎、过度使用或滥用合成代谢类固醇史可能使肌腱容易断裂。手术修复后，应进行全面的康复计划，以恢复屈肌和旋前的充分力量和活动范围。
肱二头肌长头在桡骨粗隆上的插入处的远端头断裂。
受伤后，运动员继续参加大学橄榄球赛季剩余的比赛。然后，他接受了修复肌腱在其插入处的手术。术后，运动员用石膏和支架固定，以防止肌肉任何运动。康复采用等长运动和肩部和手腕的手动抗阻运动进行。16 周时，运动员获准进行二头肌卷曲和手腕旋后。6 个月时，运动员完全恢复了肌肉的使用。
这是一种相对罕见的损伤，通常发生在近端肌腱插入处，且发生于中年人（30 至 50 岁）。此外，在这种情况下，手术干预被延迟，但对患者没有不利影响。
本研究表明，虽然修复断裂的肱二头肌远端肌腱的手术干预是必要的，但可以采取适当的保守措施，延迟手术而不会对患者造成伤害。运动训练员应了解如何识别和治疗这种损伤。
