Wolf Jennifer Moriatis, McCarty Eric C, Ritchie Paul D
Department of Orthopaedics, University of Colorado-Denver, Denver, CO, USA.
Tech Hand Up Extrem Surg. 2008 Sep;12(3):174-9. doi: 10.1097/BTH.0b013e31817da1ba.
Triceps ruptures are relatively rare injuries. When they occur, primary surgical repair of the tendon to the proximal ulna is recommended. However, some patients require reconstruction using tendon grafting due to shortening or insufficiency of the native triceps tendon. Triceps ruptures associated with biological abnormalities (such as renal insufficiency or metabolic disease) or recurrence of rupture represent situations where a stout augmented repair is desirable. Multiple allograft and autologous tendons have been described for augmentation, but the use of gracilis and semitendinosus tendons provides superior length and size for use in triceps reconstruction. Using an illustrative case example, the evaluation of triceps insufficiency and the need for additional graft is shown. The technique of autologous hamstring augmentation for triceps insufficiency is described in detail. The importance of graded rehabilitation is emphasized with a complete program of triceps strengthening over time.
肱三头肌断裂是相对罕见的损伤。当发生这种情况时，建议将肌腱一期手术修复至尺骨近端。然而，由于肱三头肌肌腱缩短或功能不全，一些患者需要使用肌腱移植进行重建。与生物学异常（如肾功能不全或代谢疾病）相关的肱三头肌断裂或断裂复发，表明需要进行强有力的强化修复。已经描述了多种同种异体肌腱和自体肌腱用于强化，但使用股薄肌和半腱肌肌腱在肱三头肌重建中具有更好的长度和尺寸。通过一个示例病例，展示了对肱三头肌功能不全的评估以及对额外移植的需求。详细描述了用于肱三头肌功能不全的自体腘绳肌强化技术。随着时间的推移，通过完整的肱三头肌强化计划强调了分级康复的重要性。
