Mokhtee David B, Brown Justin M, Mackinnon Susan E, Tung Thomas H
Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, 660 S. Euclid Ave, Campus Box 8238, St. Louis, MO 63110, USA.
Hand (N Y). 2009 Jun;4(2):134-9. doi: 10.1007/s11552-008-9135-x. Epub 2008 Oct 15.
Surgical repair of distal biceps tendon rupture is a technically challenging procedure that has the potential for devastating and permanently disabling complications. We report two cases of posterior interosseous nerve (PIN) injury following successful biceps tendon repair utilizing both the single-incision and two-incision approaches. We also describe our technique of posterior interosseous nerve repair using a medial antebrachial cutaneous nerve graft (MABC) and a new approach to the terminal branches of the posterior interosseous nerve that makes this reconstruction possible. Finally, we advocate consideration for identification of the posterior interosseous nerve prior to reattachment of the biceps tendon to the radial tuberosity.
肱二头肌远端肌腱断裂的手术修复是一项技术上具有挑战性的操作，有可能引发严重且导致永久性残疾的并发症。我们报告了两例在成功进行肱二头肌肌腱修复后出现骨间后神经（PIN）损伤的病例，修复采用了单切口和双切口两种方法。我们还描述了使用前臂内侧皮神经移植（MABC）进行骨间后神经修复的技术，以及一种针对骨间后神经终末分支的新方法，该方法使这种重建成为可能。最后，我们主张在将肱二头肌肌腱重新附着于桡骨粗隆之前，考虑对骨间后神经进行识别。
