De Carli A, Zanzotto E, Vadalà A P, Luzon D, Di Salvo M, Ferretti A
Orthopaedic Unit and Kirk Kilgour Sports Injury Centre, S. Andrea Hospital, University of Rome Sapienza, Rome, Italy.
Knee Surg Sports Traumatol Arthrosc. 2009 Jul;17(7):850-6. doi: 10.1007/s00167-008-0705-9. Epub 2009 Feb 12.
Anatomical reinsertion of the avulsed distal biceps tendon is the recommended treatment, but the results are hampered by complications. The purpose of this study is to show the results of patients surgically treated with a non-anatomical reinsertion of this tendon. From 1972 to 2006, 26 non-professional athletic patients were surgically treated by suture of the tendon on the brachialis muscle tendon. At follow-up 23/26 patients underwent clinical and isokinetic evaluation. At a medium follow-up of 84 months, patients provided satisfactory subjective and objective clinical results. Flexion was restored in all patients, while a 10 degrees supination deficit was found in two patients. Dynamometric tests showed satisfactory results both regarding Maximum Strength Power and Endurance tests. Reinsertion of the distal biceps tendon on the brachialis tendon can be considered, in a long-term follow-up, a safe and effective procedure, with low complication rate.
推荐的治疗方法是对撕脱的肱二头肌远端肌腱进行解剖复位，但结果受到并发症的影响。本研究的目的是展示对该肌腱进行非解剖复位手术治疗的患者的结果。1972年至2006年，26例非职业运动员患者接受了肌腱缝合于肱肌肌腱的手术治疗。随访时，23/26例患者接受了临床和等速肌力评估。在平均84个月的随访中，患者获得了满意的主观和客观临床结果。所有患者的屈曲功能均得以恢复，2例患者存在10度的旋后功能缺失。测力计测试在最大力量功率和耐力测试方面均显示出满意的结果。在长期随访中，肱二头肌远端肌腱重新缝合于肱肌肌腱可被视为一种安全有效的手术方法，并发症发生率低。
