Williams J S, Hang D W, Bach B R
The Cleveland Clinic Foundation, Westlake, OH, USA.
Phys Sportsmed. 1996 Dec;24(12):66-70. doi: 10.3810/psm.1996.12.1263.
As in this case study of a snowboarder, the typical history for distal biceps brachii rupture involves a single traumatic event, an audible popping sound, and intense pain. The physical exam will reveal ecchymosis in the antecubital area and weakness with both supination and elbow flexion; the distal biceps brachii tendon will not be palpable. Though distal biceps rupture is far less common than its proximal counterpart, primary care physicians should be aware of the diagnostic criteria. Referral for surgical treatment is necessary to preserve elbow flexion and supination strength.
就像这个单板滑雪运动员的案例研究一样,肱二头肌远端断裂的典型病史包括单次创伤事件、可闻及的爆裂声和剧痛。体格检查会发现肘前区域有瘀斑,旋后和屈肘时无力;无法触及肱二头肌远端肌腱。虽然肱二头肌远端断裂远比其近端断裂少见,但初级保健医生应了解其诊断标准。为保留屈肘和旋后力量,有必要转诊进行手术治疗。