Department of Orthopaedic and Sport Traumatology Surgery of Pitié-Salpétrière Hospital, 47-83 boulevard de l'Hôpital, 75013 Paris, France.
Orthop Traumatol Surg Res. 2012 Apr;98(2):242-6. doi: 10.1016/j.otsr.2011.09.022. Epub 2012 Feb 29.
Distal brachii triceps tendon rupture is rare. Partial lesions are not so well defined. If functionally they are well tolerated in patients with low functional demand, management guideline is not so clear for sportsmen. To our best knowledge, there is no reported technique for the repair of partial forms. A 28-year-old patient was operated on for a partial triceps rupture. He underwent a transosseous olecranon suture of the tricipital tendon, with a side-to-side suture to the healthy residual tendon. The patient was assessed at 2 years follow-up with the DASH score. He had painless and mobile elbow with no effusion and returned to sport 4 months after his surgical repair. The extension strength was comparable to the healthy side (5/5). The DASH score was 1,7 for global score, and 6,3 for work and sport modules. Partial rupture of brachii triceps tendon is not well tolerated in high functional demand patients. We think that patients should be operated in these situations and may achieve excellent results. Postoperative management is crucial to achieve good results as well as in complete rupture.
肱二头肌三头肌腱远端撕裂较为罕见。部分损伤的定义不是很明确。如果对于功能需求较低的患者来说,其在功能上可以很好地耐受,那么对于运动员来说,管理指南就不是那么明确了。据我们所知,目前还没有针对部分撕裂的修复技术。我们对一位 28 岁的患者进行了部分三头肌撕裂的手术。他接受了经骨鹰嘴三头肌腱骨间缝合术,并用侧对侧缝线与健康的残留肌腱缝合。患者在 2 年的随访中采用 DASH 评分进行评估。他的肘部无痛且活动自如,没有积液,并在手术后 4 个月恢复运动。伸肌力量与健侧相当(5/5)。DASH 总分为 1.7,工作和运动模块为 6.3。肱二头肌三头肌腱的部分撕裂在功能需求较高的患者中不能很好地耐受。我们认为在这些情况下应进行手术,并且可以获得良好的效果。术后管理对于获得良好效果至关重要,与完全撕裂的情况相同。