van den Bekerom Michel P J, Kodde Izaäk F, Aster Asir, Bleys Ronald L A W, Eygendaal Denise
Shoulder and Elbow Unit, Department of Orthopedic Surgery, OLVG, Oosterpark 9, 1091 AC, Amsterdam, The Netherlands.
Department of Orthopaedic Surgery, Amphia Hospital, Breda, The Netherlands.
Knee Surg Sports Traumatol Arthrosc. 2016 Jul;24(7):2300-7. doi: 10.1007/s00167-014-3322-9. Epub 2014 Sep 18.
The aim of this review was to present an overview, based on a literature search, of surgical anatomy for distal biceps tendon repairs, based on the current literature.
A narrative review was performed using Pubmed/Medline using key words: Search terms were distal biceps, insertional, and anatomy.
Last decade, the interest in both reconstruction techniques, as well as surgical anatomy of the distal biceps tendon, has increased. The insights into various aspects of distal biceps tendon anatomy (two tendons, bicipital tuberosity, lacertus fibrosis, bicipital-radial bursa, posterior interosseous nerve, and lateral antebrachial cutaneous nerve) have evolved significantly in the last years.
Thorough knowledge of the anatomy is essential for the surgeon in order to understand the biomechanics of rupture and reconstruction of the distal biceps tendon and to avoid injuries of the nerves. Some tips and tricks are provided, and some pitfalls were described to avoid complications and optimize surgical outcome.
IV.
本综述旨在基于文献检索，根据当前文献对肱二头肌远端肌腱修复的手术解剖进行概述。
使用关键词在Pubmed/Medline上进行叙述性综述：检索词为肱二头肌远端、插入部和解剖学。
在过去十年中，对肱二头肌远端肌腱的重建技术以及手术解剖的关注度都有所增加。近年来，对肱二头肌远端肌腱解剖学各个方面（两条肌腱、肱二头肌粗隆、肱二头肌腱膜、肱桡滑液囊、骨间后神经和前臂外侧皮神经）的认识有了显著进展。
对于外科医生来说，全面了解解剖结构对于理解肱二头肌远端肌腱断裂和重建的生物力学以及避免神经损伤至关重要。文中提供了一些技巧，并描述了一些陷阱以避免并发症并优化手术效果。
四级。
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