Keener Jay D, Sethi Paul M
Department of Orthopaedic Surgery, Washington University, CB# 8233, 660 South Euclid Avenue, St Louis, MO 63110, USA.
The ONS Sports and Shoulder Service, 6 Greenwich Office Park, Greenwich, CT 06831, USA.
Hand Clin. 2015 Nov;31(4):641-50. doi: 10.1016/j.hcl.2015.06.010.
Acute triceps ruptures are an uncommon entity, occurring mainly in athletes, weight lifters (especially those taking anabolic steroids), and following elbow trauma. Accurate diagnosis is made clinically, although MRI may aid in confirmation and surgical planning. Acute ruptures are classified on an anatomic basis based on tear location and the degree of tendon involvement. Most complete tears are treated surgically in medically fit patients. Partial-thickness tears are managed according to the tear severity, functional demands, and response to conservative treatment. We favor an anatomic footprint repair of the triceps to provide optimal tendon to bone healing and, ultimately, functional outcome.
急性肱三头肌断裂是一种少见的病症,主要发生在运动员、举重运动员(尤其是那些服用合成代谢类固醇的人)以及肘部创伤后。尽管磁共振成像(MRI)可能有助于确诊和手术规划,但准确的诊断是通过临床做出的。急性断裂根据撕裂部位和肌腱受累程度在解剖学基础上进行分类。大多数完全撕裂在身体状况适合的患者中采用手术治疗。部分厚度撕裂根据撕裂的严重程度、功能需求以及对保守治疗的反应进行处理。我们倾向于对肱三头肌进行解剖学足迹修复,以提供最佳的肌腱与骨愈合,最终实现功能结果。