Thomas Jared R, Lawton Jeffrey Nathan
Department of Orthopaedic Surgery, University of Michigan, 2098 South Main Street, Ann Arbor, MI 48103-5827, USA.
Hand and Upper Extremity, Department of Orthopaedic Surgery, University of Michigan, 2098 South Main Street, Ann Arbor, MI 48103-5827, USA.
Hand Clin. 2017 Feb;33(1):35-46. doi: 10.1016/j.hcl.2016.08.019.
Although rare, biceps and triceps tendon ruptures constitute significant injuries that can lead to profound disability if left untreated, especially in the athletic population. Biceps rupture is more common than triceps rupture, with both resulting from a forceful eccentric load. Surgical repair is the treatment method of choice for tendinous ruptures in athletes. Nonoperative management is rarely indicated in this population and is typically reserved for individuals with partial ruptures that quickly regain strength and function. Surgical anatomy, evaluation, diagnosis, and surgical management of these injuries are covered in this article.
尽管肱二头肌和肱三头肌腱断裂较为罕见,但却是严重损伤,如果不治疗会导致严重残疾,在运动员群体中尤为如此。肱二头肌断裂比肱三头肌断裂更常见,两者均由强力离心负荷所致。手术修复是运动员肌腱断裂的首选治疗方法。非手术治疗在该群体中很少适用,通常仅适用于部分断裂且能迅速恢复力量和功能的个体。本文涵盖了这些损伤的手术解剖、评估、诊断及手术治疗。