Guglielmino Claudia, Massimino Paolo, Ioppolo Francesco, Castorina Sergio, Musumeci Giuseppe, Di Giunta Angelo
Department of Biomedical and Biotechnological Sciences, Human Anatomy and Histology Section, School of Medicine, University of Catania, Catania, Italy; Polyclinic "G.B. Morgagni" Mediterranean Foundation, Orthopedics Traumatology and Rehabilitation Unit, Catania, Italy.
Polyclinic "G.B. Morgagni" Mediterranean Foundation, Orthopedics Traumatology and Rehabilitation Unit, Catania, Italy.
Muscles Ligaments Tendons J. 2016 Feb 12;6(4):453-460. doi: 10.11138/mltj/2016.6.4.453. eCollection 2016 Oct-Dec.
Distal bicep tendon injuries are a traumatic event though rather rare. The pathogenesis is not entirely clear. The most common cause for injury is an unexpected load on the biceps when the elbow is in an extended position. Although several studies have provided insight into the pathogenetic processes of the lesion, the literature suggests to treat all injuries surgically (whether partial or total) if there is high functional demand.
Between January 2006 and March 2016 were studied 20 patients surgically treated for a disconnected distal bicep, 15 with a total lesion and 5 with a partial lesion. The patients were divided into 2 groups. Surgical access with single incision was performed on 13 patients while a double surgical access was performed on 7 patients. The clinical and functional results were studied using an Ewald System Score (ESS).
In both groups, the most rapid improvement was achieved for the parameters of pain and deformity with excellent results, while those of function and movement were normalized as gradual and progressive over next 2 months.
The clinical and functional outcomes during the follow-up examination after surgery showed excellent results in patients treated with both types of surgical procedures.
肱二头肌远端肌腱损伤是一种创伤性事件，尽管较为罕见。其发病机制尚不完全清楚。最常见的损伤原因是当肘部处于伸展位置时，肱二头肌意外承受负荷。尽管多项研究已对该损伤的发病过程有所了解，但文献表明，如果功能需求较高，所有损伤（无论是部分损伤还是完全损伤）均应进行手术治疗。
对2006年1月至2016年3月期间接受手术治疗的20例肱二头肌远端断裂患者进行研究，其中15例为完全损伤，5例为部分损伤。将患者分为2组。13例患者采用单切口手术入路，7例患者采用双手术入路。使用埃瓦尔德系统评分（ESS）研究临床和功能结果。
两组患者在疼痛和畸形参数方面改善最为迅速，效果极佳，而功能和活动参数在接下来的2个月内逐渐恢复正常。
两种手术方式治疗的患者术后随访检查的临床和功能结果均显示出极佳的效果。
