Alentorn-Geli Eduard, Assenmacher Andrew T, Sánchez-Sotelo Joaquín
Mayo Clinic, Rochester, Minnesota, USA.
EFORT Open Rev. 2017 Mar 13;1(9):316-324. doi: 10.1302/2058-5241.1.000053. eCollection 2016 Sep.
Distal biceps tendon (DBT) conditions comprise a spectrum of disorders including bicipitoradial bursitis, partial tears, acute and chronic complete tears.In low-demand patients with complete DBT tears, non-operative treatment may be entertained provided the patient understands the potential for residual weakness, particularly in forearm supination.Most acute tears are best treated by primary repair using either single-incision or double-incision techniques with good clinical outcomes.Single-incision techniques may carry a higher risk of nerve-related complications, whereas double-incision techniques have historically been considered to carry a higher risk of heterotopic ossification, particularly if the ulna is exposed.Various fixation techniques, including bone tunnels, cortical buttons, suture anchors, interference screws or a combination seem to provide different fixation strength but similar clinical outcomes.Some chronic tears may be repaired primarily, provided tendon tissue can be identified; alternatively, autograft or allograft reconstruction can be considered, and good outcomes have been reported with both techniques. Cite this article: Alentorn-Geli E, Assenmacher AT, Sanchez-Sotelo J. Distal biceps tendon injuries: a clinically relevant current concepts review. EFORT Open Rev 2016;1:316-324. DOI: 10.1302/2058-5241.1.000053.
肱二头肌远端肌腱（DBT）疾病包括一系列病症，如肱桡滑囊炎、部分撕裂、急慢性完全撕裂。对于低需求且肱二头肌远端肌腱完全撕裂的患者，若患者了解可能残留无力的情况，尤其是在前臂旋后方面，可考虑非手术治疗。大多数急性撕裂最好通过单切口或双切口技术进行一期修复，临床效果良好。单切口技术可能存在更高的神经相关并发症风险，而双切口技术历来被认为存在更高的异位骨化风险，特别是在尺骨暴露的情况下。各种固定技术，包括骨隧道、皮质纽扣、缝线锚钉、干涉螺钉或联合使用，似乎提供不同的固定强度，但临床效果相似。一些慢性撕裂如果能识别肌腱组织，可进行一期修复；或者，可考虑自体移植或异体移植重建，两种技术均有良好效果的报道。引用本文：Alentorn-Geli E, Assenmacher AT, Sanchez-Sotelo J. 肱二头肌远端肌腱损伤：临床相关的当前概念综述。EFORT Open Rev 2016;1:316 - 324. DOI: 10.1302/2058 - 5241.1.000053.
