Beazley James C, Lawrence Thomas M, Drew Steven J, Modi Chetan S
Coventry and Warwickshire Shoulder and Elbow Unit, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, CV2 2DX, UK.
Open Orthop J. 2017 Nov 30;11:1364-1372. doi: 10.2174/1874325001711011364. eCollection 2017.
Rupture of the distal biceps and triceps tendons are relatively uncommon injuries typically occurring in middle-aged males as a result of eccentric loading of the tendon.
A literature search was performed and the authors' personal experiences reported.
This review discusses the diagnosis, indications and guidelines for management of these injuries and provides a description of the authors' preferred operative techniques.
Whilst non-operative treatment may be appropriate for patients with low functional demands, surgical management is the preferred option for the majority of patients. We have described a cortical button technique and osseous tunnel technique utilised at our institution for distal biceps and triceps tendon fixation respectively. For biceps or triceps tendon injuries, those receiving an early diagnosis and undergoing surgical intervention, an excellent functional outcome can be expected.
肱二头肌和肱三头肌腱远端断裂是相对少见的损伤,通常发生于中年男性,是由于肌腱的离心负荷所致。
进行了文献检索并报告了作者的个人经验。
本综述讨论了这些损伤的诊断、治疗指征和指南,并描述了作者所青睐的手术技术。
虽然对于功能需求较低的患者,非手术治疗可能是合适的,但手术治疗是大多数患者的首选。我们描述了在我们机构分别用于肱二头肌和肱三头肌腱固定的皮质纽扣技术和骨隧道技术。对于肱二头肌或肱三头肌腱损伤,那些得到早期诊断并接受手术干预的患者,有望获得优异的功能结局。