Logan Catherine A, Shahien Amir, Haber Daniel, Foster Zach, Farrington Anna, Provencher Matthew T
OrthoONE, Denver, CO, USA.
Boston Medical Center, Boston, MA, USA.
Int J Sports Phys Ther. 2019 Apr;14(2):308-317.
Distal biceps rupture is less common than injury to the proximal biceps; however, injury distally has profound functional implications on activities which rely on power during elbow flexion and forearm supination. The majority of distal biceps ruptures can be treated with surgical repair of the distal biceps utilizing either a single or two-incision technique; both of which achieve comparable improved outcomes and reported minimal pain and disability at two years. Safe and effective rehabilitation following distal biceps repair is accomplished through a phased progression, with avoidance of premature stress to the healing soft tissue repair.The purpose of this clinical commentary is to provide a concise review of distal biceps tendon injury, including relevant anatomy, etiology, diagnosis, and operative intervention as well as post-operative factors influencing the pursuit of a criterion based, progressive rehabilitation program after distal biceps tendon repair. This commentary seeks to provide an update on current treatment strategies used in distal biceps rehabilitation with accompanying scientific rationale.
肱二头肌远端断裂比近端损伤少见；然而，远端损伤对依赖屈肘和前臂旋后时力量的活动有深远的功能影响。大多数肱二头肌远端断裂可采用单切口或双切口技术对肱二头肌远端进行手术修复治疗；两种技术均能取得相当的改善效果，且据报道在两年时疼痛和功能障碍最小。肱二头肌远端修复术后安全有效的康复是通过分阶段进行的，避免对愈合的软组织修复造成过早压力。本临床评论的目的是简要回顾肱二头肌远端肌腱损伤，包括相关解剖、病因、诊断、手术干预以及影响肱二头肌远端肌腱修复后基于标准的渐进性康复计划实施的术后因素。本评论旨在提供肱二头肌远端康复中当前治疗策略的最新情况及相关科学依据。
5级。
