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肱三头肌腱断裂:危险因素、治疗和康复。

Triceps Tendon Ruptures: Risk Factors, Treatment, and Rehabilitation.

机构信息

Department of Orthopaedic Surgery (S.M.B., L.C.M., F.H.S., and M.K.M.), Tulane University School of Medicine (M.G. and B.R.), New Orleans, Louisiana.

出版信息

JBJS Rev. 2020 Apr;8(4):e0172. doi: 10.2106/JBJS.RVW.19.00172.

DOI:10.2106/JBJS.RVW.19.00172
PMID:32539261
Abstract

Triceps tendon ruptures (TTRs) are rare and often occur as a result of falling on an outstretched hand, forceful eccentric contraction, direct trauma to the elbow, or lifting against resistance. TTRs are most commonly seen in middle-aged men, football players, and weightlifters. Radiography, ultrasonography, and magnetic resonance imaging may be utilized for diagnosis and to guide treatment. Acute partial TTRs may have good outcomes with nonoperative management. Surgery should be considered if nonoperative treatment is unsuccessful or if substantial musculotendinous retraction is present. Surgical repair is strongly recommended for complete TTRs.

摘要

肱三头肌腱断裂(TTRs)较为罕见,通常是由于手伸直摔倒、强力离心收缩、肘部直接外伤或抵抗性举重所致。TTRs 最常见于中年男性、足球运动员和举重运动员。放射摄影、超声检查和磁共振成像可用于诊断和指导治疗。急性部分 TTRs 采用非手术治疗可能会取得良好的效果。如果非手术治疗无效或存在明显的肌肉肌腱回缩,则应考虑手术。对于完全 TTRs,强烈建议进行手术修复。

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