Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Loma Linda University Medical Center, Loma Linda, CA, USA.
J Shoulder Elbow Surg. 2021 Sep;30(9):2097-2104. doi: 10.1016/j.jse.2021.01.034. Epub 2021 Mar 3.
Rupture of the distal biceps tendon is an increasingly frequent injury sustained predominantly by middle-aged men. Despite the prevalence of sport in this age group, little is known regarding return to sport outcomes following surgery.
Patients undergoing distal biceps tendon repair (DBR) between January 2015 and January 2017 were contacted electronically via e-mail and via telephone to administer a previously validated and standard return to sport survey. Patients self-reported preinjury and current level of sport and activity as well as preinjury and current level of select weightlifts.
A total of 77 of 124 patients were available for follow-up (62.1%). Of these patients, 61 endorsed preoperative sport and were included for analysis. Average follow-up was 38.7 ± 6.7 months. The mean age at surgery was 47.5 ± 8.8 years, and the mean body mass index was 30.3 ± 5.1. The dominant side was affected in 25 of 61 cases. Of the 61 included patients, 57 (93.4%) were able to return to sport at any level (lower, same, or higher intensity than preinjury activity level). Forty of the patients (65.6%) were able to return to sport at same or higher intensity. Mean time to return to sport was 6.0 ± 2.8 months. Days from injury to surgery (odds ratio [OR] 0.999, 95% confidence interval [CI] 0.998-0.999), suture anchor fixation in comparison to suture button (OR 0.602, 95% CI 0.427-0.850), and dominant-side surgery (OR 0.749, 95% CI 0.582-0.963) were associated with a decreased likelihood to return to sport at same or higher level of duty. Single-sided incision in comparison to double (OR 5.209, 95% CI 1.239-20.903) and dominant-side surgery (OR 6.370, 95% CI 1.639-24.762) were associated with increased duration to return to sport.
Distal biceps tendon rupture is a significant injury; however, patients can expect high levels of return to sport following DBR with some residual impairment compared with baseline. It is important to counsel patients on their expectations while taking into account the results of this study: that there will be a small but appreciable decrease in strength compared with preinjury levels.
肱二头肌远端肌腱撕裂是一种越来越常见的损伤，主要发生在中年男性身上。尽管这一年龄组的运动很普遍，但对于手术后重返运动的结果知之甚少。
通过电子邮件和电话联系 2015 年 1 月至 2017 年 1 月期间接受肱二头肌远端肌腱修复（DBR）的患者，以管理先前验证和标准化的重返运动调查。患者自我报告术前和当前的运动和活动水平，以及术前和当前的特定举重水平。
共有 124 名患者中的 77 名可进行随访（62.1%）。在这些患者中，有 61 名患者术前进行了运动，并纳入分析。平均随访时间为 38.7 ± 6.7 个月。手术时的平均年龄为 47.5 ± 8.8 岁，平均体重指数为 30.3 ± 5.1。在 61 名纳入的患者中，有 25 名（65.6%）能够以任何水平（低于、相同或高于术前活动水平）重返运动。其中 40 名患者（65.6%）能够以相同或更高强度重返运动。重返运动的平均时间为 6.0 ± 2.8 个月。受伤至手术的天数（优势比 [OR] 0.999，95%置信区间 [CI] 0.998-0.999）、缝线锚钉固定与缝线纽扣固定（OR 0.602，95%CI 0.427-0.850）以及优势侧手术（OR 0.749，95%CI 0.582-0.963）与相同或更高水平的运动重返可能性降低相关。与双侧切口（OR 5.209，95%CI 1.239-20.903）和优势侧手术（OR 6.370，95%CI 1.639-24.762）相比，单切口与重返运动时间延长相关。
肱二头肌远端肌腱撕裂是一种严重的损伤；然而，与基线相比，接受 DBR 后，患者可以预期高水平的重返运动，但会有一些残留的损伤。在考虑到这项研究的结果时，重要的是要告知患者他们的期望：与术前水平相比，力量会有一个小但明显的下降。
