Pinilla-Gracia Cristian, Hernández-Fernández Alberto, Rodríguez-Nogué Luis, Masa Lasheras Elena, Garrido Santamaría Isaias
Hospital Universitario Miguel Servet.
Hospital Universitario Miguel Servet (Zaragoza, España).
Rev Fac Cien Med Univ Nac Cordoba. 2021 Mar 12;78(1):68-73. doi: 10.31053/1853.0605.v78.n1.28122.
Rupture of the distal tendon of the biceps is a pathology with an increasing incidence, which can cause important functional alterations. When the rupture is complete and the patient is active, surgical treatment is of choice.
47-year-old man with sudden and intense pain in the left antecubital fossa while lifting weight. On examination, impotence for flexion and active supination of the left arm with loss of the biceps silhouette. Ultrasonography confirms the diagnosis of complete rupture of the distal biceps tendon. Surgical treatment was decided, performing a single anterior approach and reinserting the tendon in its radial footprint with the help of a cortical anchorage device.
At 12 months, the patient presented flexo-extension and complete prone supination, without encountering difficulties in carrying out the activities of his daily and work life, with a score of 100 points in the Mayo Elbow Performance Score (MEPS).
Rupture of the distal biceps is a typical injury in active patients with an increasing incidence. Although there have been no significant differences between the different repair options, in our experience the use of cortical anchorage devices with a single anterior approach provides very satisfactory results.
肱二头肌远端肌腱断裂是一种发病率不断上升的病理状况，可导致重要的功能改变。当断裂完全且患者活动时，手术治疗是首选。
一名47岁男性，在举重时左肘前窝突然剧痛。检查发现，左臂屈曲和主动旋后功能丧失，肱二头肌轮廓消失。超声检查确诊为肱二头肌远端肌腱完全断裂。决定进行手术治疗，采用单一前入路，并借助皮质锚固装置将肌腱重新植入其桡骨附着点。
术后12个月，患者屈伸及完全旋前旋后功能良好，日常生活和工作活动无困难，梅奥肘关节功能评分（MEPS）为100分。
肱二头肌远端断裂是活动患者的典型损伤，发病率呈上升趋势。尽管不同修复方法之间无显著差异，但根据我们的经验，采用单一前入路并使用皮质锚固装置可提供非常满意的结果。
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