Caekebeke Pieter, Duerinckx Joris, van Riet Roger
Ziekenhuis Oost-Limburg, Department of Orthopaedics Surgery and Traumatology, Genk, Belgium.
AZ Monica, Department of Orthopedic Surgery, Antwerp, Belgium.
EFORT Open Rev. 2021 Oct 19;6(10):956-965. doi: 10.1302/2058-5241.6.200145. eCollection 2021 Oct.
Acute distal biceps tendon (DBT) pathology includes bicipitoradial bursitis, tendinosis, partial and complete tears.Diagnosis of complete DBT tears is mainly clinical, whereas in partial tears medical imaging is a valuable addition to the clinical diagnosis.New insights in clinical and medical imaging of partial tears may reduce time to diagnosis and may guide the treatment plan.Most complete tears are best treated with primary repair using either a single-incision or double-incision approach with good clinical outcome.The double-incision technique has a higher risk of heterotopic ossification, whereas a single-incision technique carries a higher risk of nerve-related complications.Intramedullary fixation may be a viable solution to negate the risk of posterior interosseus nerve lesions in single-incision repairs.DBT endoscopy can be used to treat low-grade partial tears and tendinosis. Cite this article: 2021;6:956-965. DOI: 10.1302/2058-5241.6.200145.
急性肱二头肌远端肌腱（DBT）病变包括肱桡滑囊炎、肌腱病、部分和完全撕裂。完全性DBT撕裂的诊断主要依靠临床，而对于部分撕裂，医学影像学检查对临床诊断有重要补充作用。部分撕裂的临床和医学影像学的新见解可能会缩短诊断时间并指导治疗方案。大多数完全撕裂最好采用单切口或双切口入路进行一期修复，临床效果良好。双切口技术发生异位骨化的风险较高，而单切口技术发生神经相关并发症的风险较高。髓内固定可能是消除单切口修复中骨间后神经损伤风险的可行解决方案。DBT内镜可用于治疗低度部分撕裂和肌腱病。引用本文：2021；6：956 - 965。DOI：10.1302/2058 - 5241.6.200145。
