Hospital Alemán, Buenos Aires, Argentina.
Acta Ortop Mex. 2021 Sep-Oct;35(5):405-410.
Distal biceps tear can lead to loss in flexion and supination strength. Early repair in active patients is recommended. Postoperative rehabilitation varies according to surgeon experience and surgical technique used. The aim of this study is to present the results of a series of patients using a standardized home rehabilitation protocol after a distal biceps repair with double incision technique.
This is a retrospective case study. We registered 21 patients with distal biceps tear, surgically treated using a double incision technique and transosseous suture fixation, followed by a home-based exercise program. Patients were evaluated using MEPS score, DASH questionnaire, and the subjective/objective scoring system of Andrews and Carson. Radiographic assessment was done for heterotopic bone formation.
Mean MEPS was 95 (range 70 to 100), DASH score 0.4 (range 0 to 4.2), and subjective and objective Andrews and Carson score was 99 (range 90 to 100). Two patients developed heterotopic ossifications. Range of motion was recovered in every patient. All patients went back to their previous surgical activities.
Patients treated with double incision repair for distal biceps tear can undergo a home rehabilitation protocol, expecting normal range of motion and strength recover.
肱二头肌远侧撕裂可导致屈曲和旋后力量丧失。建议积极的患者尽早进行修复。术后康复因外科医生的经验和使用的手术技术而异。本研究旨在介绍一系列使用双切口技术和经骨缝合固定治疗肱二头肌远侧撕裂后，采用标准化家庭康复方案的患者的结果。
这是一项回顾性病例研究。我们登记了 21 名肱二头肌远侧撕裂患者，这些患者均采用双切口技术和经骨缝合固定进行手术治疗，随后进行家庭锻炼计划。使用 MEPS 评分、DASH 问卷和 Andrews 和 Carson 的主观/客观评分系统对患者进行评估。对异位骨形成进行放射学评估。
平均 MEPS 为 95（范围 70 至 100），DASH 评分为 0.4（范围 0 至 4.2），主观和客观 Andrews 和 Carson 评分为 99（范围 90 至 100）。有 2 名患者发生异位骨化。每位患者的活动范围均已恢复。所有患者均恢复到之前的手术活动。
采用双切口修复治疗肱二头肌远侧撕裂的患者可以接受家庭康复方案，预计可恢复正常的活动范围和力量。
