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运动活动中肱二头肌远端完全孤立性断裂:一项系统评价

Complete Isolated Ruptures of the Distal Biceps Brachii During Athletic Activity: A Systematic Review.

作者信息

Kolaczko Jensen G, Knapik Derrick M, McMellen Christopher J, Mengers Sunita R, Gillespie Robert J, Voos James E

机构信息

Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, USA.

出版信息

Cureus. 2022 Aug 11;14(8):e27899. doi: 10.7759/cureus.27899. eCollection 2022 Aug.

DOI:10.7759/cureus.27899
PMID:35971400
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9371626/
Abstract

Complete, isolated ruptures of the distal biceps brachii sustained during athletic activities are uncommon. A systematic review of the literature was performed to identify complete distal biceps brachii tears experienced during athletic activities to determine injury prevalence, athletic activities/mechanisms responsible for injury and return to activity timing following operative management. A total of 10 studies, comprising 16 athletes undergoing surgery for 18 cases, were identified. Injuries were predominately associated with weightlifting. Injuries were treated utilizing a single incision in 56% of cases and primary repair performed in 89% of cases. Mean time to return to activity was 4.86 ± 1.14months. Athletes undergoing surgery ≤ 10 days following injury and those undergoing primary repair returned to activity significantly quicker. Isolated tears of the distal biceps remain uncommon during athletic activities, occurring primarily during weightlifting. Return to activity timing was not significantly delayed based on surgical approach, steroid use, or athlete age.

摘要

在体育活动中发生的肱二头肌远端完全性孤立性断裂并不常见。我们进行了一项文献系统综述,以确定体育活动中经历的肱二头肌远端完全撕裂,从而确定损伤发生率、导致损伤的体育活动/机制以及手术治疗后的恢复活动时间。共确定了10项研究,包括16名运动员接受手术治疗18例。损伤主要与举重有关。56%的病例采用单一切口治疗,89%的病例进行了一期修复。恢复活动的平均时间为4.86±1.14个月。受伤后≤10天接受手术的运动员和接受一期修复的运动员恢复活动明显更快。肱二头肌远端孤立性撕裂在体育活动中仍然不常见,主要发生在举重过程中。基于手术方式、类固醇使用或运动员年龄,恢复活动时间没有明显延迟。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ec0/9371626/cc99d240dd44/cureus-0014-00000027899-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ec0/9371626/cc99d240dd44/cureus-0014-00000027899-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ec0/9371626/cc99d240dd44/cureus-0014-00000027899-i01.jpg

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本文引用的文献

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Surgical Treatment of Distal Biceps Tendon Ruptures: An Analysis of Complications in 784 Surgical Repairs.肱二头肌远端肌腱断裂的手术治疗:784例手术修复的并发症分析
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