Alamir Moaath A, Alotaibi Kholoud M
Department of Surgery, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.
Department of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, SAU.
Cureus. 2022 Oct 28;14(10):e30805. doi: 10.7759/cureus.30805. eCollection 2022 Oct.
Rupture of the distal biceps tendon typically occurs after an eccentric extension load is applied to the elbow. Chronic distal biceps ruptures are uncommon and are complicated by tendon, muscle retraction, and tissue atrophy. Here, we present the case of a 26-year-old male soldier. The patient was a smoker on steroids and growth hormones. He had a distal biceps tendon rupture for two months following weightlifting. He had a positive hook test, and the tendon could not be palpated in his antecubital fossa. Despite trying conservative treatment earlier, he complained of weakness and was unhappy with the cosmetic appearance of his arm. He underwent a successful distal biceps tendon reconstruction with an allograft. At the three-month follow-up after the surgery, the patient reported a full range of motion and strength and was able to return to his daily life activities. In addition, the aesthetic appearance of the biceps muscle was restored.
肱二头肌远端肌腱断裂通常发生在对肘部施加离心伸展负荷之后。慢性肱二头肌远端断裂并不常见，且会因肌腱、肌肉回缩和组织萎缩而变得复杂。在此，我们报告一例26岁男性士兵的病例。该患者吸烟，同时使用类固醇和生长激素。他在举重后两个月出现肱二头肌远端肌腱断裂。他的钩试验呈阳性，在前臂肘窝处无法触及肌腱。尽管早期尝试了保守治疗，但他仍抱怨手臂无力，并且对其手臂的外观不满意。他接受了同种异体移植的肱二头肌远端肌腱重建手术，手术成功。术后三个月随访时，患者报告活动范围和力量完全恢复，能够恢复日常生活活动。此外，肱二头肌的美观外观也得以恢复。
