Naula Victor, Marazita-Valverde José, Mariscal Walter, Sulcata Abraham, Ivalde Flavio César
CIMA, Centro de Intervenciones Mini-invasivas & Artroscópicas, Guayaquil, Ecuador.
Orthopedics and Traumatology, Hospital Luis Vernaza, Guayaquil, Ecuador.
Maedica (Bucur). 2022 Dec;17(4):995-998. doi: 10.26574/maedica.2022.17.4.995.
Injuries (rupture, avulsion) of the triceps tendon are considered infrequent injuries, which mainly affect the male gender and are directly associated with injuries that occur during sports and in a high percentage due to the consumption of steroids. The diagnosis and treatment must be carried out early, especially in those patients with high functional demand or elite athletes, in order to obtain good functional results. The clinical examination should be accompanied by diagnostic imaging studies. There is conservative treatment for lesions affecting less than 50% of the tendon, but those lesions that compromise over 50% of the tendon, surgical treatment is the indication. It could be performed through an open approach or via arthroscopic (barely described in the literature). The time of injury is the key point the early surgical treatment has shown to have optimal outcomes. However, there is no consensus on the surgical approach and its functional outcome.
肱三头肌腱损伤(断裂、撕脱)被认为是罕见的损伤,主要影响男性,并且与运动过程中发生的损伤直接相关,且因使用类固醇导致的损伤占比很高。诊断和治疗必须尽早进行,尤其是对于那些功能需求高的患者或精英运动员,以便获得良好的功能结果。临床检查应辅以诊断性影像学检查。对于肌腱损伤小于50%的病变有保守治疗方法,但对于肌腱损伤超过50%的病变,手术治疗是适应证。手术可通过开放入路或关节镜进行(文献中对此描述较少)。损伤时间是早期手术治疗已显示出能取得最佳效果的关键点。然而,关于手术入路及其功能结果尚无共识。