JBJS Case Connect. 2023 Aug 9;13(3). doi: 10.2106/JBJS.CC.23.00184. eCollection 2023 Jul 1.
A 71-year-old otherwise healthy man presented with an 8-week history of elbow pain and weakness in both elbow flexion and forearm supination. Magnetic resonance imaging revealed complete rupture of the distal biceps tendon insertion associated with 65 mm of proximal retraction. At 10 weeks after initial injury, the patient underwent a novel reconstruction technique using a periosteal flap from the iliac crest; subsequently, all symptoms resolved.
Chronic distal biceps tendon injuries can be reconstructed safely and effectively using a periosteal flap from the iliac crest that allows not only rigid but also biological graft attachment.
一位 71 岁、健康状况良好的男性，出现 8 周肘痛和双侧肘屈肌及前臂旋前肌无力。磁共振成像显示远端二头肌肌腱止点完全断裂，近端回缩 65 毫米。初次损伤后 10 周，患者采用髂嵴骨膜瓣进行了一种新的重建技术；随后，所有症状均得到缓解。
采用髂嵴骨膜瓣可安全有效地重建慢性远端二头肌肌腱损伤，不仅可提供刚性固定，还可实现生物性移植物附着。
