Norman W H
Clin Orthop Relat Res. 1985 Mar(193):189-94.
An end-result study was made of 16 cases of avulsion of the insertion of the biceps brachii tendon. The follow-up period spanned one to 25 years post-treatment (average, eight years). Fourteen of the 16 cases included in the study were acute cases with primary repair and reinsertion of the biceps tendon into the area of the radial tuberosity. One case, with the loss of function of the biceps muscle secondary to temporary paralysis of the musculocutaneous nerve, was explored. The tendon was found intact and did not require repair. The sixteenth case was included for comparison of a patient who chose to forgo surgical treatment. One surgical procedure, a modification of Bunnell's technique, was used in treating all patients from 1954 to 1977. The surgically repaired biceps showed various amounts of residual impairment, ranging from negligible to limited restriction of preinjury activities. The treatment successfully returned 14 patients to their previous occupations and activities. The one case not surgically treated of the ten work-related injuries resulted in continuing disability compensation based on no greater than 20% of the entire extremity. This end-result study substantiates the positive results of this surgical technique, presents modifications of the surgical repair procedures, and allows for a similar long-range study of other treatment techniques. The evaluation of treatment methods is easily attainable by low technological clinical methods.
对16例肱二头肌肌腱止点撕脱伤进行了最终结果研究。随访期为治疗后1至25年（平均8年）。该研究纳入的16例病例中有14例为急性病例，对肱二头肌肌腱进行了一期修复并重新植入桡骨粗隆区域。对1例因肌皮神经暂时麻痹导致肱二头肌功能丧失的病例进行了探查。发现肌腱完整，无需修复。第16例纳入是为了与1例选择放弃手术治疗的患者进行对比。1954年至1977年期间，所有患者均采用了一种改良的Bunnell技术进行手术治疗。手术修复后的肱二头肌显示出不同程度的残余功能障碍，从轻微到对伤前活动有一定限制。该治疗成功使14例患者恢复了之前的职业和活动。10例与工作相关的损伤中，1例未接受手术治疗，导致持续获得不超过整个肢体20%的残疾补偿。这项最终结果研究证实了该手术技术的积极效果，提出了手术修复程序的改进方法，并为其他治疗技术的类似长期研究提供了可能。通过低技术含量的临床方法很容易对治疗方法进行评估。
