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急性孤立性股二头肌远端撕脱伤的全缝线缝合锚钉修复术

All-Suture Suture Anchor Repair of an Acute, Isolated Distal Biceps Femoris Avulsion.

作者信息

Carpenter Melissa L, Bi Andrew S, Gómez-Verdejo Fernando, Koluman Ali Can, Villarreal-Espinosa Juan Bernardo, LaPrade Robert F, Chahla Jorge

机构信息

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

Twin Cities Orthopedics, Edina, Minnesota, U.S.A.

出版信息

Arthrosc Tech. 2025 Apr 1;14(6):103528. doi: 10.1016/j.eats.2025.103528. eCollection 2025 Jun.

DOI:10.1016/j.eats.2025.103528
PMID:40656731
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255423/
Abstract

Isolated avulsion of the distal biceps femoris tendon is a rare injury that typically occurs as the result of high-energy trauma and sports activities that involve rapid and forceful hyperextension knee movements. Although partial distal biceps femoris tendon tears in less-active individuals often can be managed nonoperatively, surgical repair is preferred for complete tendon tears in active patients and athletes who want to maintain a high level of functionality. A few methods have been proposed to address this pathology; however, a gold standard has yet to be defined. In this Technical Note, the authors describe a surgical technique for repair of an acute distal biceps femoris avulsion using knotted all-suture suture anchor fixation. Our surgical technique aims to restore the native anatomy while minimizing surgical morbidity and loss of function.

摘要

股二头肌远端肌腱孤立性撕脱是一种罕见的损伤,通常由高能创伤以及涉及膝关节快速强力过伸动作的体育活动所致。虽然活动较少的个体发生的股二头肌远端肌腱部分撕裂通常可采用非手术治疗,但对于有活动需求的患者以及希望维持高水平功能的运动员,若发生肌腱完全撕裂,则首选手术修复。目前已提出了一些方法来处理这种病理情况;然而,尚未确定金标准。在本技术说明中,作者描述了一种使用带结全缝线缝合锚钉固定修复急性股二头肌远端撕脱的手术技术。我们的手术技术旨在恢复正常解剖结构,同时将手术并发症和功能丧失降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/8b22e5aeb2d3/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/af498ee29c2e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/2f1d7c001f3c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/d9162d3f7da9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/08f7d3b704b6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/36707894038c/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/8b22e5aeb2d3/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/af498ee29c2e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/2f1d7c001f3c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/d9162d3f7da9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/08f7d3b704b6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/36707894038c/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/12255423/8b22e5aeb2d3/gr6.jpg

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本文引用的文献

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Orthop J Sports Med. 2021 Mar 26;9(3):2325967121999643. doi: 10.1177/2325967121999643. eCollection 2021 Mar.
2
Knotted Versus Knotless Anchors for Labral Repair in the Shoulder: A Systematic Review.肩盂唇修复中使用带结与无结锚钉的比较:一项系统评价。
Arthroscopy. 2021 Apr;37(4):1314-1321. doi: 10.1016/j.arthro.2020.11.056. Epub 2020 Dec 9.
3
Distal biceps femoris avulsions: Associated injuries and neurological sequelae.
股二头肌远端肌腱撕脱伤:相关损伤及神经后遗症。
Knee. 2020 Dec;27(6):1874-1880. doi: 10.1016/j.knee.2020.07.085. Epub 2020 Nov 15.
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Management of hamstring injuries: current concepts review.腘绳肌损伤的管理:当前概念回顾。
Bone Joint J. 2020 Oct;102-B(10):1281-1288. doi: 10.1302/0301-620X.102B10.BJJ-2020-1210.R1.
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Surgical Repair of Distal Musculotendinous T Junction Injuries of the Biceps Femoris.股二头肌远端肌-腱结合部损伤的手术修复。
Am J Sports Med. 2020 Aug;48(10):2456-2464. doi: 10.1177/0363546520938679.
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Biomechanical Evaluation of Knotless and Knotted All-Suture Anchor Repair Constructs in 4 Bankart Repair Configurations.四种 Bankart 修复构型中无结和打结全缝线锚修复结构的生物力学评估。
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Isolated Complete Rupture of the Biceps Femoris Insertion: A Surgical Repair Technique Manuscript.股二头肌止点孤立性完全断裂:一篇手术修复技术文稿。
Arthrosc Tech. 2019 Mar 28;8(4):e407-e411. doi: 10.1016/j.eats.2018.11.020. eCollection 2019 Apr.
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