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[肱二头肌肌腱近端断裂手术治疗后的肌肉不协调现象]

[Muscle incoordination phenomena after surgical management of proximal rupture of the biceps tendon].

作者信息

Schmidt I, Anders C, Markgraft E, Scholle H C, Dönicke T, Friedel R

机构信息

Abteilung Unfallchirurgie, Chirurgische Universitätsklinik Jena.

出版信息

Unfallchirurgie. 1995 Oct;21(5):227-32. doi: 10.1007/BF02588761.

Abstract

A significant atrophy of the biceps brachii muscle without decreasing maximal force during flexion in the elbow joint was shown at least 1.5 years after surgical refixation in 6 patients with a tendon-rupture of the long head of the right biceps. A decreased myoelectrical activity was found in the caput longum region of the muscle. The decrease correlates with an increase of spectral myoelectrical power in the region of caput breve or brachioradialis muscle. In addition compensatory recruitment processes can be supposed because of changed spectral myoelectrical power in the low-frequency bands. Changes of the morphological structure of the muscle were only found in 1 patient by sonography.

摘要

在6例右侧肱二头肌长头肌腱断裂患者手术重新固定后至少1.5年,显示肱二头肌明显萎缩,但肘关节屈曲时最大力量未降低。在该肌肉的长头区域发现肌电活动减少。这种减少与肱二头肌短头或肱桡肌区域肌电频谱功率增加相关。此外,由于低频带肌电频谱功率变化,可以推测存在代偿性募集过程。仅1例患者通过超声检查发现了肌肉形态结构的改变。

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