Gennari J M, Merrot T, Ripoll B, Bergoin M
Service de Chirurgie Infantile et Orthopédique, CHU Nord Chemin des Bourrely, Marseille.
Rev Chir Orthop Reparatrice Appar Mot. 1995;81(2):173-7.
The purpose of this study is to compare the results of direct reinsertion of the distal bicipital tendon to the bicipital tuberosity, with other methods described in the literature.
This study is based on six athletic patients, all male, ranging in age from 42 to 62 years old. The rupture of the biceps occurred during an unusually violent effort in flexion and forced supination of the arm at a 90 degree of flexion. The surgical procedure which took place between a week and a month after the accident, consisted in a direct reattachment of the detached tendon.
No paralysis in the area of the radial nerve occurred. All patients regained normal range of motion of the joints with maintained strength.
Faced with a recent lesion in a young patient, a reinsertion on the bicipital tuberosity is desirable in order to maximize the strength and movement of the biceps. This simple technique uses a single approach. It does not weaken the bicipital tuberosity nor the muscular function of the biceps.
本研究的目的是将肱二头肌远端肌腱直接重新附着于肱二头肌结节的结果，与文献中描述的其他方法进行比较。
本研究基于6名男性运动员患者，年龄在42岁至62岁之间。肱二头肌断裂发生在手臂屈曲90度时异常剧烈的屈曲和强迫旋后动作中。事故发生一周至一个月后进行的手术，包括将离断的肌腱直接重新附着。
桡神经区域未发生麻痹。所有患者关节活动范围恢复正常，力量保持。
面对年轻患者近期的损伤，为了使肱二头肌的力量和运动最大化，在肱二头肌结节上重新附着是可取的。这种简单的技术采用单一入路。它不会削弱肱二头肌结节或肱二头肌的肌肉功能。
