Phillips B B, Canale S T, Sisk T D, Stralka S W, Wyatt K P
Department of Orthopaedic Surgery, University of Tennessee Campbell Clinic, Memphis.
Orthop Rev. 1993 Mar;22(3):349-53.
Treatment of ruptures of the proximal biceps tendon has been based on clinical observations, with little objective data to substantiate treatment guidelines. Evaluation of 25 patients (all > 40 years of age) at an average of 7.9 years after injury found few objective or subjective differences between those treated nonoperatively and those treated operatively. Only 1 patient (treated nonoperatively) was dissatisfied with the result, and her dissatisfaction was with a cosmetic defect. Objective manual muscle testing and Cybex II (Cybex Corporation, Ronkonkoma, New York) evaluation of 19 patients found no significant differences in supination or elbow flexion strength in the two groups.
肱二头肌近端肌腱断裂的治疗一直基于临床观察，几乎没有客观数据来证实治疗指南。对25例患者（均大于40岁）在受伤平均7.9年后进行评估，发现非手术治疗组和手术治疗组在客观和主观方面几乎没有差异。只有1例非手术治疗的患者对结果不满意，她不满意的是外观缺陷。对19例患者进行客观的徒手肌力测试和Cybex II（Cybex公司，纽约州罗恩科马）评估，发现两组在旋后或屈肘力量方面没有显著差异。
