Lintner S, Fischer T
Orthopaedics Indianapolis, IN 46202, USA.
Clin Orthop Relat Res. 1996 Jan(322):116-9.
The authors describe a technique for repair of the biceps tendon rupture from the radial tuberosity. A single anterior incision, limited volar dissection, and implantable bone anchors were used. With this technique, the authors have repaired the distal biceps tendon in 5 men (mean age, 39 years). Four patients were laborers and 1 was an athlete. Mechanism of injury was a single traumatic event with an unanticipated large load being applied to the flexed arm. Four patients were treated acutely and 1 was treated 6 months after injury. All patients returned to preinjury activity levels by 5 months after repair of the tendon. Clinically, all repairs remained intact (mean followup, 2.5 years). Range of motion was symmetric. No evidence of associated nerve injuries, heterotopic bone formation, or olecranon tenderness occurred. Subjective, as well as objective, results were excellent in those 5 patients whose distal biceps tendon was repaired by the single volar incision and implantable anchors.
作者描述了一种用于修复肱二头肌肌腱从桡骨粗隆处断裂的技术。采用单一前侧切口、有限的掌侧解剖以及可植入式骨锚。运用该技术，作者为5名男性（平均年龄39岁）修复了肱二头肌远端肌腱。其中4名患者为体力劳动者，1名是运动员。损伤机制为单一创伤事件，即向屈曲的手臂施加了意外的大负荷。4名患者接受了急诊治疗，1名患者在受伤6个月后接受治疗。所有患者在肌腱修复后5个月均恢复到伤前的活动水平。临床上，所有修复均保持完好（平均随访2.5年）。活动范围对称。未出现相关神经损伤、异位骨化或鹰嘴压痛的迹象。通过单一掌侧切口和可植入式锚钉修复肱二头肌远端肌腱的这5名患者，主观及客观结果均极佳。
