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肱二头肌远端肌腱断裂修复的长期评估

Long term evaluation of repaired distal biceps brachii tendon ruptures.

作者信息

Davison B L, Engber W D, Tigert L J

机构信息

Division of Orthopedic Surgery, University of Wisconsin, Madison, USA.

出版信息

Clin Orthop Relat Res. 1996 Dec(333):186-91.

PMID:8981895
Abstract

A long term evaluation was performed on 8 patients who had rupture of the distal biceps tendon repaired using the 2-incision technique. The length of followup ranged from 1 to 11 years with an average of 6 years. Goniometric range of motion and isokinetic strength testing were performed on all patients. All patients attained a full arc of elbow flexion and extension. Supination was diminished more than 30 degrees in 3 patients and pronation was diminished more than 30 degrees in 1 patient. Subjectively, 6 of 8 patients were completely satisfied with the function of their involved arm. Strength and work performed during repetitive exercise were regained to the expected normal levels in elbow flexion. Six of 8 patients continued to have less strength in supination of the injured arm than the uninjured arm. All 8 patients performed less total work with repetitive supination of the injured arm than the uninjured arm.

摘要

对8例采用双切口技术修复肱二头肌远端肌腱断裂的患者进行了长期评估。随访时间为1至11年,平均6年。对所有患者进行了角度测量的活动范围和等速肌力测试。所有患者均达到了肘关节屈伸的全弧范围。3例患者旋后减少超过30度,1例患者旋前减少超过30度。主观上,8例患者中有6例对患侧手臂的功能完全满意。重复运动时肘关节屈曲的力量和工作量恢复到预期的正常水平。8例患者中有6例受伤手臂旋后的力量仍低于未受伤手臂。8例患者受伤手臂重复旋后的总工作量均低于未受伤手臂。

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