Surgical repair of the distal biceps brachii tendon: clinical and isokinetic long-term follow-up

被引:12
作者
De Carli, A. [1 ,2 ]
Zanzotto, E. [1 ,2 ]
Vadala, A. P. [1 ,2 ]
Luzon, D. [1 ,2 ]
Di Salvo, M. [3 ]
Ferretti, A. [1 ,2 ]
机构
[1] Univ Roma La Sapienza, S Andrea Hosp, Orthopaed Unit, Rome, Italy
[2] Univ Roma La Sapienza, S Andrea Hosp, Kirk Kilgour Sports Injury Ctr, Rome, Italy
[3] Villa Ada World Med, Rome, Italy
关键词
Non-anatomic suture; Biceps brachii tendon; Isokinetic test; ANATOMIC REINSERTION; RUPTURE; COMPLICATIONS; STRENGTH;
D O I
10.1007/s00167-008-0705-9
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Anatomical reinsertion of the avulsed distal biceps tendon is the recommended treatment, but the results are hampered by complications. The purpose of this study is to show the results of patients surgically treated with a non-anatomical reinsertion of this tendon. From 1972 to 2006, 26 non-professional athletic patients were surgically treated by suture of the tendon on the brachialis muscle tendon. At follow-up 23/26 patients underwent clinical and isokinetic evaluation. At a medium follow-up of 84 months, patients provided satisfactory subjective and objective clinical results. Flexion was restored in all patients, while a 10A degrees supination deficit was found in two patients. Dynamometric tests showed satisfactory results both regarding Maximum Strength Power and Endurance tests. Reinsertion of the distal biceps tendon on the brachialis tendon can be considered, in a long-term follow-up, a safe and effective procedure, with low complication rate.
引用
收藏
页码:850 / 856
页数:7
相关论文
共 28 条
[1]   Repair of acute distal biceps tendon ruptures [J].
Azar, FM ;
Loeb, MD .
OPERATIVE TECHNIQUES IN SPORTS MEDICINE, 2003, 11 (01) :32-35
[2]   RUPTURE OF THE DISTAL TENDON OF THE BICEPS BRACHII - OPERATIVE VERSUS NON-OPERATIVE TREATMENT [J].
BAKER, BE ;
BIERWAGEN, D .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1985, 67A (03) :414-417
[3]   Repair of distal biceps brachii tendon ruptures [J].
Bell, RH ;
Wiley, WB ;
Noble, JS ;
Kuczynski, DJ .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2000, 9 (03) :223-226
[4]   Complications associated with repair of a distal biceps rupture using the modified two-incision technique [J].
Bisson, Leslie ;
Moyer, Mark ;
Lanighan, Kevin ;
Marzo, John .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2008, 17 (01) :67S-71S
[5]   A METHOD FOR REINSERTION OF THE DISTAL BICEPS BRACHII TENDON [J].
BOYD, HB ;
ANDERSON, LD .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1961, 43 (07) :1041-1043
[6]  
CARROLL RE, 1967, J BONE JOINT SURG AM, VA 49, P1016
[7]   REPAIR OF DISTAL BICEPS TENDON RUPTURES IN ATHLETES [J].
DALESSANDRO, DF ;
SHIELDS, CL ;
TIBONE, JE ;
CHANDLER, RW .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1993, 21 (01) :114-119
[8]  
Davies G.J., 1992, A compendium of isokinetics in clinical usage and rehabilitation techniques
[9]   AN ETIOLOGICAL FACTOR IN TEAR OF THE DISTAL TENDON OF THE BICEPS BRACHII - REPORT OF 2 CASES [J].
DAVIS, WM ;
YASSINE, Z .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1956, 38 (06) :1365-1368
[10]  
Davison BL, 1996, CLIN ORTHOP RELAT R, P186