Acute complete and partial distal biceps tendon ruptures: what have we learned? A review

EFORT Open Reviews

article

Pieter Caekebeke¹  Joris Duerinckx¹  Roger van Riet² 

[1] Ziekenhuis Oost-Limburg, Department of Orthopaedics Surgery and Traumatology;AZ Monica, Department of Orthopedic Surgery;University Hospital Antwerp, Department of Orthopedic Surgery

关键词: complete;    distal biceps tendon;    elbow;    intramedullary;    partial;    review;    rupture;    test;   

DOI  :  10.1302/2058-5241.6.200145

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Acute distal biceps tendon (DBT) pathology includes bicipitoradial bursitis, tendinosis, partial and complete tears. Diagnosis of complete DBT tears is mainly clinical, whereas in partial tears medical imaging is a valuable addition to the clinical diagnosis. New insights in clinical and medical imaging of partial tears may reduce time to diagnosis and may guide the treatment plan. Most complete tears are best treated with primary repair using either a single-incision or double-incision approach with good clinical outcome. The double-incision technique has a higher risk of heterotopic ossification, whereas a single-incision technique carries a higher risk of nerve-related complications. Intramedullary fixation may be a viable solution to negate the risk of posterior interosseus nerve lesions in single-incision repairs. DBT endoscopy can be used to treat low-grade partial tears and tendinosis.

【 授权许可】

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