Distal Biceps Brachii Rupture.

IF 1.9 2区 医学 Q2 ORTHOPEDICS
Clinics in Orthopedic Surgery Pub Date : 2025-04-01 Epub Date: 2024-11-11 DOI:10.4055/cios24185
Ahmad Almigdad, Saharish Saleem, Amar Malhas
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引用次数: 0

Abstract

Backgroud: Distal biceps tendon ruptures are rare injuries that predominantly affect active men between the fourth and sixth decades, with a higher incidence in weightlifters and bodybuilders. This study aimed to comprehensively review cases involving distal biceps tendon ruptures, focusing on sociodemographic factors (such as sex, age, occupation, and smoking status), injury mechanisms, postoperative outcomes, and recorded complications.

Methods: This retrospective review examines distal biceps injuries at Royal Berkshire Foundation Trust NHS Hospital from 2017 to 2023. Analyzed data encompasses demographic information, injury mechanisms, clinical findings, and complications. Outcomes were assessed using the range of movement and Elbow Oxford Score.

Results: The average age of 73 patients (72 men and 1 woman) was 45.6 ± 9.4 years, with 75.3% falling between 36 and 55 years. Manual workers represented 46.6%, and 9.6% reported comorbidities and 6.8% steroid use. Lifting heavy objects and sports injuries were the predominant causes, constituting 43.8% and 13.7%, respectively. Most injuries (91.8%) involved complete tears, and most underwent acute surgery within the initial 4 weeks (84.9%). The most common complications were heterotopic ossification (23.3%) and neurological injury (16.4%). Ongoing weakness and fatigue were reported by 6.8%. At final follow-up, 75.7% of patients demonstrated a range of movement comparable to the contralateral side. However, 13.7% had a limited pronation-supination arch with a mean loss of 20° ± 14°, 11% had an extension lag with a mean of 15° ± 7°, and 2.7% showed a 10° flexion loss compared to the contralateral side.

Conclusions: Distal biceps injuries are rare but lead to substantial functional loss without operative treatment. Surgical repair yields positive functional outcomes. Our study aligns with existing literature, emphasizing a predominance of middle-aged men and manual workers. It underscores the impact of corticosteroids and smoking, highlights surgical efficacy, and advocates for increased research in distal biceps injury prevention and treatment understanding.

肱二头肌远端断裂。
背景:肱二头肌远端肌腱断裂是一种罕见的损伤,主要发生在40至60岁的活跃男性,举重运动员和健美运动员的发病率较高。本研究旨在全面回顾二头肌远端肌腱断裂的病例,重点关注社会人口学因素(如性别、年龄、职业和吸烟状况)、损伤机制、术后结局和记录的并发症。方法:回顾性分析2017年至2023年皇家伯克希尔基金会信托NHS医院的远端二头肌损伤。分析的数据包括人口统计信息、损伤机制、临床表现和并发症。结果通过活动范围和肘部牛津评分进行评估。结果:73例患者(男72例,女1例)平均年龄(45.6±9.4岁),36 ~ 55岁占75.3%。体力劳动者占46.6%,9.6%报告了合并症,6.8%报告了类固醇使用。举重和运动损伤是主要原因,分别占43.8%和13.7%。大多数损伤(91.8%)涉及完全撕裂,大多数在最初4周内进行急性手术(84.9%)。最常见的并发症是异位骨化(23.3%)和神经损伤(16.4%)。6.8%的人报告了持续的虚弱和疲劳。在最后的随访中,75.7%的患者表现出与对侧相当的活动范围。然而,与对侧相比,13.7%的患者有有限的旋前弓,平均损失20°±14°,11%的患者有伸展滞后,平均15°±7°,2.7%的患者有10°的屈曲损失。结论:二头肌远端损伤是罕见的,但不经手术治疗可导致大量功能丧失。手术修复产生积极的功能结果。我们的研究与现有文献一致,强调中年男性和体力劳动者占主导地位。它强调了皮质类固醇和吸烟的影响,强调了手术疗效,并提倡增加对肱二头肌远端损伤预防和治疗的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.50
自引率
4.00%
发文量
85
审稿时长
36 weeks
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