远端二头肌内按压再插入骨折的术后短期和长期超声检查

IF 0.9 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2024-12-01 DOI:10.1016/j.hansur.2024.101844

Florent Weppe, Lyliane Ly, Justin Ruyer, Maximilien Arnal, Thomas Jalaguier

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引用次数: 0

摘要

二头肌远端破裂是一种罕见但众所周知的病变在年轻活跃的男性。手术治疗随着内扣的使用得到了改善。超声检查的使用已经改变了上肢几种病理的诊断和治疗，特别是自无导线便携式设备出现以来。这是一个简单的工具，也可以帮助术后随访。我们回顾性地回顾了10例患者在前臂不同位置的短、长时间内二头肌远端肌腱内扣复位的特点。我们评估桡骨头与隧道在桡骨粗隆上的位置之间的距离和肌腱直径；并将其与对侧进行比较。桡骨头与复位肌腱的平均距离为43.05 mm，与对侧无统计学差异。复植肌腱的直径与对侧肌腱在短期和长期的平均之比为1.3。目前还没有设备故障的报告。便携式超声是评估二头肌远端复位愈合和内扣正确定位的良好工具。便携式超声诊断仪是一种无创、无成本的诊断仪，可用于肱二头肌腱远端断裂的随访。可以做几个视图来评估肌腱。然而，二头肌远端肌腱的正常和术后特征必须是已知的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Aspects échographies postopératoires à court et long termes des ruptures du biceps distal réinsérées par endoboutton

Distal biceps rupture is a rare but well-known lesion in young active men. Surgical treatment has improved with the use endobutton. The use of sonograph has changed the diagnosis and management of several pathologies of the upper limb, especially since the advent of wire less portable devices. This is a simple tool that can also help in the postoperative follow-up.

We retrospectively reviewed the characteristic features of reinserted distal biceps tendon with endobutton at short and very long term in 10 patients in different position of the forearm with a portable sonograph. We assessed the distance between the radial head and the position of the tunnel on the radial tuberosity and the diameter of the tendon; and compared it to the contralateral side.

The mean distance between the radial head and the reinserted tendon was 43.05 mm with no statistical difference with the contralateral side. The mean ratio between the diameter of the reinserted tendon and the contralateral tendon at short and long-term was 1.3. No failure of the device has been reported.

Portable sonograph is a good tool to assess the healing of distal biceps reinsertion and the right positioning of the endobutton.

Portable sonograph is a costless and non-invasive imagine that can help in the follow-up distal biceps tendon rupture. Several views can be done to assess the tendon. However the normal and postoperative characteristic features of a distal biceps tendon has to be known.

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.