关节镜下修复远端三头肌腱断裂提供了良好的功能效果和最小的并发症

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-08-01 DOI:10.1016/j.asmr.2025.101164

Felix H. Savoie M.D., Nolan M. Reinhart M.D., Jackson P. Tate M.D., Taylor M. Troutman M.D., Sara M. Yuter B.S., William F. Sherman M.D., M.B.A.

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引用次数: 0

摘要

目的报道关节镜下应用缝合锚钉双排解剖脚印修复肱三头远端肌腱的疗效。方法回顾性分析2012年至2022年间由同一位外科医生进行关节镜肱三头肌肌腱修复的患者。纳入标准包括经磁共振成像证实并经关节镜修复的三头肌腱远端全层撕裂。排除标准包括随访时间少于24个月且缺乏术后结果测量的患者，以及撕裂大小小于肌腱宽度的50%的患者。主要观察指标为复发率和再手术率。次要结果包括疼痛评分（视觉模拟量表）、术后功能评分（Mayo肘关节功能评分）、术后单一评估数值评估评分、人工肌肉测试和围手术期伤口并发症发生率的变化。结果共纳入16例患者，年龄37 ~ 80岁。在平均79.3个月（24.6-149.1个月）的超声检查中，所有患者的三头肌肌腱均完好无损。术前视觉模拟量表疼痛平均评分从4分降至0分，术前评分从0分降至6分（P < .001）。术后Mayo肘关节功能评分平均为100分，无功能限制。单次评估的平均数值评估得分为98分，范围从90到100分。无重大围手术期伤口并发症、撕裂或再手术报道。在手工力量测试中，肌肉力量被分级为与对面相等。结论在本研究中，我们发现关节镜下肱三头肌肌腱修复术安全有效，具有良好的疼痛缓解，良好的功能评分，最小的并发症，并且能够解决伴随的肘部病变。证据水平：IV级，治疗性病例系列。

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Arthroscopic Repair of Distal Triceps Tendon Rupture Provides Excellent Functional Outcomes With Minimal Complications

Purpose

To report the outcomes of patients who underwent arthroscopic distal triceps tendon repair using double-row anatomic footprint repair with suture anchors.

Methods

This was a retrospective review of patients who underwent arthroscopic triceps tendon repair between 2012 and 2022 performed by a single surgeon. The inclusion criteria included a full-thickness tear of the distal triceps tendon confirmed by magnetic resonance imaging and repaired arthroscopically. The exclusion criteria included patients with documented follow-up of less than 24 months for whom postoperative outcome measures were lacking, as well as tear size of less than 50% of the width of the tendon. The primary outcome measures were retear rates and reoperation rates. Secondary outcomes included change in pain score (visual analog scale), postoperative functional score (Mayo Elbow Performance Score), postoperative Single Assessment Numeric Evaluation score, manual muscle testing, and rate of perioperative wound complications.

Results

A total of 16 patients (age range, 37-80 years) were included. All patients had an intact triceps tendon on ultrasound at a mean follow-up of 79.3 months (range, 24.6-149.1 months). The mean preoperative visual analog scale pain score decreased from 4 to 0, ranging from 0 to 6 preoperatively (P < .001). The postoperative Mayo Elbow Performance Score averaged 100, indicating no functional limitations. The mean Single Assessment Numeric Evaluation score were 98, ranging from 90 to 100. No major perioperative wound complications, retears, or reoperations were reported. Muscle strength was graded as equal to the opposite side on manual strength testing.

Conclusions

In this study, we found that arthroscopic triceps tendon repair is safe and effective, with excellent pain relief, excellent functional scores, minimal complications, and the ability to address concomitant elbow pathologies.