| Popis: |
The biceps brachii muscle consists of a long head and a short head that originate at the supraglenoid tubercle and the coracoid process, respectively. The tendons progress into two attached but distinct muscle bellies that insert at the radial tuberosity. When there is an eccentric force on the muscle, it susceptible to tearing, resulting in a distal biceps tear. Tears can either be partial or complete, with partial tears as the focus of this chapter. Partial tears can be identified by both clinical exam and advanced imaging techniques such as MRI and ultrasound. Partial tears are initially treated with a non-operative approach, which stresses almost immediate return to activities of daily living. If patients remain symptomatic after a period of non-operative treatment, then surgical intervention should be considered. There are two common techniques for surgical repair of the distal biceps, the single-incision and the double-incision technique, which have similar clinical outcomes. Overall patients with a partial tear of the distal biceps tendon have favorable clinical outcomes. |
