Repair of distal biceps brachii tendon assessed with 3-T magnetic resonance imaging and correlation with functional outcome
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- 作者：Guillaume Alemann ; Emmanuel Dietsch ; David Gallinet ; Laurent Obert…
- 关键词：MRI ; Distal biceps ; Tendon rupture ; Repair ; Postoperative ; Measurements
- 刊名：Skeletal Radiology
- 出版年：2015
- 出版时间：May 2015
- 年：2015
- 卷：44
- 期：5
- 页码：629-639
- 全文大小：2,031 KB
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19. Nesterenko, S, Domire, ZJ, Morrey, BF, Sanchez-Sotelo, J (2010) Elbow strength and endurance in patients with a ruptured distal biceps tendon. J Should Elb Surg Am Should Elb Surg 19: pp. 184-9 CrossRef
20. Balabaud, L, Ruiz, C, Nonnenmacher, J, Seynaeve, P, Kehr, P, Rapp, E (2004) Repair of distal biceps tendon ruptures using a suture anchor and an anterior approach Repair of distal biceps tendon ruptures in athletes. J Hand Surg (Edinb Scotl) 29: pp. 178-82- 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Imaging and Radiology
Orthopedics
Pathology
Nuclear Medicine- 出版者：Springer Berlin / Heidelberg
- ISSN：1432-2161
文摘
Objective Objectives were to study the MRI appearance of the repaired distal biceps tendon (DBT), anatomically reinserted, and to search for a correlation between tendon measurements and functional results. Materials and methods Twenty-five patients (mean age,-9?±-.9 years old) who benefited from 3-T MRI follow-up of the elbow after surgical reinsertion of the DBT were retrospectively included and compared to a control group (n--5; mean age,-8?±-0 years old). MRI was performed during the month of clinical follow-up and on average 22?months after surgery. Delayed complications (secondary avulsion, new rupture), intratendinous osteoma, tendinous signal on T1-weighted (T1w) and fat-suppressed proton density-weighted (FS-PDw) images as well as DBT measurements were recorded. The maximum isometric elbow flexion strength (MEFS) and range of motion of the elbow were assessed. Results Repaired DBT demonstrated a heterogeneous but normally fibrillar structure. Its low T1w signal was less pronounced than that of normal tendons, and the FS-PDW image signal was similar to that of T1w images. MRI detected seven osteomas (Se--3?% vs. plain radiography), one textiloma and one secondary avulsion. Repaired DBT measurements were significantly correlated with MEFS (dominant arm R2: 0.38; nondominant arm R2: 0.54); this correlation involved the insertion surface (Δ- ?5.7?mm2, p--.046), transverse diameter (Δ- ?.6?mm, p--.018), anteroposterior diameter at the level of the radial head (Δ- ?.9?mm, p--.001) and DBT cross-sectional area (Δ- ?0.2?mm2, p--.003). Conclusion The quality of functional outcome after anatomical elbow rehabilitation of DBT correlates with the extent of tendinous hypertrophy during the healing process.