肱二头肌长头腱断裂误诊分析和治疗

Analysis and Treatment of Long Head of Biceps Tendon Rupture Misdiagnosed

目的减少肱二头肌长头断裂的误诊率,进一步提高临床疗效。方法回顾2008~2014年我院收治的肱二头肌长头断裂的病例,通过病例调查、收集、随访,对其中延误诊断及治疗的患者进行病因、职业、受伤时间、治疗情况及合并基础疾病分析、总结。结果肱二头肌长头断裂患者46例,其中延误诊治9例,误诊率19.6%,9例其中8例为体力劳动者,7例年龄大于40岁,3例合并有糖尿病。9例中手术7例,2例行保守治疗。结论劳损和外伤是造成肱二头肌长头断裂的主要原因,合并有内科疾病如糖尿病与肱二头肌断裂相关;对于上肢体力劳动或长期体育活动者,年龄40岁以上出现局部畸形、无力等症状应详细查体诊断,避免误、漏诊。手术治疗是恢复肌力、改善畸形的主要方法。

Objective To reduce the misdiagnosis rate of biceps oil fracture, further improve the clinical curative effect. Methods To review from 2008 to 2014 biceps fracture cases, through the case investigation, collection and fo!low-up, some delay in diagnosis and treatment of patients in etiology, professional, injury time, treatment, and combine basic diseases analysis and summary. Results The biceps of 46 patients with fracture, delayed diagnosis and treatment of 9 cases, the misdiagnosis rate was 19.6%, 9 cases of which 8 cases for manual workers, 7 patients older than 40 years old, J patients with diabetes. 9 cases of surgery in 7 cases, 2 routine conservative treatment. Conclusion The strain and trauma caused biceps of the main causes of fracture, with internal diseases such as diabetes associated with biceps fracture. For upper limb physical labor or long-term sports activists, the age of 40 and older local malformation, weakness and other symptoms should be detailed physical examination diagnosis, to avoid the mistake, missed diagnosis. Surgical treatment is to restore muscle strength, the main ways to improve the deformity.