■肱二头肌远端肌腱(DBT)部分断裂的治疗方式包括保守治疗(固定,药物,和物理治疗)或手术。选择治疗方式可能对患者和提供者都提出挑战。
■据推测,接受部分DBT破裂手术治疗的患者会有更高的并发症,但整体强度更高,运动范围(ROM),患者满意度。
■系统评价。
■对符合系统评价和荟萃分析(PRISMA)指南的首选报告项目进行了系统评价。科克伦,Embase,和Medline数据库搜索到2023年5月发表的研究。如果他们检查了接受治疗的部分DBT破裂患者,则包括研究。排除标准是非人类研究,学习不是英语,reviews,技术说明,给编辑的信,外科技术论文,和先前审查中报道的研究。
■本综述纳入了由290例部分DBT撕裂患者组成的13项研究。75%的患者是男性,年龄在23-75岁之间。随访1~94个月。55例患者接受保守治疗,256例患者接受手术治疗。研究结果包括疼痛,力量,运动范围(ROM),并发症,患者报告结果(PRO),回到活动,患者满意度。
■通过手术或保守治疗对部分DBT撕裂的治疗均产生良好的临床效果。疼痛和ROM的治疗选择之间有相似的结果。保守治疗在治疗后的强度方面效果较差。手术治疗并发症较多,少数患者满意度下降。总的来说,两者都是可行的治疗选择,要求医生和患者就两种选择的利弊进行讨论,作为纳入患者优先事项的共同决策过程的一部分。
UNASSIGNED: Treatment modalities for partial distal biceps tendon (DBT) ruptures include conservative management (immobilization, medication, and physical therapy) or surgery. Selecting treatment modality can present a challenge to both patient and provider.
UNASSIGNED: It was hypothesized that patients undergoing surgical treatment for partial DBT rupture would have higher complications but better overall strength, range of motion (ROM), and patient satisfaction.
UNASSIGNED: Systematic Review.
UNASSIGNED: A systematic review was performed in adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Cochrane, Embase, and Medline databases were searched for studies published through May 2023. Studies were included if they examined patients with a partial DBT rupture who underwent treatment. Exclusion criteria were non-human studies, studies not in English, reviews, technical notes, letters to the editor, surgical technique papers, and studies reported in a prior review.
UNASSIGNED: 13 studies consisting of 290 patients with a partial DBT tear were included in this review. 75% of the patients were male and the ages ranged from 23 - 75 years. The follow up for the patients ranged from 1 - 94 months. 55 patients underwent conservative treatment versus 256 patients underwent surgical treatment. Outcomes examined by the studies included pain, strength, range of motion (ROM), complications, patient reported outcomes (PROs), return to activity, and patient satisfaction.
UNASSIGNED: Treatment for partial DBT tear via surgery or conservative treatment both produce good clinical outcomes. There are similar outcomes between treatment options for pain and ROM. Conservative treatment had some poorer outcomes in terms of strength after treatment. Surgical treatment had more complications and a few patients with decreased satisfaction. Overall, both are viable treatment options, requiring a physician and patient discussion regarding the pros and cons of both options as a part of a shared decision-making process that incorporates patient priorities.