Distale Bizepssehnenruptur

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Die Verletzung der distalen Bicepssehne ereignet sich in aller Regel immer dann, wenn sich auf den angespannten Muskel ein nochmaliges Trauma ereignet. Dies führt dann dazu, dass der Muskelbauch in Richtung Schulter verlagert ist.
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[/av_one_half][/av_section][av_section min_height=“ min_height_pc=’25‘ min_height_px=’500px‘ shadow=’no-border-styling‘ bottom_border=’no-border-styling‘ bottom_border_diagonal_color=’#0a4e7f‘ bottom_border_diagonal_direction=’border-extra-diagonal-inverse‘ bottom_border_style=“ padding=’large‘ custom_margin=’0px‘ custom_margin_sync=’true‘ av-desktop-custom_margin=“ av-desktop-custom_margin_sync=’true‘ av-medium-custom_margin=“ av-medium-custom_margin_sync=’true‘ av-small-custom_margin=“ av-small-custom_margin_sync=’true‘ av-mini-custom_margin=“ av-mini-custom_margin_sync=’true‘ svg_div_top=“ svg_div_top_color=’#333333′ svg_div_top_width=’100′ svg_div_top_height=’50‘ svg_div_top_max_height=’none‘ svg_div_top_opacity=“ svg_div_bottom=“ svg_div_bottom_color=’#333333′ svg_div_bottom_width=’100′ svg_div_bottom_height=’50‘ svg_div_bottom_max_height=’none‘ svg_div_bottom_opacity=“ color=’alternate_color‘ background=’bg_color‘ custom_bg=“ background_gradient_direction=’vertical‘ background_gradient_color1=’#000000′ background_gradient_color2=’#ffffff‘ background_gradient_color3=“ src=“ attachment=“ attachment_size=“ attach=’scroll‘ position=’top left‘ repeat=’no-repeat‘ video=“ video_ratio=’16:9′ overlay_opacity=’0.5′ overlay_color=“ overlay_pattern=“ overlay_custom_pattern=“ custom_arrow_bg=“ css_position_z_index=“ av-desktop-css_position_z_index=“ av-medium-css_position_z_index=“ av-small-css_position_z_index=“ av-mini-css_position_z_index=“ id=“ custom_class=’small smallsection‘ template_class=“ aria_label=“ av_element_hidden_in_editor=’0′ av_uid=’av-24bdly‘ sc_version=’1.0′]
[av_toggle_container faq_markup=’faq_markup‘ initial=’0′ mode=’accordion‘ sort=“ styling=’av-minimal-toggle‘ colors=“ font_color=“ background_color=“ border_color=“ toggle_icon_color=“ colors_current=“ font_color_current=“ toggle_icon_color_current=“ background_current=“ background_color_current=“ background_gradient_current_direction=’vertical‘ background_gradient_current_color1=’#000000′ background_gradient_current_color2=’#ffffff‘ background_gradient_current_color3=“ hover_colors=“ hover_font_color=“ hover_background_color=“ hover_toggle_icon_color=“ size-toggle=“ av-desktop-font-size-toggle=’22‘ av-medium-font-size-toggle=“ av-small-font-size-toggle=“ av-mini-font-size-toggle=“ size-content=“ av-desktop-font-size-content=“ av-medium-font-size-content=“ av-small-font-size-content=“ av-mini-font-size-content=“ heading_tag=“ heading_class=“ alb_description=“ id=“ custom_class=“ template_class=“ av_uid=’av-liex7imt‘ sc_version=’1.0′ admin_preview_bg=“]
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Neben der Verlagerung des Muskelbauchs führt die Verletzung der körperfernen Bizepssehne auch zu einer Schwäche bei der Beugung und insbesondere bei der Auswärtsdrehung (=Supination), da der M. biceps der wichtigste Supinator des Menschen ist.
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Aus oben genannten Gründen ist die konservative Therapie eigentlich in den meisten Fällen keine Option. Lediglich bei Teilrissen kann in seltenen Fällen ein zufriedenstellendes Ergebnis erreicht werden.
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Über einen ca. 4-5cm langen Schnitt im Bereich der Ellenbeuge erfolgt die Refixation der Bizepssehne. Die Sehne wird dabei im Knochen über sog. Fadenanker oder in einer transossären Technik refixiert.
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Die Nachbehandlung erfolgt mittels abnehmbarer, individuell verstellbarer Schiene, welche in der Regel für 4 Wochen getragen werden sollte. Die physiotherapeutische Therapie erstreckt sich in aller Regel auf ca. 2- 3 Monate.
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