Clinical Result of Patients With Distal Biceps Tendon Rupture With Endobutton

Abstract

Objective: To evaluate the results obtained in the repair of distal biceps injury using the single-incision approach with endobutton use; complications; and ability to return to sport. Methods: 14 athletes with rupture of the distal tendon of the biceps brachii submitted to surgical repair using a single route with endobutton were evaluated. The parameters analyzed were: Mayo Elbow Performance Score (MEPS), flexion-extension range of motion and pronation-supination, and the ability to return to sports practice. Results: Most injuries were related to weightlifting (57.1%), vaquejada (35.7%) and judo (7.2%). All operated patients returned to sports activities, maintaining the elbow range of motion. Two cases faced complications due to neuropraxia (one case affecting the posterior interosseous nerve and the other the radial sensitive nerve). However, there was spontaneous resolution in 10 weeks of follow-up. One case - due to the late presentation and presence of fibrotic adhesions - evolved with a deficit of the lateral cutaneous nerve of the forearm and later with osteolysis and heterotopic ossification. Conclusion: Repair of the distal tendon of the biceps by the one-way technique is a safe method, with a low complication rate and a short rehabilitation period. Level of Evidence III, Retrospective comparative study.

Lesões agudas do tendão distal do bíceps: Diagnóstico e tratamento

“…[53][54][55] Diversos autores como: Cain et al 55 , Bisson et al 56 e Kelly et al 57 apresentaram em suas séries de casos, taxas de complicações no tratamento precoce (até 2 semanas) entre 20 e 30% e a partir deste intervalo de tempo, de até 41%. [56][57][58][59] Para evitar as complicações; a remoção de resíduos ósseos, lavagem da ferida e hemostasia poderá diminuir a taxa de ossificação heterotópica. Uso cuidadoso de afastadores, evitando a sua colocação cega, ou seja, posterior ao rádio, podem diminuir a incidência de paralisia do NIP, especialmente na técnica da VA. 58 As re-rupturas são raras com uma taxa de cerca de 1 a 2%.…”

“…[53][54][55] Several authors, including Cain et al 55 , Bisson et al, 56 and Kelly et al, 57 reported case series with complication rates in early treatment (up to 2 weeks) between 20 and 30% and up to 41% after this period. [56][57][58][59] To avoid complications, bone debris removal, wound washing, and hemostasis may decrease the rate of heterotopic ossification. Careful use of retractors, avoiding their blind placement, i.e., posterior to the radius, may reduce the incidence of PIN paralysis, especially in the SA technique.…”