Anatomic direct repair of chronic distal biceps brachii tendon rupture without interposition graft

Bosman, Hilary A.; Fincher, Matthew; Saw, N.

doi:10.1016/j.jse.2012.01.012

Cited by 39 publications

(27 citation statements)

References 23 publications

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“…A recent level 1 study by Grewel et al 52 randomized patients to a singleincision repair with suture anchors or a double-incision repair with transosseous drill holes. Primary repair of chronic ruptures, even in extreme flexion results in almost full restoration of motion (3--1381 flexion/extension in one study 44 and 94% of flexion and 95% of pronosupination in anther study 45 ) and high patient satisfaction. However, there was a 10% advantage in isometric flexion strength in the twoincision technique and a slightly higher incidence of transient neuropraxia of the lateral antebrachial cutaneous nerve in the single-incision group.…”

Section: Results Of Operative Treatmentmentioning

confidence: 99%

“…43 The integrity of the bicipital aponeurosis will be useful in the preoperative planning for treatment of chronic tears. Bosman et al 45 also advocates for primary repair of chronic distal biceps and utilized a limited standard approach with a secondary proximal ''retrieval'' incision and endobutton fixation with the elbow in maximal flexion. The amount of retraction will be limited, and there will be less fibrosis of the distal tendon to surrounding tissue.…”

Section: Chronic Tearsmentioning

confidence: 99%

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An update on distal biceps tendon ruptures

Chebli¹

2015

Current Orthopaedic Practice

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The incidence of distal biceps ruptures is 1.2/100,000 people per year. It is most commonly seen in men 40--60 yr old involving their dominant arm. The mechanism of injury is the application of an eccentric load to the elbow region. Some report a preceding tendinitis, which speaks to the degenerative changes and decrease in vascularity as contributing factors to the tendon rupture. Nonoperative treatment is an option. However, most younger, healthy, and active patients benefit from early surgical management to regain supination and flexion strength. Chronic and retracted tears also may benefit from surgical fixation. Many new techniques have been described and studied recently. However, they present a different set of challenges to the treating surgeon. With this influx of operative techniques and further study of accepted techniques, new light has been shed on the outcomes and complication profiles of distal biceps tendon repairs. The postoperative course of these repairs also has changed to early motion and earlier return to full activity with increased confidence in fixation techniques.

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Section: Results Of Operative Treatmentmentioning

confidence: 99%

Section: Chronic Tearsmentioning

confidence: 99%

An update on distal biceps tendon ruptures

Chebli¹

2015

Current Orthopaedic Practice

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“…La mayor parte de los autores utilizan algún tipo de inmovilización temporal durante aproximadamente 3 semanas, aunque las técnicas más modernas permiten teóricamente un uso suave del brazo casi inmediato (4,(55)(56)(57) . Durante el periodo de reposo se suelen realizar ejercicios de movilidad pasiva asistidos por el otro brazo y a las 6 semanas se permite la carga progresiva con pesas.…”

Section: Técnica De Doble Incisión Modificada Por La Clínica Mayounclassified

Reinserción del tendón distal del bíceps

Laakso¹

2018

REACA

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RESUMEN Objetivo: el desarrollo de nuevos conocimientos y nuevos implantes ha renovado el interés por la reparación quirúrgica del bíceps distal. El presente capítulo repasa los aspectos más relevantes de la reinserción quirúrgica del tendón distal del bíceps. Métodos: se ha realizado una revisión de bibliografía reciente y relevante sobre aspectos básicos de la lesión y su reparación quirúrgica. Resultados: la reparación quirúrgica del tendón es un procedimiento eficaz con una recuperación de una movilidad funcional y una vuelta a la actividad laboral en la mayor parte de los casos. Algunos pacientes pueden sufrir una limitación de la supinación y una limitación leve de la fuerza. La tasa de rerrotura es menor del 2% y la tasa de complicaciones es del 20%, siendo las lesiones del nervio cutáneo antebraquial cutáneo lateral en el abordaje anterior y la osificación heterotópica en la doble incisión las más frecuentes. Conclusión: la reparación quirúrgica del tendón es una técnica eficaz pero no exenta de complicaciones. La atención a algunos detalles técnicos intraoperatorios puede ayudar a reducir el índice de complicaciones.

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“…Few studies have specifically examined the role of direct repair in treating chronic distal biceps tendon injuries [10, 19, 62, 64, 67, 68]. Such patients are often few in number and included in larger series evaluating the outcomes of operative repair in general.…”

Section: Treatmentmentioning

confidence: 99%

“…A proximal “retrieval” incision over the retracted stump can also be used to mobilize the tendon. Bosman et al [10] utilized a transverse retrieval incision to prepare the tendon, then flexed the elbow up to 110° and repaired it to the tuberosity through a distal incision. The authors reported on six consecutive patients who were between 5 and 16 weeks out from injury, and they did not note significant difficulty in regaining extension.…”

Section: Treatmentmentioning

confidence: 99%

Treatment of Chronic Biceps Tendon Ruptures

Dillon¹,

King

2013

Hand (New York, N,Y.)

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Repair of distal biceps tendon ruptures has become widely accepted. Unfortunately, care of chronic injuries remains a challenge to the orthopedic surgeon. Patients with chronic ruptures often present complaining of weakness in elbow flexion and supination. Nonoperative management of these injuries does not restore function to the elbow. Tenodesis of the biceps tendon to the brachialis may improve flexion strength but does not reliably improve supination weakness. Addressing these injuries through restoration of anatomy, either with direct repair of the tendon to the radial tuberosity or with the use of a tendon graft to regain length, results in improved functional outcomes. Complications rates appear to be increased when surgery is performed in chronic injuries compared to those operated upon acutely.

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Anatomic direct repair of chronic distal biceps brachii tendon rupture without interposition graft

Cited by 39 publications

References 23 publications

An update on distal biceps tendon ruptures

An update on distal biceps tendon ruptures

Reinserción del tendón distal del bíceps

Treatment of Chronic Biceps Tendon Ruptures

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