Bicepsstendon – diagnostic, therapy and results after proximal and distal ruptures

Klonz, A.; Reilmann, H.

doi:10.1007/s001320050439

Cited by 11 publications

(18 citation statements)

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“…Complete and incomplete distal biceps tendon ruptures usually occur in men between 40 and 60 years of age 1,3,12 and involve the dominant arm in 80% of cases. These lesions are always of traumatic origin, and the trauma is usually attributed to sports or domestic accidents.…”

Section: Discussionmentioning

confidence: 99%

“…4,14,15 Less common sites of rupture include the muscle belly and the musculotendinous junction. 12,16 These sites of tendon rupture were recently studied to identify the underlying potential causes. On the basis of an anatomic and computed tomographic study of specimens, Seiler et al 17 hypothesized 2 potential mechanisms involved in rupture: arterial supply and mechanical impingement.…”

Section: Discussionmentioning

confidence: 99%

“…On the contrary, in complete ruptures anatomic reinsertion of the avulsed tendon into the radius is the preferred treatment in acute as well as chronic injuries for total functional recovery. 2,5,[12][13][14][15] Because complications are uncommon, surgery of a complete rupture is usually recommended for young and active patients. 13,14 Clinical signs and symptoms are usually typical when complete rupture with muscle retraction occurs (a painful, tearing sensation in the antecubital region and palpable and visible deformity of the distal biceps muscle belly on physical examination, with weakness in flexion and supination).…”

Section: Discussionmentioning

confidence: 99%

“…Early diagnosis of complete ruptures is recommended, because optimal results cannot be achieved unless early surgical reattachment (within the first 6-8 weeks after injury) is performed. 1,2,[12][13][14] The aim of this study was to describe the sonographic findings of distal biceps tendon tears and to assess the accuracy of the technique.…”

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confidence: 99%

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Sonographic diagnosis of distal biceps tendon rupture: a prospective study of 25 cases.

Belli

Costantini

Mirk

et al. 2001

J of Ultrasound Medicine

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Objective. To describe the sonographic findings of distal biceps tendon ruptures and to assess the accuracy of the technique. Methods. Twenty-five patients with clinically indicated distal biceps tendon ruptures were prospectively studied by sonography. Five patients also underwent magnetic resonance imaging. Surgical confirmation was obtained in 14 patients. Results. Seventeen complete tendon ruptures and 3 partial tears were correctly shown by sonography; 1 complete rupture was incorrectly shown as a partial tear by sonography. Sonographic features of complete rupture were absence of tendon in the expected location, fluid collection in a typical tendon gap, and a mass in the antecubital fossa. Sonographic features of incomplete rupture were intratendinous hypoechogenicity and tendon thinning. Peritendinous fluid was found in complete and incomplete ruptures. Conclusions. In distal biceps tendon ruptures, sonography is a cost-effective method that can confirm the clinical indications with good accuracy and can show tendon lesions when the clinical indications are low.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Sonographic diagnosis of distal biceps tendon rupture: a prospective study of 25 cases.

Belli

Costantini

Mirk

et al. 2001

J of Ultrasound Medicine

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“…Studies that focused on results following chronic LHBT rupture [3][4][5] have found disabilities could include persistent muscle pain, biceps spasm, strength loss and popeye deformity. The loss of strength has been reported at the elbow, not the shoulder, and is not insignificant.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of tenodesis of the long head of the biceps tendon more than three months after rupture

McMahon

Speziali

2016

WJO

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AIM:To demonstrate that long head of the biceps tendon (LHBT) tenodesis is possible more than 3 mo after rupture. METHODS:From September 2009 to January 2012 we performed tenodesis of the LHBT in 11 individuals (average age 56.9 years, range 42 to 73) more than 3 mo after rupture. All patients were evaluated by Disabilites of the Arm Shoulder and Hand (DASH) and Mayo outcome scores at an average follow-up of 19.1 mo. We similarly evaluated 5 patients (average age 58.2 years, range 45 to 64) over the same time treated within 3 mo of rupture with an average follow-up of 22.5 mo. RESULTS:Tenodesis with an interference screw was possible in all patients more than 3 mo after rupture and 90% had good to excellent outcomes but two had recurrent rupture. All of those who had tenodesis less than 3 mo after rupture had good to excellent outcomes and none had recurrent rupture. No statistical difference was found for DASH and Mayo outcome scores between the two groups (P <0.05). CONCLUSION:Tenodesis of LHBT more than 3 mo following rupture had outcomes similar to tenodesis done within 3 mo of rupture but recurrent rupture Core tip: While some think long head of the biceps tendon (LHBT) tenodesis is not possible more than 3 mo after rupture, we have demonstrated that it is and will yeld to outcomes similar to tenodesis done within 3 mo. The LHBT tenodesis was achieved in all patients affected by chronic rupture.McMahon PJ, Speziali A. Outcomes of tenodesis of the long head of the biceps tendon more than three months after rupture. World

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Reinsertion of the distal head of the biceps using mini-anchors and the anterior access: a retrospective study

Carità

Cassini

Ricci³

et al. 2009

Musculoskelet Surg

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The authors describe their experience in the treatment of the lesions of the distal tendon of the biceps through the anatomic insertion with Mitek mini-anchors using Henry anterior single-incision access. From 1996 to 2007, 12 patients, all male, average age 51.2 years, were treated for a lesion of the distal tendon of the biceps. In all cases, post-operative pain according to the visual analogical scale, the articular motion of the elbow, the occurrence of neurological disorders and the formation of ectopic ossifications appreciated by radiographies were evaluated. Furthermore, the patient's satisfaction and the impact on his quality of life were assessed using the DASH questionnaire. The results that were evaluated at an average follow-up of 65.6 months were satisfactory: in two cases a temporary deficit in the innervation area of the radial nerve occurred; in two cases ossifications formed at the tendon insertion level but with no clinical repercussions. All patients returned to their previous working activity and their level of satisfaction was good in five cases and very good in the other seven cases. In agreement with literature data, this technique, when compared with other treatment methods, proved effective and safe in the treatment of acute lesions of the distal tendon of the biceps brachii.

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Bicepsstendon – diagnostic, therapy and results after proximal and distal ruptures

Cited by 11 publications

References 0 publications

Sonographic diagnosis of distal biceps tendon rupture: a prospective study of 25 cases.

Sonographic diagnosis of distal biceps tendon rupture: a prospective study of 25 cases.

Outcomes of tenodesis of the long head of the biceps tendon more than three months after rupture

Reinsertion of the distal head of the biceps using mini-anchors and the anterior access: a retrospective study

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