Bilateral Distal Biceps Tendon Ruptures

Green, Jennifer B.; Skaife, Tyler; Leslie, Bruce M.

doi:10.1016/j.jhsa.2011.09.043

Cited by 26 publications

(20 citation statements)

References 10 publications

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“…Smokers have a 7.5-times greater risk than nonsmokers. 73 While bilateral injuries make up a rare subset of patients, Green and colleagues 37 found of an 8% cumulative incidence of bilateral ruptures among patients in their series of 321 consecutive patients. When compared with the 0.0012% incidence in the general population, it was deduced that prior distal biceps tendon rupture is an independent risk factor for subsequent contralateral injury.…”

Section: Distal Biceps Rupturementioning

confidence: 99%

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Evaluation and Management of Elbow Tendinopathy

Taylor

Hannafin

2012

Sports Health: A Multidisciplinary Approach

108

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Context:Elbow tendinopathy is a common cause of pain and disability among patients presenting to orthopaedic surgeons, primary care physicians, physical therapists, and athletic trainers. Prompt and accurate diagnosis of these conditions facilitates a directed treatment regimen. A thorough understanding of the natural history of these injuries and treatment outcomes will enable the appropriate management of patients and their expectations.Evidence Acquisitions:The PubMed database was searched in December 2011 for English-language articles pertaining to elbow tendinopathy.Results:Epidemiologic data as well as multiple subjective and objective outcome measures were investigated to elucidate the incidence of medial epicondylitis, lateral epicondylitis, distal biceps and triceps ruptures, and the efficacy of various treatments.Conclusions:Medial and lateral epicondylitis are overuse injuries that respond well to nonoperative management. Their etiology is degenerative and related to repetitive overuse and underlying tendinopathy. Nonsteroidal anti-inflammatory drugs and localized corticosteroid injections yield moderate symptomatic relief in short term but do not demonstrate benefit on long-term follow-up. Platelet-rich plasma injections may be advantageous in cases of chronic lateral epicondylitis. If 6 to 12 months of nonoperative treatment fails, then surgical intervention can be undertaken. Distal biceps and triceps tendon ruptures, in contrast, have an acute traumatic etiology that may be superimposed on underlying tendinopathy. Prompt diagnosis and treatment improve outcomes. While partial ruptures confirmed with magnetic resonance imaging can be treated nonoperatively with immobilization, complete ruptures should be addressed with primary repair within 3 to 4 weeks of injury.

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Section: Distal Biceps Rupturementioning

confidence: 99%

“…These injuries typically occur in the dominant arm 46,73 of men between the ages of 40 and 50 years. 37 …”

Section: Distal Biceps Rupturementioning

confidence: 99%

Evaluation and Management of Elbow Tendinopathy

Taylor

Hannafin

2012

Sports Health: A Multidisciplinary Approach

108

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“…In the literature the average interval between the bilateral biceps tendon ruptures varies between 2.7 and 4.6 years [3,4,14]. In a retrospective study [14] 23 bilateral distal biceps tendon ruptures were found in a collective of 321 patients who underwent surgical repair of the distal biceps tendon. The average interval between the Fig.…”

Section: Discussionmentioning

confidence: 99%

No functional differences in anatomic reconstruction with one vs. two suture anchors after non-simultaneous bilateral distal biceps brachii tendon rupture: a case report and review of the literature

Weißenberger

Heinz

Rüeckl

et al. 2020

BMC Musculoskelet Disord

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Background: Surgical reattachment of the tendon is still the gold standard for ruptures of the distal biceps brachii tendon. Several fixation techniques have been described in the literature, with suture anchors being one of the most common fixation techniques. Currently, there is no data available on how many anchors are required for a safe and stable refixation. In this case report clinical data of a patient with non-simultaneous bilateral distal biceps tendon ruptures treated with a different number of suture anchors for each side (one vs. two) are demonstrated. Case presentation: A 47-year-old factory worker suffered a rupture of the distal biceps tendon on both arms following two different occasions. The left side was fixed using a single suture anchor, while refixation on the right side was performed with two anchors. The patient was prospectively followed for one year. Functional outcome was assessed using the Andrews Carson Score (ACS), the Oxford Elbow Score (OES), and the Disabilities of Arm, Shoulder and Hand (DASH) Score after six, twelve, 24 and 48 weeks. Furthermore, an isokinetic strength measurement for flexion strength was performed after 24 and 48 weeks. After 48 weeks the patient presented with excellent functional outcome scores and no follow-up complications. During the follow-up period, no differences in the functional scores nor in the isokinetic flexion strength measurement could be detected. Furthermore, no radiological complications (like heterotopic ossifications) could be detected in the postoperative radiographs after one year.

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“…Our observation of no association between limb dominance and distal biceps tendon injury is supported by a recent review of bilateral distal biceps tendon ruptures that reported initial injury of the dominant limb in 48% (12/25) of the cases. 6 Elevated BMI may also predispose patients to tendinous injury. Elevated BMI secondary to greater muscle mass would create increased load on the tendon and may predispose to rupture.…”

Section: Kelly Et Almentioning

confidence: 99%