Biomechanical Evaluation of 4 Techniques of Distal Biceps Brachii Tendon Repair

Mazzocca, Augustus D.; Burton, Kevin J.; Romeo, Anthony A.; Santangelo, Stephen A.; Adams, Douglas A.; Arciero, Robert A.

doi:10.1177/0363546506294854

Cited by 272 publications

(268 citation statements)

References 21 publications

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“…Unlike other tendon ruptures, which can occur intrasubstance or at the musculotendinous junction, a complete distal biceps tendon rupture almost always occurs at the tendon's insertion to the radial tuberosity. The functional superiority of anatomic surgical repair for this injury is now well established and has gained acceptance as the preferred treatment option for restoring strength in supination and flexion [2,5,12,13,14,16]. If surgical treatment of a complete distal biceps tendon rupture is delayed, a combination of muscle retraction, adhesion formation, distal tendon shortening, and degeneration can make anatomic reinsertion of the original tendon difficult [14,16,22].…”

Section: Introductionmentioning

confidence: 99%

The Biceps Crease Interval for Diagnosing Complete Distal Biceps Tendon Ruptures

Elmaraghy

Devereaux

Tsoi

2008

Clin Orthop Relat Res

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Complete distal biceps tendon ruptures require prompt surgical management for optimal functional and aesthetic outcome. The need exists for a valid and reliable diagnostic tool to expedite surgical referral. We hypothesized complete distal biceps tendon ruptures result in an objectively measurable anatomic landmark (the distance between the antecubital crease of the elbow and the cusp of distal descent of the biceps muscle, or the biceps crease interval), as a result of proximal retraction of the musculotendinous complex. We established normal biceps crease interval values and biceps crease ratios between dominant and nondominant arms in 80 men with no history of biceps injury (average age, 43 years). The mean (± standard deviation) biceps crease interval for dominant and nondominant arms was 4.8 ± 0.6 cm. The mean biceps crease ratio was 1.0 ± 0.1. We measured the biceps crease interval and biceps crease ratio on 29 consecutive patients presenting with a possible complete distal biceps tendon rupture. Using a diagnostic threshold of a biceps crease interval greater than 6.0 cm or biceps crease ratio greater than 1.2, the biceps crease interval test had a sensitivity of 96% and a diagnostic accuracy of 93% for identifying complete distal biceps tendon ruptures, making it a valid and reliable tool for clinicians to identify cases requiring urgent surgical referral.

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Section: Introductionmentioning

confidence: 99%

The Biceps Crease Interval for Diagnosing Complete Distal Biceps Tendon Ruptures

Elmaraghy

Devereaux

Tsoi

2008

Clin Orthop Relat Res

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“…A comparison of biomechanical models of 4 different stabilization methods revealed that the EndoButton method had the highest load to failure (440 N) in comparison to the suture anchor (381 N), bone tunnel (310 N) and interference screw (232 N); the superiority of the EndoButton in this regard was statistically significant [25]. Biomechanical tests by other authors have also revealed that the EndoButton fixation method has a higher load to failure [21,25], but it still has not been proven clinically [26,27]. Since it has been shown to be the strongest form of tendon stabilization when compared with other fixation methods, the EndoButton is seen as enabling early active mobilization.…”

Section: Discussionmentioning

confidence: 98%

A Retrospective Evaluation of Anatomical Reinsertion of the Distal Biceps Brachii Tendon Using an ACL TightRope® RT with a Titanium Cortical Button and Ultra High Molecular Weight Polyethylene Suture: A Preliminary Report

Witkowski¹,

Kentel²,

Królikowska³

et al. 2017

Polim. Med.

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“…It is important also to quantify the percentage of the involved tendon. Data from the literature confirms that injuries involving less than 50% tendon insertion do not require surgical treatment, because they do not constitute functional deficits 9,10 . Whereas, tendon ruptures involving more than 50% of tendon insertion site require reinsertion using the techniques previously described.…”

Section: Single and Dual Incision Technique For Acute Distal Biceps Rmentioning

confidence: 90%

Single and dual incision technique for acute distal biceps rupture: clinical and functional outcomes

Guglielmino

Massimino²,

Ioppolo³

et al. 2016

MLTJ

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SummaryBackground: Distal bicep tendon injuries are a traumatic event though rather rare. The pathogenesis is not entirely clear. The most common cause for injury is an unexpected load on the biceps when the elbow is in an extended position. Although several studies have provided insight into the pathogenetic processes of the lesion, the literature suggests to treat all injuries surgically (whether partial or total) if there is high functional demand. Methods: Between January 2006 and March 2016 were studied 20 patients surgically treated for a disconnected distal bicep, 15 with a total lesion and 5 with a partial lesion. The patients were divided into 2 groups. Surgical access with single incision was performed on 13 patients while a double surgical access was performed on 7 patients. The clinical and functional results were studied using an Ewald System Score (ESS). Results: In both groups, the most rapid improvement was achieved for the parameters of pain and deformity with excellent results, while those of function and movement were normalized as gradual and progressive over next 2 months. Conclusion: The clinical and functional outcomes during the follow-up examination after surgery showed excellent results in patients treated with both types of surgical procedures.

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Biomechanical Evaluation of 4 Techniques of Distal Biceps Brachii Tendon Repair

Cited by 272 publications

References 21 publications

The Biceps Crease Interval for Diagnosing Complete Distal Biceps Tendon Ruptures

The Biceps Crease Interval for Diagnosing Complete Distal Biceps Tendon Ruptures

A Retrospective Evaluation of Anatomical Reinsertion of the Distal Biceps Brachii Tendon Using an ACL TightRope® RT with a Titanium Cortical Button and Ultra High Molecular Weight Polyethylene Suture: A Preliminary Report

Single and dual incision technique for acute distal biceps rupture: clinical and functional outcomes

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