Patient-oriented functional outcome after repair of distal biceps tendon ruptures using a single-incision technique

McKee, Michael D.; Hirji, Rahim; Schemitsch, Emil H.; Wild, Lisa M.; Waddell, James P.

doi:10.1016/j.jse.2004.09.007

Cited by 160 publications

(110 citation statements)

References 20 publications

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“…In a series of 53 patients, McKee et al reported only one PIN palsy that resolved in 6 weeks [14]. Most importantly, there were no cases of permanent nerve injury.…”

Section: Discussionmentioning

confidence: 97%

Reconstruction of Posterior Interosseous Nerve Injury following Biceps Tendon Repair: Case Report and Cadaveric Study

Mokhtee

Brown

Mackinnon

et al. 2008

Hand (New York, N,Y.)

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Surgical repair of distal biceps tendon rupture is a technically challenging procedure that has the potential for devastating and permanently disabling complications. We report two cases of posterior interosseous nerve (PIN) injury following successful biceps tendon repair utilizing both the single-incision and two-incision approaches. We also describe our technique of posterior interosseous nerve repair using a medial antebrachial cutaneous nerve graft (MABC) and a new approach to the terminal branches of the posterior interosseous nerve that makes this reconstruction possible. Finally, we advocate consideration for identification of the posterior interosseous nerve prior to reattachment of the biceps tendon to the radial tuberosity.

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“…In a series of 53 patients, McKee et al reported only one PIN palsy that resolved in 6 weeks [14]. Most importantly, there were no cases of permanent nerve injury.…”

Section: Discussionmentioning

confidence: 97%

Reconstruction of Posterior Interosseous Nerve Injury following Biceps Tendon Repair: Case Report and Cadaveric Study

Mokhtee

Brown

Mackinnon

et al. 2008

Hand (New York, N,Y.)

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“…Primary direct repair through one incision is the preferred method [2,7,11,12,16,19,20,22], although some authors, before the time of bone anchors, preferred twoincision repair [26]. However, if the correct diagnosis is delayed, the distal biceps tendon retracts and repairs without interposition grafting may be impossible.…”

Section: Discussionmentioning

confidence: 99%

“…Late repair of the distal biceps tendon needs more exposure than acute repair, thus raising the possibility of two major complications: injury to the posterior interosseous or lateral antebrachial cutaneous nerve [16,20] and heterotopic ossification [1,11,17]. New reattachment methods have substantially diminished nerve injuries, and careful irrigation is needed to prevent heterotopic ossification.…”

Section: Discussionmentioning

confidence: 99%

A Simple Grafting Method to Repair Irreparable Distal Biceps Tendon

Vastamäki

2008

Clinical Orthopaedics &Amp; Related Research

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Irreparable distal biceps tendon tears typically are treated using a free tendon graft. We asked whether our new method to fix the graft-using two suture anchorsyields similar results to our previous bone canal method. We compared the two methods for strength, endurance, and clinical findings. There were two groups, the suture anchor group (Group A, seven patients) and the bone canal group operated on before suture anchors (Group B, seven patients). The patients were males with a mean age at surgery of 44.9 years. The operative delay from primary trauma to index surgery averaged 5.9 months. The minimum followup was 2 years (mean, 11.1 years; range, 2-23 years). The mean arc of elbow motion was 0°to 132°, pronation 83°, and supination 80°. Compared with the contralateral side, the maximal peak torque was 84% in supination and 91% in pronation, and the maximal static elbow flexion strength was 94%. The Mayo elbow score averaged 99 in Group A and 100 in Group B. There were no major differences between the two groups. Our novel modification to fix a tendon graft yields equal clinical outcomes compared with the bone canal method for treatment of irreparable distal biceps tendon injuries.

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“…Cadaveric studies have suggested that the PIN can be incarcerated by the cortical button or drill with drilling at 45 degrees distally or radially, with the mean distance nearing 2 mm. This can be improved by ulna and perpendicular drill hole placement to 11 mm [29][30][31][32][33][34]. This is a small cohort of patients with ADBR undergoing fixation with this dual technique with a 12% loss to follow up rate.…”

Section: Figure 2 Table Of Comparative Studies Of Re-rupture Rate Andmentioning

confidence: 99%

The Biotenodesis Screw and Endobutton Technique for Repair for Acute Distal Biceps Tendon Rupture

C¹,

D²,

J³

et al. 2018

Clin Arch Bone Joint Dis

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Patient-oriented functional outcome after repair of distal biceps tendon ruptures using a single-incision technique

Cited by 160 publications

References 20 publications

Reconstruction of Posterior Interosseous Nerve Injury following Biceps Tendon Repair: Case Report and Cadaveric Study

Reconstruction of Posterior Interosseous Nerve Injury following Biceps Tendon Repair: Case Report and Cadaveric Study

A Simple Grafting Method to Repair Irreparable Distal Biceps Tendon

The Biotenodesis Screw and Endobutton Technique for Repair for Acute Distal Biceps Tendon Rupture

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