Reconstrução do tendão distal do bíceps com enxerto do tríceps: nota técnica

Storti, Thiago Medeiros; Paniago, Alexandre Firmino; Faria, Rafael Salomon Silva

doi:10.1016/j.rbo.2016.03.005

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…Antes difundido, o tratamento conservador tornou-se restrito a pacientes sem condições cirúrgicas ou de baixa demanda funcional. 8 Wiley et al 9 compararam dois grupos de pacientes com rupturas crônicas do bíceps braquial distal, um tratado conservadoramente e outro submetido a reconstrução anatômica com autoenxerto de semitendíneo e concluíram que os pacientes submetidos à reconstrução obtiveram melhora na força de flexão do cotovelo e supinação do antebraço.…”

Section: Discussionunclassified

“…Storti et al 8 descreveram, em 2017, a utilização de enxerto tricipital para reparo das lesões do tendão distal do bíceps braquial. Tal tendão mostrou-se adequado em estudos biomecânicos e torna-se mais cômodo por se situar no mesmo membro a ser abordado, aumentando o conforto do paciente no pós-operatório e facilitando sua recuperação, não apresentar riscos neurovasculares durante a coleta e possibilidade de enxertos de tamanhos e comprimentos variáveis.…”

Section: Discussionunclassified

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Reconstrução do tendão distal do bíceps braquial com enxerto de tríceps: relato de caso

Quental,

Felipe,

Costa

et al. 2024

Rev. Med. UFC

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Objetivos: descrever o tratamento cirúrgico de uma ruptura de tendão distal do bíceps braquial em membro não dominante, que evoluiu satisfatoriamente sem complicações relacionadas ao sítio cirúrgico, lesão neurovascular ou ossificação heterotópica, mostrando que esta pode ser uma boa alternativa para o reparo destas lesões. Metodologia: relatamos o caso de um paciente masculino, 37 anos, portador de uma ruptura crônica de tendão distal do bíceps braquial, após trauma típico em membro não dominante, e que foi submetido a reparação da lesão com enxerto tricipital e fixação com túneis transósseos. Resultados: após o primeiro mês de pós-operatório, o paciente se encontrava com arco de movimento mantido, força de flexão do cotovelo e supinação do antebraço preservadas, sem déficit neurológico. Conclusão: Apesar de não haver consenso sobre a melhor forma de tratamento dessa ruptura, a abordagem cirúrgica com a técnica apresentada mostra-se como uma vantajosa opção terapêutica para esse tipo de lesão, visto os excelentes resultados clínicos obtidos no seguimento pós-operatório.

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Section: Discussionunclassified

Reconstrução do tendão distal do bíceps braquial com enxerto de tríceps: relato de caso

Quental,

Felipe,

Costa

et al. 2024

Rev. Med. UFC

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“…In humans, a less developed tuberosity is observed (Sobotta, 2000), being even smaller in A. seniculus (Mesquita et al, 2019). Considering that this structure is related to the insertion of the tendon of the biceps brachii muscle (Storti et al, 2017), and due to its function of extending the shoulder joint and flexing the elbow joint, arboreal primates, which present great intensity of locomotion, end up needing further development of this muscle, and consequently the projection in which it is inserted (Rinker, 1954), explaining the more robust tuberosity in these animals.…”

Section: Discussionmentioning

confidence: 99%

Osteology applied to image diagnosis of the forelimb of the black‐striped capuchin (Sapajus libidinosus Spix, 1823)

Salles

Andrade²,

Souza

et al. 2022

American J Primatol

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Macroscopic bone analysis and evaluation through imaging methods are essential in the recognition of natural and altered structures. Therefore, this study aimed at describing the osteology the thoracic limb of Sapajus libidinosus in bone pieces, identifying them in radiographic and tomographic images. For this, four cadavers were used in the macroscopic analysis and five animals for the imaging exams, of which four were euthanized and added to the macroscopic stage. For imaging exams, the animals were kept anesthetized. All bones were documented, structures described, and compared with literature data from human and nonhuman primates. There was no statistical difference between males and females regarding the length of the forelimb bones. Most of the bone structures of the scapula were well identified in the imaging methods, being more restricted in the ventrodorsal projection. The clavicle presented very limited visualization. The humerus, as well as the radius and ulna, were not well portrayed in their proximal and distal epiphyses by radiography. However, they were well identified on tomography. All structures described in the macroscopic image of the carpal and metacarpal bones could be identified through radiography and tomography, and the radiographic examination of this region is an excellent method for identifying fractures. The glenoid notch of the scapula was not visualized by any imaging method. S. libidinosus presented anatomical characteristics more similar to those of neotropical primates and man, being a great indicator of an experimental model for studies in these species.

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Surgical outcomes and complications following distal biceps tendon reconstruction: a systematic review and meta-analysis

et al. 2021

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Background Primary repair of chronic distal biceps tendon ruptures may not be possible because of tendon retraction, and there remains no clear consensus on the type of reconstruction technique used. The purpose of this study was to report the clinical outcomes and complication rates following reconstruction of chronic distal biceps tendon ruptures. Methods A systematic review was performed following PRISMA guidelines. The following databases were searched: Embase, MEDLINE, and Cochrane Central Register of Controlled Trials. The primary outcomes of interest included range of motion, strength, and functional outcome scores. Secondary outcomes included complication, reoperation, and revision rates. Outcomes and complication rates of each graft type and fixation technique were aggregated and compared with nonparametric Wilcoxon signed rank and rank sum tests. Spearman rank coefficients were calculated for time from injury to surgery on all outcomes. Results There were no significant differences found between the graft type or fixation technique for postoperative range of motion, strength, and patient-reported outcomes. Postoperative complications were substantially higher in the autograft group (34%) as compared to the allograft group (14%). The fixation technique used also demonstrated a significantly increased complication rate in the weave group compared with the onlay group (34% and 9%, respectively). Conclusion Our results do not reveal any statistically significant differences between groups in the primary outcomes. However, substantially higher complication rates were observed in the autograft and weave cohorts; more than half of the complications related to the use of autograft were associated with donor site morbidity. No specific graft type was identified as superior, although this may be due to the small patient numbers included within this study.

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Reconstrução do tendão distal do bíceps com enxerto do tríceps: nota técnica

Cited by 5 publications

References 12 publications

Reconstrução do tendão distal do bíceps braquial com enxerto de tríceps: relato de caso

Reconstrução do tendão distal do bíceps braquial com enxerto de tríceps: relato de caso

Osteology applied to image diagnosis of the forelimb of the black‐striped capuchin (Sapajus libidinosus Spix, 1823)

Surgical outcomes and complications following distal biceps tendon reconstruction: a systematic review and meta-analysis

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