Repair Techniques for Acute Distal Biceps Tendon Ruptures

Watson, Jonathan N.; Moretti, Vincent M.; Schwindel, Leslie; Hutchinson, Mark R.

doi:10.2106/jbjs.m.00481

Cited by 139 publications

(107 citation statements)

References 31 publications

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“…LABCN neuroapraxia was the most common complication overall (11.6% for one-incision and 5.8% for two-incision techniques); heterotopic ossification, stiffness and synostosis were more frequently reported in the two-incision technique (7.0%, 5.7% and 2.3% respectively) [17]. Grewal et al, evaluating mid-term outcomes of single and double-incision techniques reported significantly higher overall complication rate inthesingle-incision technique.…”

Section: Discussionmentioning

confidence: 99%

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Distal biceps tendon rupture: advantages and drawbacks of the anatomical reinsertion with a modified double incision approach

Tarallo

Lombardi

Zambianchi

et al. 2018

BMC Musculoskelet Disord

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BackgroundDistal biceps tendon rupture occurs more often in middle-aged male population, involving the dominant arm. In this retrospective study, it’s been described the occurrence of the most frequent adverse events and the clinical outcomes of patients undergoing surgical repair of distal biceps tendon rupture with the modified Morrey’s double-incision approach, to determine better indications for patients with acute tendon injury.MethodsSixty-three patients with acute distal biceps tendon rupture treated with a modified double-incision technique between 2003 and 2015 were retrospectively evaluated at a mean 24 months of follow-up. Clinical evaluation including range of motion (ROM) and isometric strength recovery compared to the healthy contralateral side assessment, together with documentation of nerve injury, was performed. Patients were asked to answer DASH, OES and MEPS scores.ResultsThe ROM recovery showed excellent results compared to the healthy contralateral side.The reported major complications included: one case of proximal radio-ulnar synostosis, 3 cases of posterior interosseous nerve (PIN) palsy and one case of a-traumatic tendon re-rupture. Concerning minor complications, intermittent pain, ROM deficiency < 30° in flexion/extension and pronation/supination, isometric flexion strength deficiency < 30% and isometric supination strength deficiency < 60%, lateral antebrachial cutaneous nerve (LACBN) injury, were observed. The average DASH score was 8.5; the average OES was 41.5 and the MEPS was 96.3.ConclusionThe Morrey modified double-incision technique finds its indication in young and active patients if performed within 2 weeks from injury. If performed by experienced surgeons, the advantages can exceed the drawbacks of possible complications.

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Section: Discussionmentioning

confidence: 99%

“…Some authors sustain that complication rate does not significantly differ between one and two-incision approaches (23,9% for one-incision procedures and 25,7% for two-incision procedures) [17]. Others claim that the double-incision has significantly lower complication rates than the single-incision-approach [18].…”

Section: Introductionmentioning

confidence: 99%

Distal biceps tendon rupture: advantages and drawbacks of the anatomical reinsertion with a modified double incision approach

Tarallo

Lombardi

Zambianchi

et al. 2018

BMC Musculoskelet Disord

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“…A systematic review by Watson et al 10 showed that bone tunnel and cortical button methods resulted in significantly lower complication rates compared with suture anchor and intraosseous screw techniques. In another systematic review, Chavan et al 11 found that cortical button fixation provided higher load to failure and stiffness compared with bone tunnels, intraosseous screws, and suture anchors.…”

mentioning

confidence: 99%

Single-Incision Technique for Repair of Distal Biceps Tendon Avulsions With Intramedullary Cortical Button

Camp

Voleti

Corpus

et al. 2016

Arthroscopy Techniques

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Patients who experience distal biceps tendon avulsions generally benefit from surgical intervention. Compared with nonoperative treatment, surgery has shown improved muscle endurance as well as increased flexion and supination strength. Although a number of surgical techniques exist, repair of the distal biceps through a single incision is gaining popularity. This may be due in part to patient preference and emerging technologies such as cortical button fixation, suture anchors, and intraosseous screws. In this report, we present a simple technique for anatomically repairing distal biceps injuries using an intramedullary tenodesis button. This technique has the benefit of using a single unicortical drill hole in the radius while allowing the surgeon to sequentially tighten the tendon to its desired level of tension. When appropriate surgical steps are followed, it can be completed in a reliable, safe, and efficient manner through a single incision.

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“…Partial and complete ruptures are associated with pain and decreased elbow flexion and supination strength, and these are traditionally treated with open surgery [11]. Recently, all-endoscopic and endoscopicassisted techniques have been described for minimally invasive debridement of partial ruptures, and for distal biceps repair.…”

Section: Introductionmentioning

confidence: 99%

Cadaveric study of anterior and posterior elbow endoscopy portals for endoscopic distal biceps repair: comparative anatomy-at-risk

2016

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Repair Techniques for Acute Distal Biceps Tendon Ruptures

Cited by 139 publications

References 31 publications

Distal biceps tendon rupture: advantages and drawbacks of the anatomical reinsertion with a modified double incision approach

Distal biceps tendon rupture: advantages and drawbacks of the anatomical reinsertion with a modified double incision approach

Single-Incision Technique for Repair of Distal Biceps Tendon Avulsions With Intramedullary Cortical Button

Cadaveric study of anterior and posterior elbow endoscopy portals for endoscopic distal biceps repair: comparative anatomy-at-risk

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