Return to work following a distal biceps repair: a systematic review of the literature

Rubinger, Luc; Solow, Max; Johal, Herman; Al-Asiri, Jamal

doi:10.1016/j.jse.2019.12.006

Cited by 19 publications

(18 citation statements)

References 54 publications

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“…Tras la reparación quirúrgica, uno de los objetivos es poder aplicar protocolos de movilización temprana del codo, que permitan una recuperación funcional precoz, limitando de esta manera las potenciales secuelas funcionales, siendo necesario una media de 14 semanas para poder reanudar con normalidad la actividad laboral y deportiva habitual 15 .…”

Section: Discussionunclassified

Rotura aguda de bíceps distal: reparación mediante abordaje único anterior y dispositivo de anclaje cortical

Pinilla-Gracia

Hernández-Fernández

Rodríguez-Nogué

et al. 2021

Rev Fac Cien Med Univ Nac Cordoba

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Antecedentes: La rotura del tendón distal del bíceps braquial es una patología con una incidencia creciente, que puede ocasionar importantes alteraciones funcionales. Cuando la rotura es completa y el paciente activo, el tratamiento quirúrgico es de elección. Material y método: Varón de 47 años con dolor intenso y súbito en la fosa antecubital izquierda mientras levantaba peso. A la exploración, impotencia para la flexión y supinación activa del brazo izquierdo con pérdida de la silueta del bíceps braquial. La ecografía confirma el diagnóstico de rotura completa del tendón distal del bíceps braquial. Se decide tratamiento quirúrgico, realizando un abordaje único anterior y reinsertando el tendón en su “footprint” radial con ayuda de un dispositivo de anclaje cortical. Resultados: A los 12 meses, el paciente presenta flexo-extensión y prono-supinación completa, sin encontrar dificultades para realizar las actividades de su vida diaria y laboral, con puntación de 100 puntos en el Mayo Elbow Performance Score (MEPS). Conclusión: La rotura del bíceps distal es una lesión típica de pacientes activos con una incidencia creciente. Aunque no se han evidenciado diferencias significativas entre las distintas opciones de reparación, en nuestra experiencia la utilización de dispositivos de anclaje cortical con un abordaje único anterior aporta unos resultados muy satisfactorios.

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Section: Discussionunclassified

Rotura aguda de bíceps distal: reparación mediante abordaje único anterior y dispositivo de anclaje cortical

Pinilla-Gracia

Hernández-Fernández

Rodríguez-Nogué

et al. 2021

Rev Fac Cien Med Univ Nac Cordoba

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“…Previous articles have evaluated performance and return to work in certain groups, but not in athletes. In a systematic review, Rubinger et al [ 18 ] evaluated 40 articles that included a total of 1270 patients with 1280 DBTR. The mean age of patients was 45.38 years, and 97% were male.…”

Section: Return To Play After Distal Biceps Tendon Rupturementioning

confidence: 99%

“…The mean time to return to work was 14.27±0.52 weeks. One prior study evaluating a military population reported excellent clinical outcomes with 15.2% ( n =44) overall complications, 7.5% ( n =16) LACN neuropraxia, and 2.7% ( n =7) re-tears and 96.6% return to pre-injury military duties without restrictions [ 18 ]. Also, a study investigating a military population observed excellent clinical outcomes and 96.6% return to pre-injury military duties without restrictions [ 19 ].…”

Section: Return To Play After Distal Biceps Tendon Rupturementioning

confidence: 99%

“…Distal biceps tendon ruptures (DBTR) typically occur after an eccentric load is applied while the elbow is flexed and the forearm is supinated [6,11]. Regardless of fixation technique, surgical reattachment through either anterior or posterior approach results in high patient satisfaction, low pain levels, and good to excellent outcomes [4,9,[12][13][14][15][16][17][18][19][20]. In the last 10-15 years, there has been an improved understanding of the anatomy and the biomechanics of the distal biceps leading to improved performance [2,[21][22][23][24][25][26][27][28][29].…”

Section: Introductionmentioning

confidence: 99%

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Return to Play After Distal Biceps Tendon Repair

Carrazana-Suarez

Cooke

Schmidt

2022

Curr Rev Musculoskelet Med

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Purpose of Review Distal biceps tendon ruptures (DBTR) are uncommon injuries in 40- to 50-year-old men but occur at a younger age in the athlete population. The distal biceps tendon is an important supinator of the forearm and flexor of the elbow. A complete injury results in limiting function in the upper extremity. The current review evaluates the different options in management and the current literature on return to play in athletes. Recent Findings The distal biceps tendon inserts on the posterior aspect of the radial tuberosity as two independent heads. The long head footprint is more proximal and posterior giving it a better lever arm for supination. The short head footprint is more distal and anterior giving it a better lever arm for flexion. Surgical anatomic repair is highly recommended among the athlete population, to restore proper function of the upper extremity. There is scarce literature on return to play among athletes. The most recent studies on high-performance athletes are on National Football League (NFL) players. These studies showed that 84–94% of NFL players returned to play at least one game after distal biceps repair. Compared to matched control groups, there was no difference in the player’s performance after surgery. Summary Anatomic repair of DBTR results in excellent outcomes, high return to work, and high rate of return to play among athletes. When compared to matched control groups, NFL players have the performance score and play the same number of games after surgery.

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“…29 Patients are able to return to work between 3 and 4 months after surgical repair. 30 A feasibility study on cadavers using endoscopic technique for biceps repair was reported using three portals (parabiceps, midbiceps and distal anterior) and suture anchors for footprint fixation 31 but clinical studies are lacking.…”

Section: Operative Treatmentmentioning

confidence: 99%

Distal biceps rupture: Evaluation and management

Vishwanathan

Soni

2021

Journal of Clinical Orthopaedics and Trauma

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Injury to the distal biceps occurs in certain high risk groups. Anatomical continuity of the lacertus fibrosus has bearing on the extent of retraction of the torn tendon stump. The objective of clinical and imaging evaluation is to discriminate between tendinosis, partial tear, acute complete tear and chronic complete tear. A complete tear of the distal biceps tendon can be diagnosed clinically with the Hook test. The traditional Hook test and the resisted Hook test are useful clinical tests. Though x-rays are routinely done, MRI remains the investigation of choice. Non-operative treatment has a role in selected patients with partial tear or patients with complete tear who have low functional demands. Operative treatment is the recommended treatment for complete tear of the distal biceps and is associated with good functional outcome and patient satisfaction.

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Return to work following a distal biceps repair: a systematic review of the literature

Cited by 19 publications

References 54 publications

Rotura aguda de bíceps distal: reparación mediante abordaje único anterior y dispositivo de anclaje cortical

Rotura aguda de bíceps distal: reparación mediante abordaje único anterior y dispositivo de anclaje cortical

Return to Play After Distal Biceps Tendon Repair

Distal biceps rupture: Evaluation and management

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