The intramedullary Endobutton® technique: the outcome of repair of acute distal biceps rupture

Arbuthnot, J; Deans, Victoria M.; Morgan, David M. L.; Colville, James; Sloan, Roger; Selvey, David M.

doi:10.1007/s00590-008-0403-9

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…These results were in contrast to those in the present study, which indicated bone tunnel and cortical button fixation to have lower complication rates compared with the other methods. Although the present study included only a small percentage of patients treated with intramedullary cortical buttons for fixation 24,26,28 , no complications occurred in any of those patients.…”

Section: Discussionmentioning

confidence: 89%

“…Surgical repair is performed with use of either a one-incision approach, originally described by Dobbie 3 , or a two-incision approach, described by Boyd and Anderson 4 . Multiple fixation methods have been developed, including bone tunnels [5][6][7][8][9][10][11][12][13][14][15][16] , suture anchors 2,5,7,9,11,15,[17][18][19][20][21][22] , intraosseous (biotenodesis) screws 5,16,23 , and suspensory cortical buttons 16,[24][25][26][27][28] . The complications of this procedure include lateral antebrachial cutaneous nerve injury, radial sensory nerve injury, superficial infection, deep infection, heterotopic ossification, posterior interosseous nerve palsy, radioulnar synostosis, limited elbow motion, and tendon rerupture 29 .…”

mentioning

confidence: 99%

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Repair Techniques for Acute Distal Biceps Tendon Ruptures

Watson¹,

Moretti²,

Schwindel³

et al. 2014

The Journal of Bone and Joint Surgery-American Volume

139

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Section: Discussionmentioning

confidence: 89%

mentioning

confidence: 99%

Repair Techniques for Acute Distal Biceps Tendon Ruptures

Watson¹,

Moretti²,

Schwindel³

et al. 2014

The Journal of Bone and Joint Surgery-American Volume

139

View full text Add to dashboard Cite

show abstract

“… 5 , 8 , 18 No tendon reruptures or reoperations at the surgical site were observed in our cohort, in line with rates reported in previous case series of 0% to 5%. 2 , 13 , 14 , 23 …”

Section: Discussionmentioning

confidence: 99%

“…Secondary outcome analysis in some series included functional outcome scores, such as the DASH and Mayo Elbow Performance Score; however, we are not aware of literature that reports associations between mental health and outcomes after distal biceps repair. 2 , 13 , 14 , 23 While the body of evidence supporting the connection between mental health and postoperative outcomes is growing, literature assessing mental health interventions and surgical outcomes is still sparse. An ongoing randomized controlled trial is assessing the use of a patient telephone support program in total knee arthroplasty outcomes; however, results have not yet been published.…”

Section: Discussionmentioning

confidence: 99%

Low mental health scores are associated with worse patient-reported outcomes and difficulty with return to work and sport after distal biceps repair

et al. 2021

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Background Most patients have successful outcomes with minimal limitations after distal biceps repair, but a minority continues experiencing functional constraints. We hypothesize that low scores on a validated mental health measure correlate with worse patient-reported outcomes and increased difficulty with return to work and sport. Methods We conducted a retrospective review of a consecutive series of patients who underwent distal biceps repair with a single-incision cortical button technique and immediate mobilization. Patient-reported outcome data were available at 1 year or later for 33 (85%) patients. The primary outcomes were American Shoulder and Elbow Surgeons-Elbow (ASES-E) score, Single Assessment Numeric Evaluation score, Visual Analog Scale for pain, Disabilities of the Arm, Shoulder and Hand Score (QuickDASH), and Veterans RAND 12 (VR-12) quality-of-life assessment. Results All patients were male, with a median age of 49 years (range, 28-65). None had reruptures, and 1 (3%) had superficial wound dehiscence that healed without further surgery. Eleven (33%) had postoperative neuropraxia, 6 of which resolved completely. At latest follow-up, the median Visual Analog Scale was 0 (range, 0-5; mean, 1), and median ASES-E functional score was 36 (range, 24-36; mean, 34). Median Single Assessment Numeric Evaluation score was 92 (range, 41-100). The median QuickDASH was 5 (range, 0-50; mean, 11). More than half of the patients with VR-12 mental component score (MCS) < 50 (5 of 9, 56%) reported difficulty with work activities, compared with 4% (1 of 24) of patients with an MCS ≥ 50 ( P = .001). Most patients (8 of 9, 89%) with an MCS < 50 also reported difficulty with return to sporting activities, compared with only 8% (2 of 24) of patients with MCS ≥ 50 ( P < .0001). Patients with an MCS < 50 (n = 9) had significantly worse ASES-E functional scores (median, 34; range, 27-36) and QuickDASH scores (median 23, range 0-43), compared with those with an MCS ≥ 50 (ASES-E: median, 36; range, 24-36; P = .033; QuickDASH: median, 2; range, 0-50; P = .026). Most patients (17 of 24, 71%) with MCS ≥ 50 had a perfect score of 36 on the ASES-E functional outcome score, compared with only 22% (2 of 9) among patients with MCS < 50. Conclusion Patients who undergo distal biceps repair show excellent functional patient-reported outcomes at 1-year and later follow-up. Lower scores on the VR-12 MCS are associated with worse patient-reported outcome scores and difficulty with return to work and sporting activities.

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