Anatomic repair of the distal biceps tendon cannot be consistently performed through a classic single-incision suture anchor technique

Hansen, Gregory; Smith, Andrew; Pollock, J. Whitcomb; Werier, Joel; Nairn, Robert; Rakhra, Kawan; Benoît, Daniel; Papp, Steven

doi:10.1016/j.jse.2014.06.051

Cited by 54 publications

(36 citation statements)

References 36 publications

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“…33 Finally, recent studies have demonstrated that, using a single anterior incision, the biceps tendon cannot be reliably repaired to the anatomic insertion. 5,22,32 Biomechanical studies have confirmed that nonanatomic placement of the biceps tendon on the insertion can have a measurable impact on supination strength, especially from neutral forearm rotation to full supination. 5,17,18 The 2-incision technique, in contrast, allows excellent access to the most ulnar aspect of the biceps tuberosity, facilitating a more anatomic repair.…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies have demonstrated that anatomic repair is not consistently possible using a single anterior incision. 22 Even in full supination, it is challenging to re-create the ulnar position of the anatomic biceps tendon on the tuberosity through a single anterior incision approach. This is especially true given the importance of also aiming ulnar with the trajectory of the guide pin for cortical button repair.…”

Section: E4mentioning

confidence: 99%

See 1 more Smart Citation

Use of a Bicortical Button to Safely Repair the Distal Biceps in a Two-Incision Approach: A Cadaveric Analysis

Barlow

McNeilan

Speeckaert

et al. 2017

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 99%

Section: E4mentioning

confidence: 99%

Use of a Bicortical Button to Safely Repair the Distal Biceps in a Two-Incision Approach: A Cadaveric Analysis

Barlow

McNeilan

Speeckaert

et al. 2017

The Journal of Hand Surgery

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“…Existe variabilidad en la retroversión de la tuberosidad y es complicado estar localizado anatómicamente con las técnicas más habituales desde un abordaje anterior (52) . Habitualmente, la colocación de los implantes se encuentra en mayor anteversión a la huella anatómica y, en los casos en los que se realiza un fresado para la colocación de un tornillo interferencial, el riesgo de fractura obliga a centrarse en el radio.…”

Section: Técnica De Incisión Anterior úNicaunclassified

Reinserción del tendón distal del bíceps

Laakso¹

2018

REACA

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RESUMEN Objetivo: el desarrollo de nuevos conocimientos y nuevos implantes ha renovado el interés por la reparación quirúrgica del bíceps distal. El presente capítulo repasa los aspectos más relevantes de la reinserción quirúrgica del tendón distal del bíceps. Métodos: se ha realizado una revisión de bibliografía reciente y relevante sobre aspectos básicos de la lesión y su reparación quirúrgica. Resultados: la reparación quirúrgica del tendón es un procedimiento eficaz con una recuperación de una movilidad funcional y una vuelta a la actividad laboral en la mayor parte de los casos. Algunos pacientes pueden sufrir una limitación de la supinación y una limitación leve de la fuerza. La tasa de rerrotura es menor del 2% y la tasa de complicaciones es del 20%, siendo las lesiones del nervio cutáneo antebraquial cutáneo lateral en el abordaje anterior y la osificación heterotópica en la doble incisión las más frecuentes. Conclusión: la reparación quirúrgica del tendón es una técnica eficaz pero no exenta de complicaciones. La atención a algunos detalles técnicos intraoperatorios puede ayudar a reducir el índice de complicaciones.

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“…23 Biomechanical evidence suggests that a non-anatomic DBT position may affect supination strength. 24 The DBT may lose the cam effect and decrease the ability to generate full supination torque, particularly if the forearm is in neutral rotation or supination.…”

Section: Treatment Of Tendon Tearsmentioning

confidence: 99%

Distal biceps tendon injuries

2016

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Distal biceps tendon (DBT) conditions comprise a spectrum of disorders including bicipitoradial bursitis, partial tears, acute and chronic complete tears.In low-demand patients with complete DBT tears, non-operative treatment may be entertained provided the patient understands the potential for residual weakness, particularly in forearm supination.Most acute tears are best treated by primary repair using either single-incision or double-incision techniques with good clinical outcomes.Single-incision techniques may carry a higher risk of nerve-related complications, whereas double-incision techniques have historically been considered to carry a higher risk of heterotopic ossification, particularly if the ulna is exposed.Various fixation techniques, including bone tunnels, cortical buttons, suture anchors, interference screws or a combination seem to provide different fixation strength but similar clinical outcomes.Some chronic tears may be repaired primarily, provided tendon tissue can be identified; alternatively, autograft or allograft reconstruction can be considered, and good outcomes have been reported with both techniques.Cite this article: Alentorn-Geli E, Assenmacher AT, Sanchez-Sotelo J. Distal biceps tendon injuries: a clinically relevant current concepts review. EFORT Open Rev 2016;1:316-324. DOI: 10.1302/2058-5241.1.000053.

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Anatomic repair of the distal biceps tendon cannot be consistently performed through a classic single-incision suture anchor technique

Cited by 54 publications

References 36 publications

Use of a Bicortical Button to Safely Repair the Distal Biceps in a Two-Incision Approach: A Cadaveric Analysis

Use of a Bicortical Button to Safely Repair the Distal Biceps in a Two-Incision Approach: A Cadaveric Analysis

Reinserción del tendón distal del bíceps

Distal biceps tendon injuries

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