Distal biceps brachii tendon avulsion

Louis, Dean S.; Hankin, Fred M.; Eckenrode, James F.; Smith, Patrick A.; Wojtys, Edward M.

doi:10.1177/036354658601400310

Cited by 69 publications

(11 citation statements)

References 14 publications

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“…Complete avulsion of the distal attachment of the biceps brachii from the radial tuberosity is most common [3]. In this setting, current literature supports acutely repairing the distal biceps tendon to the radial tuberosity in order to optimally restore elbow and forearm function [4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

One- versus Two-Incision Technique for Distal Biceps Tendon Repair

Johnson

Shindle

et al. 2008

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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There are several techniques that have been described for distal biceps tendon repair but there is still controversy regarding the optimal technique. Our hypothesis is that the single-incision technique will have a similar complication rate and functionally equivalent restoration of function compared with the two-incision approach. A retrospective review of consecutive biceps tendon repairs was performed at one institution over a 5-year period. Thirty-six patients met the inclusion criteria and 26 were available for follow-up including subjective assessment, physical examination, and strength testing. Patients were divided into two groups based on the surgical approach utilized: 12 patients underwent single-incision repair and 14 had a two-incision repair. The average follow-up was 33 months (minimum 13; maximum 75). There were no statistically significant differences in regards to flexion strength or endurance, supination strength or endurance, or complication rates between the two techniques. In conclusion, both surgical techniques led to adequate restoration of strength with a low complication rate. Both techniques are safe to perform and should be guided by surgeon comfort with the approach.

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Section: Introductionmentioning

confidence: 99%

One- versus Two-Incision Technique for Distal Biceps Tendon Repair

Johnson

Shindle

et al. 2008

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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“…soft tissue due to the difficult exposure in a limited space risking in addition damage to the radial nerve [14,17,20,22]. Reattachment into the tuberosity using two incisions limits the risk of damage to the radial nerve; it can, however, lead to localized ossifications and a radioulnar synostosis [12,21].…”

Section: Kontraindikationenmentioning

confidence: 99%

“…Distal biceps tendon rupture · Tendon reattachment to radial tuberosity · Two-incision technique Die Sehnenrefixation in der Tuberositas radii über eine einzige beugeseitige Inzision traumatisiert das umliegende Weichgewebe durch den relativ hohen präparatorischen Aufwand auf engstem Raum mehr und gefährdet dabei auch den Nervus radialis stärker [14,17,20,22].…”

Section: Introductionunclassified

Distale Bizepssehnenruptur und Refixation der Sehne �ber zwei Zug�nge

Wirth

Bohnsack

2003

Operative Orthop�die und Traumatologie

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“…Hier ist ein ausgedehnter Zugang von ventral (erster Kanal) [21] und, in Abhängigkeit von der Fixiertechnik, eine zusätzlicher Zugang von dorsoradial (zweiter Kanal) [22] erforderlich. Die Fixierung selbst erfolgt durch Knochennähte, mittels Durchzug der Sehne durch einen Knochenkanal oder in neuerer Zeit über Ankerhaken [4,20,25] und transossäre Plattenfixierung (Endobutton) [2].…”

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Technik der gedeckten Refixierung der distalen Bizepssehne

2002

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From May 1999 to November 2001 an anatomical attachment of a ruptured distal biceps tendon to the radial tuberosity was performed through a limited anterior approach in 8 male patients with an age of 37 to 47 years. Through a small incision in the cubital fossa (3-4 cm) the remaining synovial sheet of the biceps tendon was followed to insert absorbable anchor hooks into the radial tuberosity. The distal biceps tendon then was anatomically reattached. Instruments for arthroscopic Bankart-repair were used. There were no specific complications like neurovascular damage or significant functional impairment. The contour of the biceps muscle was restored in all cases. 3 out of 7 patients developed mild heterotopic ossifications without functional deficits. In our experience the presented technique is a possible minimal invasive procedure of distal biceps tendon repair without major complications and with good functional results.

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Distal biceps brachii tendon avulsion

Cited by 69 publications

References 14 publications

One- versus Two-Incision Technique for Distal Biceps Tendon Repair

One- versus Two-Incision Technique for Distal Biceps Tendon Repair

Distale Bizepssehnenruptur und Refixation der Sehne �ber zwei Zug�nge

Technik der gedeckten Refixierung der distalen Bizepssehne

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