Distal biceps tendon repair: Comparison of surgical techniques

El-Hawary, Ron; MacDermid, Joy C.; Faber, Kenneth J.; Patterson, Stuart D.; King, Graham J.W.

doi:10.1053/jhsu.2003.50081

Cited by 170 publications

(115 citation statements)

References 25 publications

Supporting

Mentioning

102

Contrasting

Unclassified

Order By: Relevance

“…Unfortunately, there is only one published clinical study that directly compares the two techniques [24]. The authors of this study found a more rapid recovery in patients undergoing the twoincision technique and similar functional outcomes when comparing techniques.…”

Section: Discussionmentioning

confidence: 92%

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

Johnson

Shindle

et al. 2008

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 92%

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

Johnson

Shindle

et al. 2008

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

View full text Add to dashboard Cite

show abstract

“…The first technique described was lesion repair by means of a single anterior incision. However, reports in the literature have demonstrated complications such as injury to the radial artery, median nerve and posterior interosseous nerve (6,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(19)(20)(21) . In 1961, Boyd and Anderson (3) introduced a double-incision technique in order to minimize these risks.…”

Section: Methodsmentioning

confidence: 99%

“…In 1961, Boyd and Anderson (3) introduced a double-incision technique in order to minimize these risks. However, their technique may have the complication of proximal radioulnar synostosis (3,4,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)20,21) . More recently, Morrey et al (22) modified the original technique using a mini-double route, thereby achieving lower complication rates (13)(14)(15)20) .…”

Section: Methodsmentioning

confidence: 99%

“…Tendons with degenerative characteristics secondary to bursopathy and conditions that affect collagen metabolism may also be factors predisposing towards this type of lesion (2,(7)(8)(9)(10)(11) . The clinical condition comprises sudden acute pain in the region of the cubital fossa that persists for a few hours, followed by a less intense pain that may When proximal retraction occurs, use of grafts is indicated in order to perform tenodesis (6,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(19)(20)(21) . The grafts used generally come from the fascia lata, radial flexor of the carpus, semitendinosus or calcaneal tendon (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(19)(20)(21) .…”

Section: Introductionmentioning

confidence: 99%

“…The clinical condition comprises sudden acute pain in the region of the cubital fossa that persists for a few hours, followed by a less intense pain that may When proximal retraction occurs, use of grafts is indicated in order to perform tenodesis (6,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(19)(20)(21) . The grafts used generally come from the fascia lata, radial flexor of the carpus, semitendinosus or calcaneal tendon (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(19)(20)(21) . To assess muscle strength after the operation, measurements on the moment of force and torque at constant velocity can be made using the isokinetic test (8,16,17,20) .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Lesão do bíceps distal: avaliação funcional e dinamometria digital da sua reconstrução pela técnica da minidupla via de mayo

Júnior¹,

Filho²,

Mello³

et al. 2012

Rev. bras. ortop.

View full text Add to dashboard Cite

Objective: To evaluate the functional outcome among patients with distal biceps injuries who were operated using the Mayo mini-double route technique, with a minimum follow-up of six months after surgery, through digital isokinetic dynamometry, goniometry and subjective scores in order to establish objective and subjective improvement patterns and discuss the effectiveness of the procedure. The authors declare that there was no conflict of interest in conducting this work This article is available online in Portuguese and English at the websites: www.rbo.org.br and www.scielo.br/rbort conventional goniometry were also used. Results: Digital dynamometer showed that using the angular velocity of 30°/s with five repetitions, there was an average flexion deficit of 9.6% and an average supination deficit of -28.97%. Using an angular velocity of 120°/s with fifteen repetitions, the average flexion deficit was 4.43% and the average supination deficit was -24.1%. Conclusions: The loss of flexion followed the pattern already shown in the literature. However, in our series, there were supination strength gains, possibly due to the strict rehabilitation protocol. The technique used in this study was safe and low-cost, with few complications and good functional results.

show abstract