Late repair of simultaneous bilateral distal biceps brachii tendon avulsion with fascia lata graft.

Bayat, Allan; Neumann, Lars; Wallace, W. Angus

doi:10.1136/bjsm.33.4.281

Cited by 33 publications

(18 citation statements)

References 11 publications

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“…The current literature reflects good functional outcome with numerous different graft sources. 13,16,17,19,[22][23][24][25] But, further research is needed to determine the optimal treatment for reconstruction of chronic distal bicep tendon ruptures. …”

Section: Resultsmentioning

confidence: 98%

Operative Treatment of Chronic Distal Biceps Tendon Ruptures

Hamer

Caputo

2008

Sports Medicine and Arthroscopy Review

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Chronic biceps tendon ruptures typically involve tendon retraction, scarring, and even compromised tissue. Indirect repair, such as tenodesis to the brachialis, does not provide optimal functional recovery. Chronic biceps tendon ruptures can be reconstructed with autogenous grafts (semitendinosis, tensor fascia lata) or allografts (typically Achilles tendon). The complications associated with these grafts include harvest site morbidity and graft incorporation. Using a vascularized local soft tissue source could minimize complications of graft reconstructions. The authors provide a novel reconstructive technique, reconstruction using the lacertus fibrosis, as a local graft source for chronic distal biceps tendon ruptures.

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Section: Resultsmentioning

confidence: 98%

Operative Treatment of Chronic Distal Biceps Tendon Ruptures

Hamer

Caputo

2008

Sports Medicine and Arthroscopy Review

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“…Bayat et al reported the case of a 50-year-old rock climber sustaining bilateral injuries while climbing, who presented for surgical treatment two years after the injury [2]. He went on to have tendon reconstructions with ipsilateral fascia lata grafts on the right and left, staged six months apart.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous bilateral distal biceps tendon ruptures repaired using an endobutton technique: a case report

2013

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IntroductionThe simultaneous rupture of both distal biceps tendons is a rare clinical entity that is difficult to treat and can have poor outcomes. A variety of treatment and rehabilitation options exist and have been reported for single sided and staged bilateral repairs, but none have described an approach for acute bilateral ruptures. Repairing distal biceps tendon ruptures using a single anterior incision and a cortical suspensory button technique has become increasingly popular in recent years. We present a report of our surgical approach using an endobutton technique and rehabilitation algorithm for this unusual injury pattern.Case presentationA 43-year-old Caucasian man presented with acute onset bilateral elbow pain while lifting a large sheet of drywall off the ground. He initially felt a ‘pop’ on the right and almost immediately felt another on the left after having to quickly shift the weight. He was unable to continue working and sought medical attention. His pain was predominantly in his bilateral antecubital fossae and he had significant swelling and ecchymoses. His clinical examination demonstrated no palpable tendon, a retracted biceps muscle belly, and clear supination weakness. Magnetic resonance imaging was performed and showed bilateral distal biceps tendon ruptures with retraction on both sides. After discussion with our patient, we decided that both sides would be repaired using a single anterior incision with endobutton fixation, first his right followed by his left six weeks later.ConclusionOverall, our patient did very well and had returned to full manual work by our last follow-up at 30 months. Although he was never able to return to competitive recreational hockey and was left with mild lateral antebrachial cutaneous nerve dysesthesias on his right, he felt he was at 85% of his premorbid level of function. We describe what we believe to be, to the best of our knowledge, the first case of simultaneous bilateral distal biceps tendon ruptures successfully treated with a single-incision endobutton technique, which represents a valid option in managing this difficult problem.

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“…However, if the correct diagnosis is delayed, the distal biceps tendon retracts and repairs without interposition grafting may be impossible. Various autologous substances have been used, including fascia lata [5,10], semitendinosus [2,8,9,26], flexor carpi radialis [14,22], and palmaris longus [20]. Allografts also have been used [6,18,21,27].…”

Section: Discussionmentioning

confidence: 99%

A Simple Grafting Method to Repair Irreparable Distal Biceps Tendon

Vastamäki

2008

Clinical Orthopaedics &Amp; Related Research

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Irreparable distal biceps tendon tears typically are treated using a free tendon graft. We asked whether our new method to fix the graft-using two suture anchorsyields similar results to our previous bone canal method. We compared the two methods for strength, endurance, and clinical findings. There were two groups, the suture anchor group (Group A, seven patients) and the bone canal group operated on before suture anchors (Group B, seven patients). The patients were males with a mean age at surgery of 44.9 years. The operative delay from primary trauma to index surgery averaged 5.9 months. The minimum followup was 2 years (mean, 11.1 years; range, 2-23 years). The mean arc of elbow motion was 0°to 132°, pronation 83°, and supination 80°. Compared with the contralateral side, the maximal peak torque was 84% in supination and 91% in pronation, and the maximal static elbow flexion strength was 94%. The Mayo elbow score averaged 99 in Group A and 100 in Group B. There were no major differences between the two groups. Our novel modification to fix a tendon graft yields equal clinical outcomes compared with the bone canal method for treatment of irreparable distal biceps tendon injuries.

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Late repair of simultaneous bilateral distal biceps brachii tendon avulsion with fascia lata graft.

Cited by 33 publications

References 11 publications

Operative Treatment of Chronic Distal Biceps Tendon Ruptures

Operative Treatment of Chronic Distal Biceps Tendon Ruptures

Simultaneous bilateral distal biceps tendon ruptures repaired using an endobutton technique: a case report

A Simple Grafting Method to Repair Irreparable Distal Biceps Tendon

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