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

Abstract

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.

Reconstrução do tendão distal do bíceps braquial com enxerto de tríceps: relato de caso

“…Auto e aloenxertos foram descritos como possíveis áreas doadoras, entre elas: semitendíneo, tibial anterior, fáscia lata e palmar longo. 11,12,13 As primeiras técnicas de reinserção anatômica utilizavam uma incisão anterior que requeria uma dissecção extensa ao redor da tuberosidade bicipital de modo a permitir a passagem das suturas, o que resultava em paralisia do ramo profundo do nervo radial. Em 1961, Boyd e Anderson 13 descreveram a técnica utilizando dupla incisão, diminuindo a dissecção necessária e o risco de lesão neurovascular.…”