Re-rupture rate of primarily repaired distal biceps tendon injuries

Hinchey, John W.; Aronowitz, Jessica; Sánchez-Sotelo, Joaquín; Morrey, B.F.

doi:10.1016/j.jse.2014.02.006

Cited by 65 publications

(39 citation statements)

References 21 publications

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“…In general, the re-rupture rate in the double-incision technique is low (1.5%), provided there is adequate rehabilitation and compliance by the patient. 28 The recurrence rate for the single-incision technique is also low. 2 …”

Section: Treatment Of Tendon Tearsmentioning

confidence: 98%

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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Section: Treatment Of Tendon Tearsmentioning

confidence: 98%

Distal biceps tendon injuries

2016

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“…Hinchey et al 65 found an incidence of 1.5% when reviewing 190 distal biceps repairs. Hinchey et al 65 found an incidence of 1.5% when reviewing 190 distal biceps repairs.…”

Section: Complicationsmentioning

confidence: 99%

An update on distal biceps tendon ruptures

Chebli¹

2015

Current Orthopaedic Practice

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The incidence of distal biceps ruptures is 1.2/100,000 people per year. It is most commonly seen in men 40--60 yr old involving their dominant arm. The mechanism of injury is the application of an eccentric load to the elbow region. Some report a preceding tendinitis, which speaks to the degenerative changes and decrease in vascularity as contributing factors to the tendon rupture. Nonoperative treatment is an option. However, most younger, healthy, and active patients benefit from early surgical management to regain supination and flexion strength. Chronic and retracted tears also may benefit from surgical fixation. Many new techniques have been described and studied recently. However, they present a different set of challenges to the treating surgeon. With this influx of operative techniques and further study of accepted techniques, new light has been shed on the outcomes and complication profiles of distal biceps tendon repairs. The postoperative course of these repairs also has changed to early motion and earlier return to full activity with increased confidence in fixation techniques.

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“…Endobutton fixation causes the tunnel to decrease in size and, finally, disappear (Figure ). On the contrary, fixation by bioabsorbable screws may lead to an increase in the caliber of the bone tunnel over time . Although no significant correlation between bone tunnel volume and functional outcome has been established, severe foreign body osteolysis may be observed around such screws, which requires surgical revision …”

Section: Normal Imaging Appearance Of the Postoperative Dbbtmentioning

confidence: 99%

“…Their frequency varies according to the surgical procedure performed. For example, tendon rerupture is more frequent with procedures involving anchors or transosseous screws; lateral antebrachial cutaneous nerve lesions are more frequent when a single anterior incision is made; posterior interosseous nerve lesions are more frequent in techniques involving the Endobutton; and heterotopic ossification is more frequent for a double‐incision technique …”

Section: Imaging Appearance Of Surgical Complicationsmentioning

confidence: 99%