Single and dual incision technique for acute distal biceps rupture: clinical and functional outcomes

Abstract

SummaryBackground: Distal bicep tendon injuries are a traumatic event though rather rare. The pathogenesis is not entirely clear. The most common cause for injury is an unexpected load on the biceps when the elbow is in an extended position. Although several studies have provided insight into the pathogenetic processes of the lesion, the literature suggests to treat all injuries surgically (whether partial or total) if there is high functional demand. Methods: Between January 2006 and March 2016 were studied 20 patients surgically treated for a disconnected distal bicep, 15 with a total lesion and 5 with a partial lesion. The patients were divided into 2 groups. Surgical access with single incision was performed on 13 patients while a double surgical access was performed on 7 patients. The clinical and functional results were studied using an Ewald System Score (ESS). Results: In both groups, the most rapid improvement was achieved for the parameters of pain and deformity with excellent results, while those of function and movement were normalized as gradual and progressive over next 2 months. Conclusion: The clinical and functional outcomes during the follow-up examination after surgery showed excellent results in patients treated with both types of surgical procedures.

Clinical evidence of traditional vs fast track recovery methodologies after total arthroplasty for osteoarthritic knee treatment. A retrospective observational study

“…All these benefits improve the treatment management of the patients and increase their satisfaction. In our program the patient education is fundamental to better help patients under- stand the run protocol of the study 39,40 . They play the main role in the recovery process thanks to the knowledge of the different steps of the rehabilitation program.…”

Morphological variants of nerve to gastrocnemius muscle, an anatomical guide to perform surgical dissection

“…The data analysis was performed by using SPSS version 13.0 (SPSS Inc., Chicago, IL, USA). Chi-square test was applied to evaluate the association between branching pattern of nerves and size of the heads at the musculotendinous junction, and p-value less than 0.05 was considered as statistically significant, as previously described (14). LG, lateral head of gastrocnemius; type 1, both nerves originating at same level; type 2a, nerve to MG arising at a higher level than nerve to LG; type 2b, nerve to MG arising at a lower level than nerve to LG; 1, nerve to MG; 2-nerve to LG; 3, tibial nerve).…”

Clinical evidence of traditional vs fast track recovery methodologies after total arthroplasty for osteoarthritic knee treatment. A retrospective observational study

“…All these benefits improve the treatment management of the patients and increase their satisfaction. In our program the patient education is fundamental to better help patients under- © C I C E d i z i o n i I n t e r n a z i o n a l i stand the run protocol of the study 39,40 . They play the main role in the recovery process thanks to the knowledge of the different steps of the rehabilitation program.…”