The Effect of Repair of the Lacertus Fibrosus on Distal Biceps Tendon Repairs

Landa, Joshua; Bhandari, Sachin; Strauss, Eric J.; Walker, Peter S.; Meislin, Robert J.

doi:10.1177/0363546508324694

Cited by 37 publications

(29 citation statements)

References 24 publications

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“…Nerve complications were avoided. Consistent with the literature [8][9][10][11][12], which shows no differences in the use of allogeneic versus autologous grafts, ultrasonography and also MRI showed normal healing of the allogeneic graft in our case. The postoperative result after 3 months tallies with the results reported in the literature with evidence of full mobility and no subjective deficit in power.…”

Section: Discussionsupporting

confidence: 92%

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Surgical Reconstruction Options in Chronic Distal Biceps Tendon Ruptures – Case Report and Literature Review

et al. 2019

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Introduction Chronic distal biceps tendon ruptures are rare and conservative or operative treatment options are suitable. There is a consensus in the literature in case of acute traumatic ruptures the operative refixation should be preferred. Disagreement exists in the best way of care of old ruptures (> 4 weeks) of distal biceps tendon. Several kinds of refixation possibilities up to tendon grafts are described. Aim of this publication is showing an overview of the literature of the approved methods in reconstruction of the distal biceps tendon using autogenous and allogenic grafts, comparing the outcomes and transferring them on an own case. Material and Methods A literature research was carried out using the online medical database “PubMed” with the following keywords “chronic rupture distal biceps tendon, surgical techniques”. 59 citations were found concerning the topic, 37 publications were relevant for this work. Results There is consensus that even in chronic ruptures the operative management of the distal biceps tendon generates the best results. Consistently the experiences and results of only little patient collectives are reported. Numerous techniques of surgery are described without predominance of one method. Reinsertions of the tendon butts are reported in different techniques: with achilles, palmaris longus, fascia lata, triceps, quadriceps and semitendinosus tendon grafts. All together they showed postoperative satisfactory results. Conclusion With surgical treatment of chronic ruptured distal biceps tendons comparable outcomes can be achieved by primary refixation and graft augmentations. In case of graft augmentations several tissue options are available which showed in all cases satisfactory functional results in the end.

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Section: Discussionsupporting

confidence: 92%

“…Using fresh-frozen comparison groups, Landa et al [11] studied biomechanically the additional augmentation of the reattached distal biceps tendon with the lacertus fibrosus compared with a group without augmentation. They showed that the tear strength was greater in the augmentation group although there was no difference in stiffness.…”

Section: Resultsmentioning

confidence: 99%

Surgical Reconstruction Options in Chronic Distal Biceps Tendon Ruptures – Case Report and Literature Review

et al. 2019

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“…Si se encuentra indemne, puede minimizar la retracción del tendón, ayudando a estabilizar la porción corta y limitar el déficit funcional en pacientes de baja demanda funcional (8) . La necesidad de repararlo cuando se produce una rotura asociada con la del tendón es muy controvertida y pocos autores la recomiendan por el potencial de producir un compromiso de las estructuras neurovasculares que discurren dorsalmente (16) . En los casos de roturas crónicas con lesión asociada del lacerto parece que permite una mayor retracción del tendón del bíceps y es más probable tener que recurrir al uso de injertos tendinosos (17,18) .…”

Section: Anatomía Y Conceptos Biomecánicos Del Tendón Y La Tuberosidaunclassified

Reinserción del tendón distal del bíceps

Laakso¹

2018

REACA

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RESUMEN Objetivo: el desarrollo de nuevos conocimientos y nuevos implantes ha renovado el interés por la reparación quirúrgica del bíceps distal. El presente capítulo repasa los aspectos más relevantes de la reinserción quirúrgica del tendón distal del bíceps. Métodos: se ha realizado una revisión de bibliografía reciente y relevante sobre aspectos básicos de la lesión y su reparación quirúrgica. Resultados: la reparación quirúrgica del tendón es un procedimiento eficaz con una recuperación de una movilidad funcional y una vuelta a la actividad laboral en la mayor parte de los casos. Algunos pacientes pueden sufrir una limitación de la supinación y una limitación leve de la fuerza. La tasa de rerrotura es menor del 2% y la tasa de complicaciones es del 20%, siendo las lesiones del nervio cutáneo antebraquial cutáneo lateral en el abordaje anterior y la osificación heterotópica en la doble incisión las más frecuentes. Conclusión: la reparación quirúrgica del tendón es una técnica eficaz pero no exenta de complicaciones. La atención a algunos detalles técnicos intraoperatorios puede ayudar a reducir el índice de complicaciones.

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“…2 The need to preserve an intact lacertus fibrosus or even repair the lacertus at the time of surgery is very controversial. 14 If the lacertus fibrosus is repaired, it should be done in forearm pronation and extension to minimise the risk of impingement on adjacent neurovascular structures. 7,15 If the lacertus fibrosus is intact in a chronic tear, it usually prevents the proximal migration of the tendon, and may make tendon repair easier.…”

Section: Relevant Anatomymentioning

confidence: 99%

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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The Effect of Repair of the Lacertus Fibrosus on Distal Biceps Tendon Repairs

Cited by 37 publications

References 24 publications

Surgical Reconstruction Options in Chronic Distal Biceps Tendon Ruptures – Case Report and Literature Review

Surgical Reconstruction Options in Chronic Distal Biceps Tendon Ruptures – Case Report and Literature Review

Reinserción del tendón distal del bíceps

Distal biceps tendon injuries

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