Traumatic closed transection of the biceps brachii in the military parachutist.

Heckman, J D; Levine, Milton I

doi:10.2106/00004623-197860030-00019

Cited by 59 publications

(58 citation statements)

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“…Delay in presentation may result in weakness in forearm flexion and supination with fatigability and pain, despite extensive physical therapy and rehabilitation. [3][4] Significant muscle retraction and adhesions also make surgery difficult and outcomes poor. [3][4] We assessed functional and biomechanical deficits in a patient with chronic closed transection of the biceps brachii.…”

Section: Introductionmentioning

confidence: 99%

Chronic Closed Transection of the Biceps Brachii: A Case Report

Pandit

Wang

McKay³

et al. 2011

J Orthop Surg (Hong Kong)

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A 32-year-old man presented with chronic closed transection of the biceps brachii of the right arm after 30 months of conservative treatment. Magnetic resonance imaging showed atrophy of both long and short heads of the biceps brachii, with a 5-cm defect secondary to proximal and distal retraction on either side of the tear. There was a similar defect in the coracobrachialis, but the triceps brachii was normal. The self-rated overall arm status was 4 out of 10 (using a visual analogue scale). Objective functional deficit was measured using a dynamometer. Forearm flexion and supination strength of each arm at 120º/s was tested. The patient had a 34% deficit (40 vs. 61 Nm) in peak torque during forearm flexion and a 22% deficit (10 vs. 12 Nm) during forearm supination. The patient could not maintain maximal torque throughout the range of motion, with an approximately 50% deficit in the later part of the range of motion. The patient underwent reconstruction of the biceps brachii using an interposition Achilles tendon allograft.

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Section: Introductionmentioning

confidence: 99%

Chronic Closed Transection of the Biceps Brachii: A Case Report

Pandit

Wang

McKay³

et al. 2011

J Orthop Surg (Hong Kong)

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show abstract

“…In attempt to minimize problems with surgeries for muscle repair and improve healing with a viable contractile muscle formation, the employment of scaffolds has been proposed as a biological augmentation for muscle repair. There are a plenty of suture techniques, mostly described for tenorrhaphy procedures: Kessler grasping suture, modified Kessler grasping, Mason-Allen suture, Chinese finger trap, horizontal, in B8^, Bunnell suture, Nicoladoni technique and a combination of sutures [15][16][17][18][19][20] There is no consensus about which suture technique is the best. Aarimaa et al (2004) showed, in an experimental study, that volumetric muscle loss greater than 20 % cannot be biologically repaired and, consequently, result in a loss of function [21].…”

Section: Muscle Repairmentioning

confidence: 99%

Surgical treatment for muscle injuries

Ramos

Carvalho

Abdalla

et al. 2015

Curr Rev Musculoskelet Med

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Muscle injury causes functional impairment. The healing process takes time and fibrotic tissue can result. Recurrence and delayed recovery remain as unsolved problems. Surgical intervention can be a feasible alternative to avoid early and late complications associated with complete muscle tear in attempt to improve functional results. This article hopes to provide an update about surgical treatments for muscle tears in different scenarios.

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“…Injuries to the midsubstance of the muscle often result in disruption of the muscle-tendon unit, resulting in decreased functional capacity. [2][3][4][5][6][7][8][9][10] Surgical indications for repair of muscle bellies include any full or partial transection of the muscle belly which may be associated with either a weakness or loss of function in the affected muscle. However, there is no consensus regarding the optimal technique for muscle belly repair.…”

Section: Historical Perspectivementioning

confidence: 99%

Anchor Suture Technique for Muscle Belly Repair

Julien

Mudgal

2011

Techniques in Hand &Amp; Upper Extremity Surgery

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Upper extremity lacerations occur frequently. Although surgical indications for tendon repair are widely accepted, indications for repairing the midsubstance of muscles are not as clear. As the standard of care for muscle repair is absent, there are a variety of techniques available to the treating surgeon. In this study, we describe a technique used on several patients seen in our orthopedic practice. The use of orthogonally placed anchor sutures allows for more reliable suture passes and purchase in the muscle belly compared with simple end-to-end approximation. Furthermore, our technique does not introduce excessive foreign material as has been suggested by previous techniques.

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Traumatic closed transection of the biceps brachii in the military parachutist.

Cited by 59 publications

References 0 publications

Chronic Closed Transection of the Biceps Brachii: A Case Report

Chronic Closed Transection of the Biceps Brachii: A Case Report

Surgical treatment for muscle injuries

Anchor Suture Technique for Muscle Belly Repair

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