SPONTANEOUS DISTAL BICEPS TENDON RUPTURES: ARE THEY RELATED TO STATIN ADMINISTRATION?

Hand Surgery ◽  
2012 ◽  
Vol 17 (02) ◽  
pp. 167-171 ◽  
Author(s):  
Christiana Savvidou ◽  
Rodrigo Moreno
Keyword(s):  
Tendon Rupture ◽  
Biceps Tendon ◽  
Mechanism Of Injury ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Distal Biceps Tendon Rupture ◽  
Biceps Tendon Rupture ◽  
Tendon Ruptures ◽  
Group 2 ◽  
Group 1

The purpose of this study is to identify a possible correlation between statin administration and incidence of spontaneous distal biceps tendon ruptures. We retrospectively reviewed 104 patients with distal biceps tendon rupture that were treated surgically from 2004 to 2010, 102 males and two females with mean age 47 years (range, 22–78). Patients were divided based on the mechanism of injury and statin administration. After statistical analysis, it was found nearly two times more likely to have spontaneous distal biceps tendon rupture with use of statins. Patients in Group 1 (spontaneous tendon rupture) compared to Group 2 (provoked tendon rupture) were older, had weaker postoperative strength but similar postoperative ROM. Patients taking statins compared to those that were not taking statins were older, had same postoperative strength and similar postoperative ROM. Based on the results of our study we conclude that there is a trend of association of spontaneous distal biceps tendon ruptures with statin administration.

scholarly journals The Size of the Radial Tuberosity is Not Related to the Occurrence of Distal Biceps Tendon Ruptures: A Case-Control Study

2016 ◽  
Vol 10 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Izaäk F. Kodde ◽  
Michel P.J. van den Bekerom ◽  
Paul G.H. Mulder ◽  
Denise Eygendaal
Keyword(s):  
Tendon Rupture ◽  
Biceps Tendon ◽  
Maximum Diameter ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Distal Biceps Tendon Rupture ◽  
Biceps Tendon Rupture ◽  
Tendon Ruptures ◽  
The Mean ◽  
Radial Tuberosity

Introduction: Hypertrophic changes at the radial tuberosity have traditionally been related to distal biceps tendon degeneration and rupture. From supination to pronation of the forearm, the space available for the distal biceps tendon between de lateral ulna and radial bicipital tuberosity (RBT) decreases by almost 50%. A hypertrophic change at the radial tuberosity further reduces this space with impingement of the distal biceps tendon as a result. The purpose of this study was to evaluate whether the size of the RBT plays a role in the pathophysiology of distal biceps tendon ruptures. Materials and Methods: Twenty-two consecutive patients with a surgically proven distal biceps tendon rupture were matched to controls, in a 1:1 ratio. The size of the RBT was expressed as a ratio of the maximum diameter of the radius at the RBT to the diameter of the diaphysis just distal to the RBT (RD ratio), measured on standard radiographs of the elbow. The RD ratio of patients and matched controls were compared. Results: The mean RD ratio in control group was 1.25 and not significantly different from the mean 1.30 in the group of patients with a distal biceps tendon rupture. Each 0.1 point increase in RD ratio results in an estimated 60% increase of the rupture odds, which was not significant either. Conclusion: Based on the RD ratio on conventional radiographs of the elbow, there was no significant difference in RBT size between patients with a distal biceps tendon rupture and matched controls without biceps tendon pathology.

scholarly journals Gouty Tenosynovitis of the Distal Biceps Tendon Insertion Complicated by Partial Rupture

Hand ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. NP1-NP5 ◽  
Author(s):  
Rick J. Fairhurst ◽  
Arnold M. Schwartz ◽  
Leo M. Rozmaryn
Keyword(s):  
Tendon Rupture ◽  
Biceps Tendon ◽  
Partial Rupture ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
First Case ◽  
Biceps Tendon Rupture ◽  
History Of ◽  
Tendon Ruptures ◽  
Tendon Insertion

Background: Given the appreciable prevalence of gout, gout-induced tendon ruptures in the upper extremity are extremely rare. Although these events have been reported only 5 times in the literature, all in patients with a risk factor for or history of gout, they have conspicuously never been diagnosed in the shoulder or elbow. Methods: A 45-year-old, right-hand-dominant man with a history of gout presented with pain in his right anterior elbow and weakness in his forearm after a trivial injury. Results: Here, we report the first case of gouty tenosynovitis of the distal biceps tendon insertion complicated by partial rupture, a composite diagnosis supported by both intraoperative and histological observations. Conclusions: In patients who are clinically diagnosed with biceps tendon rupture and have a history of gout, it is important to consider the possibility of a gout-related pathological manifestation causing or simulating tendon rupture.

Distal biceps tendon rupture

2004 ◽  
Vol 14 (3) ◽  
Author(s):  
OlgaD. Savvidou ◽  
PanayiotisJ. Papagelopoulos ◽  
AndreasF. Mavrogenis ◽  
AntoniosA. Partsinevelos ◽  
EvangelosJ. Karadimas ◽  
...  
Keyword(s):  
Tendon Rupture ◽  
Biceps Tendon ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Distal Biceps Tendon Rupture ◽  
Biceps Tendon Rupture

scholarly journals Acute distal biceps tendon rupture: retrospective analysis of two different approaches and fixation techniques

2021 ◽  
Author(s):  
Marco Di Stefano ◽  
Lorenzo Sensi ◽  
Leonardo di Bella ◽  
Raffaele Tucci ◽  
Efisio Bazzucchi ◽  
...  
Keyword(s):  
Tendon Rupture ◽  
Biceps Tendon ◽  
Dash Score ◽  
Complication Rates ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Distal Biceps Tendon Rupture ◽  
Biceps Tendon Rupture ◽  
Significant Difference ◽  
Flexion Extension

Abstract Purpose The aim of our study is to compare the modified double incision (DI) with bone tunnel reinsertion with the single-incision (SI) double tension slide technique in terms of clinical and functional outcomes and complication rates. Methods A retrospective comparative analysis was performed on 65 patients treated for total distal biceps tendon rupture. The surgical technique adopted for each patient was based on the preference of two experienced elbow surgeons. The DASH and MAYO questionnaires, functional outcome and ROM were recorded in all subjects. Results Of 65 patients, we collected data of a cohort of 54 distal biceps tendon ruptures that satisfied inclusion criteria. Twenty-five were treated by modified DI and 29 SI techniques. The recovery of the complete ROM in terms of flexion/extension and prono-supination occurred in the 79.6% of the patients, without statistical significant difference between the adopted technique. We reported a complication rate of 12% and 20.7% for DI and SI techniques, respectively, without statistical correlation (P = 0.84). The average DASH score was similar for DI and SI techniques without significant differences (P = 0,848). The Mayo score results were excellent in the majority of the patients. No significant difference in MAYO results was reported comparing the surgical techniques (P = 1). Conclusion Both techniques provide a reliable and strong repair with an optimal recovery of ROM returning to preinjury activity with substantially overlapping timelines.

BET 1: Best Evidence Topic Report: is the hook test sensitive enough to be used to exclude distal biceps tendon rupture?

2020 ◽  
Vol 38 (1) ◽  
pp. 78.2-79
Author(s):  
David Annison ◽  
James McVie
Keyword(s):  
Upper Limb ◽  
Tendon Rupture ◽  
Biceps Tendon ◽  
Clinical Question ◽  
Single Test ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Distal Biceps Tendon Rupture ◽  
Biceps Tendon Rupture ◽  
Study Type

A shortcut review was carried out to see whether the hook test is sensitive enough for a negative result to exclude complete distal biceps tendon rupture (DBTR) in adults. 3 papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that the hook test is moderately sensitive at detecting complete DBTR when carried out by skilled clinicians in specialist upper limb clinics. As a single test, it is not sensitive enough to be used to exclude complete DBTR.

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