scholarly journals CLINICAL RESULT OF PATIENTS WITH DISTAL BICEPS TENDON RUPTURE WITH ENDOBUTTON

2021 ◽  
Vol 29 (3) ◽  
pp. 149-152
Author(s):  
JONATAS BRITO DE ALENCAR NETO ◽  
DIEGO FRADE BERNARDES ◽  
CLODOALDO JOSÉ DUARTE DE SOUZA ◽  
MARCOS ANTÔNIO SILVA GIRÃO ◽  
PEDRO HENRIQUE MESSIAS DA ROCHA ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Biceps Brachii ◽  
Biceps Tendon ◽  
Return To Sport ◽  
Return To Sports ◽  
Level Of Evidence ◽  
Distal Biceps ◽  
Biceps Tendon Rupture ◽  
Flexion Extension ◽  
Distal Tendon

ABSTRACT Objective: To evaluate the results obtained in the repair of distal biceps injury using the single-incision approach with endobutton use; complications; and ability to return to sport. Methods: 14 athletes with rupture of the distal tendon of the biceps brachii submitted to surgical repair using a single route with endobutton were evaluated. The parameters analyzed were: Mayo Elbow Performance Score (MEPS), flexion-extension range of motion and pronation-supination, and the ability to return to sports practice. Results: Most injuries were related to weightlifting (57.1%), vaquejada (35.7%) and judo (7.2%). All operated patients returned to sports activities, maintaining the elbow range of motion. Two cases faced complications due to neuropraxia (one case affecting the posterior interosseous nerve and the other the radial sensitive nerve). However, there was spontaneous resolution in 10 weeks of follow-up. One case - due to the late presentation and presence of fibrotic adhesions - evolved with a deficit of the lateral cutaneous nerve of the forearm and later with osteolysis and heterotopic ossification. Conclusion: Repair of the distal tendon of the biceps by the one-way technique is a safe method, with a low complication rate and a short rehabilitation period. Level of Evidence III, Retrospective comparative study.

scholarly journals The Role of Deadlifts in Distal Biceps Brachii Tendon Ruptures: An Alternative Mechanism Described With YouTube Videos

2021 ◽  
Vol 9 (3) ◽  
pp. 232596712199181
Author(s):  
Mehmet Kapicioglu ◽  
Emre Bilgin ◽  
Necip Guven ◽  
Anil Pulatkan ◽  
Kerem Bilsel
Keyword(s):  
Tendon Rupture ◽  
Biceps Brachii ◽  
Biceps Tendon ◽  
Alternative Mechanism ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Biceps Tendon Rupture ◽  
Significant Difference ◽  
Biceps Brachii Tendon ◽  
Youtube Videos

Background: The classic injury mechanism of a distal biceps brachii tendon rupture (DBBTR) is eccentric loading to the flexed elbow when the forearm is supinated. Purpose: To determine alternative mechanisms of a DBBTR in powerlifting sports, particularly in deadlift competitions, with the use of YouTube videos. Study Design: Descriptive epidemiology study. Methods: A search on YouTube was performed using the search terms “distal biceps tendon rupture” and “distal biceps tendon injury” combined with “competition,” “deadlift,” and “powerlifting.” The videos underwent an evaluation for accuracy by 3 surgeons according to predetermined criteria. Type of sports activity, participant sex, side of the injury, and arm positions at the time of the injury were recorded. Results: Among the videos reviewed, 35 injuries were found appropriate for an evaluation. All participants were male. The majority of the injuries (n = 25) were observed during the deadlift. Only in 1 deadlift injury were both forearms in supination. In the remaining deadlift injuries (n = 24), all elbows were in extension, with 1 forearm in supination and the other in pronation. Among the deadlift injuries in the mixed-grip position, all ruptures occurred in a supinated extremity: 25% (n = 6) of ruptures occurred on the right side, and 75% (n = 18) of ruptures occurred on the left side; this was a significant difference ( P = .014). Conclusion: We described an alternative mechanism for a DBBTR, namely, eccentric loading to an extended elbow when the forearm is supinated during the deadlift. As all the ruptures occurred in a supinated extremity, holding the bar with both forearms in pronation may prevent or decrease the risk of ruptures during the deadlift.

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.

scholarly journals POST-OPERATIVE REHABILITATION IN TRAUMATIC DISTAL BICEPS TENDON RUPTURE WITH ULNAR ARTERY INJURY AND ULNAR NERVE NEUROPATHY MANAGED WITH SURGICAL RECONSTRUCTION

2021 ◽  
pp. 2832-2836
Author(s):  
Waqar M. Naqvi
Keyword(s):  
Range Of Motion ◽  
Ulnar Nerve ◽  
Biceps Tendon ◽  
Ulnar Artery ◽  
Surgical Reconstruction ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Artery Injury ◽  
Post Surgery ◽  
Biceps Tendon Rupture

The Biceps Brachia is an anterior arm muscle consisting of two heads that bridge the shoulder girdle to the forearm. The distal biceps tendon from both heads may converge or remain anatomically separate before attachment to the radial tuberosity. The incidence of distal biceps rupture is 1.2/100,000 per year and is mostly seen in middle-aged men. The rupture of the biceps tendon is a relatively less common lesion making this case unique. Physiotherapy rehabilitation post-surgery is found to be effective; it includes management of pain, increase range of motion exercises, strengthening exercises, muscle energy technique, cardiovascular fitness, all these together helps to improve patient outcomes. A case of the 40-year-old female is presented in this case report who underwent traumatic glass-cut injury in proximal forearm resulting in distal bicep-tendon repair with ulnar artery injury and ulnar nerve neuropathy. After surgical reconstruction patient presented with pain in the shoulder, elbow, and wrist, reduced range of motion, strength, and grip strength leading to difficulty in performing activities of daily living. Surgical history, clinical findings, outcomes, and rehabilitation are mentioned in this report. We report that there is a significant improvement in stability, range of motion, muscle strength, relief from pain, and improvement in the patient's functional level and outcomes.

scholarly journals Reconstruction with interference screw of ruptured distal biceps brachii tendon at level of insertion into radial tuberosity: a case report

2020 ◽  
Vol 8 (3) ◽  
pp. 1163
Author(s):  
Gusti Ngurah Putra Stanu ◽  
I. Gusti Ngurah Wien Aryana ◽  
Ivander Purvance ◽  
Ni Made Puspa Dewi Astawa
Keyword(s):  
Tendon Rupture ◽  
Biceps Brachii ◽  
Biceps Tendon ◽  
Distal Biceps Tendon ◽  
Rare Injury ◽  
Distal Biceps ◽  
Left Elbow ◽  
Distal Biceps Tendon Rupture ◽  
Biceps Tendon Rupture ◽  
Radial Tuberosity

Distal biceps tendon rupture is a relatively rare injury. The incidence of distal biceps rupture is 1.2 cases per 100,000 patients per year, with the average age is 47 years old and the majority is male patient with dominant extremity. A 43 years old male presented with pain of the left elbow and weakness to flex and supinate the forearm following gymnastic activity. He heard pop sound on his left elbow during lifting dumbbell and followed by a sudden pain on his arm and weakness to flex and supinate the elbow. The USG examination were performed and confirmed there was a rupture on the distal biceps tendon at the level of insertion. Durante operation confirmed a complete rupture of distal biceps tendon. A Henry approach incision is performed to expose radial tuberosity, and the ruptured tendon was reconstructed by anchored into the tuberosity of radius with bioabsorbable screw. After closing the incision, patient is immobilized by cast in 60 to 90o elbow flexion and neutral pronosupination. Distal biceps tendon rupture can be successfully repaired by single anterior approach using anatomical anchor on radial tuberosity, so that can avoid posterior approach and associated proximal radioulnar synostosis risk while conserving interosseous membrane.

EFFICIENCY OF SURGICAL TREATMENT OF DISTAL BICEPS TENDON RUPTURE USING A MINIMALLY INVASIVE APPROACH

2021 ◽  
pp. 115-121
Author(s):  
S.Е. Shedzko ◽  
◽  
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Tendon Rupture ◽  
Biceps Tendon ◽  
Treatment Result ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Surgical Methods ◽  
Biceps Tendon Rupture ◽  
Distal Tendon

Treatment of the distal tendon rupture of the biceps brachii is an evolving topic in modern traumatology and orthopedics. The lack of a unified approach towards this rupture treatment and the growing treatment result requirements dictate the need to develop new surgical methods that allow the complete restoration of the limb's function and decrease the duration and cost of the treatment and the subsequent rehabilitation. The aim of this study is to develop a minimally invasive method for the treatment of distal tendon rupture of the biceps and evaluate its effectiveness in a comparative manner. Following the modern principles of surgery and guided by the analysis of individual elements in the existing techniques for the reinsertion of the distal biceps tendon, a conceptual solution for its treatment was formulated, and a new, patented and minimally invasive surgical technique using specialized tools was developed and introduced into clinical practice. The effectiveness analysis of the newly developed surgical technique was carried out in 2 groups that are comparable in terms of the main preoperative indications; 47 patients were operated on using the new technique, and 56 using already established techniques. Statistically significant results were obtained in the following parameters: duration of operation, size of the incision, duration of hospital stay, time before treatment, duration of plaster cast application and time needed for beginning of rehabilitation. In addition, the application of the newly developed technique reduces the cost of treatment by 2583.4 Belarusian Rubles for one patient.

Surgical Repair of Distal Biceps Tendon Ruptures

2002 ◽  
Vol 30 (3) ◽  
pp. 432-436 ◽  
Author(s):  
David S. Pereira ◽  
Ronald S. Kvitne ◽  
Michael Liang ◽  
Frank B. Giacobetti ◽  
Edward Ebramzadeh
Keyword(s):  
Tensile Strength ◽  
Suture Anchor ◽  
Biceps Brachii ◽  
Biceps Tendon ◽  
Bone Tunnel ◽  
Tensile Failure ◽  
Distal Biceps ◽  
Biceps Tendon Rupture ◽  
Tendon Surgery ◽  
Suture Anchor Repair

Background Rupture of the distal biceps brachii tendon has most commonly been repaired by anatomic reattachment of the tendon to the radial tuberosity by a single- or two-incision approach. Researchers have studied suture anchor attachment through a single incision, but the tendon-suture interface and bone quality have not previously been analyzed. Hypothesis Suture anchor repair results in stiffness and tensile strength equal to that of bone-tunnel repair for biceps tendon rupture. Study Design Controlled laboratory study. Methods Twelve matched pairs of fresh-frozen cadaveric elbow specimens were used. Suture anchor and bone-tunnel tendon repairs were performed in a randomized fashion. Each specimen was loaded to tensile failure. Load-displacement graphs were generated to calculate repair stiffness, yield strength, and ultimate strength. Computed tomography bone density measurements and additional statistical analyses were then performed after grouping the specimens by mode of failure. Results The bone-tunnel repair was found to be significantly stiffer in all cases and to have significantly greater tensile strength than the suture anchor repair in the younger, nonosteoporotic elbows. Conclusions Suture anchor repairs were not as stiff or strong as bone-tunnel repairs. Clinical Relevance Biceps tendon surgery using the traditional two-incision technique yields a stronger and stiffer repair in the typical patient with this injury.

Return to Sport and Weightlifting Analysis Following Distal Biceps Tendon Repair

2021 ◽  
Author(s):  
Anirudh K. Gowd ◽  
Joseph N. Liu ◽  
Bhargavi Maheshwer ◽  
Grant H. Garcia ◽  
Edward C. Beck ◽  
...  
Keyword(s):  
Biceps Tendon ◽  
Tendon Repair ◽  
Return To Sport ◽  
Distal Biceps Tendon ◽  
Distal Biceps ◽  
Biceps Tendon Repair

scholarly journals The biomechanical effect on the adjacent L4/L5 segment of S1 superior facet arthroplasty: a finite element analysis for the male spine

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zewen Shi ◽  
Lin Shi ◽  
Xianjun Chen ◽  
Jiangtao Liu ◽  
Haihao Wu ◽  
...  
Keyword(s):  
Finite Element ◽  
Range Of Motion ◽  
Facet Joint ◽  
Adjacent Segment ◽  
Finite Element Models ◽  
Level Of Evidence ◽  
Element Analysis ◽  
Flexion Extension ◽  
Biomechanical Effect ◽  
Lumbar Range Of Motion

Abstract Background The superior facet arthroplasty is important for intervertebral foramen microscopy. To our knowledge, there is no study about the postoperative biomechanics of adjacent L4/L5 segments after different methods of S1 superior facet arthroplasty. To evaluate the effect of S1 superior facet arthroplasty on lumbar range of motion and disc stress of adjacent segment (L4/L5) under the intervertebral foraminoplasty. Methods Eight finite element models (FEMs) of lumbosacral vertebrae (L4/S) had been established and validated. The S1 superior facet arthroplasty was simulated with different methods. Then, the models were imported into Nastran software after optimization; 500 N preload was imposed on the L4 superior endplate, and 10 N⋅m was given to simulate flexion, extension, lateral flexion and rotation. The range of motion (ROM) and intervertebral disc stress of the L4-L5 spine were recorded. Results The ROM and disc stress of L4/L5 increased with the increasing of the proportions of S1 superior facet arthroplasty. Compared with the normal model, the ROM of L4/L5 significantly increased in most directions of motion when S1 superior facet formed greater than 3/5 from the ventral to the dorsal or 2/5 from the apex to the base. The disc stress of L4/L5 significantly increased in most directions of motion when S1 superior facet formed greater than 3/5 from the ventral to the dorsal or 1/5 from the apex to the base. Conclusion In this study, the ROM and disc stress of L4/L5 were affected by the unilateral S1 superior facet arthroplasty. It is suggested that the forming range from the ventral to the dorsal should be less than 3/5 of the S1 upper facet joint. It is not recommended to form from apex to base. Level of evidence Level IV

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