Dominant vs Nondominant Arm in Surgical Repair of Distal Biceps Tendon Rupture. A Case-Control Series of Isotonic Muscle Strength Evaluation

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.

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Distal biceps tendon rupture operated on with the Boyd-Anderson technique: Follow-up of 9 patients with isokinetic examination after 1 year

Acta Orthopaedica Scandinavica ◽

10.1080/000164700317393411 ◽

2000 ◽

Vol 71 (4) ◽

pp. 399-402 ◽

Cited By ~ 55

Author(s):

Stefan Moosmayer ◽

Adalsteinn Odinsson ◽

Inger Holm

Keyword(s):

Tendon Rupture ◽

Biceps Tendon ◽

Distal Biceps Tendon ◽

Distal Biceps ◽

Distal Biceps Tendon Rupture ◽

Biceps Tendon Rupture

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

Hand ◽

10.1177/1558944715627639 ◽

2016 ◽

Vol 12 (1) ◽

pp. NP1-NP5 ◽

Cited By ~ 4

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.

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Distal biceps tendon rupture

European Journal of Orthopaedic Surgery & Traumatology ◽

10.1007/s00590-004-0153-2 ◽

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

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

European Journal of Orthopaedic Surgery & Traumatology ◽

10.1007/s00590-021-03132-8 ◽

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.

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

Emergency Medicine Journal ◽

10.1136/emermed-2020-211011.2 ◽

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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