scholarly journals Distal Biceps Tendon Repair: An Analysis of Timing of Surgery on Outcomes

2013 ◽  
Vol 48 (1) ◽  
pp. 9-11 ◽  
Author(s):  
Oke A. Anakwenze ◽  
Keith Baldwin ◽  
Joseph A. Abboud

Context: Surgical repair of the ruptured distal biceps brachaii tendon is an effective treatment in injured patients. Timing of surgery is considered an important factor when managing these patients. Objective: To compare our outcomes after distal biceps tendon acute (at 4 weeks or less) or chronic (greater than 4 weeks) repair. Design: Cohort study. Setting: Clinical practice. Patients or Other Participants: Of 18 patients in a tertiary practice who underwent distal biceps repair, 12 and 6 underwent acute or chronic repair, respectively. The average durations from injury to surgery were 15.3 (range, 9 to 25) and 50.1 (range, 29 to 75) days for the acute and chronic groups, respectively. Intervention(s): Distal biceps tendon repair. Main Outcome Measure(s): Disabilities of the Arm, Shoulder and Hand (DASH) scoring, range of motion, and clinical and radiographic complications. Results: No differences were noted between the groups in DASH scoring or range of motion. No complications occurred, and radiographic outcomes were satisfactory, without evidence of heterotopic ossification in any patients. Conclusions: Secure repair of a distal biceps tendon injury may yield similar results, whether it is performed in the acute or chronic setting.

2005 ◽  
Vol 14 (5) ◽  
pp. 516-518 ◽  
Author(s):  
Emilie V. Cheung ◽  
Mark Lazarus ◽  
Marc Taranta

Author(s):  
Anirudh K. Gowd ◽  
Joseph N. Liu ◽  
Bhargavi Maheshwer ◽  
Grant H. Garcia ◽  
Edward C. Beck ◽  
...  

2014 ◽  
Vol 8 (1) ◽  
pp. 52-55 ◽  
Author(s):  
M. Al-Taher ◽  
Diederick B. Wouters

Purpose of this Study: The aim of this study was to evaluate the outcomes of surgical intra-osseous fixation of the distal tendon of the ruptured biceps brachii muscle using Mitek anchors. Materials and Methods: Between 2005 and 2011, seven patients underwent unilateral distal biceps tendon repair using Mitek anchors. All patients were men aged between 36 and 47 years. Six patients were assessed by physical examination and use of the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Results: Surgery was performed within 3 to 17 days of rupture with a mean follow-up of 35 months. Of the six fully completed DASH questionnaires, three patients had a score of 0, and three patients had scores of 5.8, 10 and 10.8, respectively (10.1 is the mean score for the general population). Transient paraesthesias in the lateral antebrachial cutaneous nerve region occurred in two patients and one patient experienced a transient stiffness of the elbow due to scarring of the wound. No major complicatons have occurred. Conclusion: The use of Mitek anchors for the re-insertion of the ruptured distal biceps tendon proved to be a safe and effective technique with excellent functional results in our series.


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