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Biceps Tendon Rupture

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3. Bye Bye Biceps: Case Report Describing Presentation, Physical Examination, Diagnostic Workup, and Treatment of Acute Distal Biceps Brachii Tendon Rupture. (PubMed)

Bye Bye Biceps: Case Report Describing Presentation, Physical Examination, Diagnostic Workup, and Treatment of Acute Distal Biceps Brachii Tendon Rupture. Rupture of the distal biceps tendon is seen in both the emergency and primary care settings. It most commonly occurs after excessive tension exerted on a flexed forearm. Knowledge of the anatomy, pathophysiology, historical and physical examination findings, as well as the workup, diagnosis, and treatment of distal biceps tendon rupture (...) tendon and the patient was referred to orthopedic surgery for evaluation. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Prompt diagnosis and referral to orthopedic surgery optimizes outcomes and minimizes complications after distal biceps brachii tendon rupture. Oftentimes, gross examination shows obvious deformity of the distal upper arm, but when swelling, mobility limitations, or patient anatomy hinder this physical examination finding, the diagnosis can be missed. Knowledgeable emergency

2018 Journal of Emergency Medicine

4. Surgical treatment for partial rupture of the distal biceps tendon using palmaris longus tendon graft: A case report (Full text)

Surgical treatment for partial rupture of the distal biceps tendon using palmaris longus tendon graft: A case report We report a case of a partial rupture of the distal biceps tendon that was surgically treated using a palmaris longus tendon graft. A 58-year-old man complained of increasing pain with resisted elbow flexion and supination in the antecubital fossa. Magnetic resonance imaging revealed the irregularity of a distal attachment of the biceps brachii and peripheral signal changes. We (...) diagnosed a partial rupture of the distal biceps tendon. Because conservative treatment failed, surgical treatment was performed through a single anterior approach. The insertion of the tendon was partially ruptured at the radial tuberosity. After the involved site was debrided, the palmaris longus tendon was grafted with suture anchors to reinforce the remaining tendon. Postoperative immobilization was not performed, and all moves were freed after 3 weeks. At the 6-year postoperative follow-up

2018 Acta orthopaedica et traumatologica turcica PubMed

5. Association Between Ruptured Distal Biceps Tendon and Wild-Type Transthyretin Cardiac Amyloidosis (Full text)

Association Between Ruptured Distal Biceps Tendon and Wild-Type Transthyretin Cardiac Amyloidosis 28898370 2017 09 28 2018 11 13 1538-3598 318 10 2017 09 12 JAMA JAMA Association Between Ruptured Distal Biceps Tendon and Wild-Type Transthyretin Cardiac Amyloidosis. 962-963 10.1001/jama.2017.9236 Geller Hallie I HI Cardiac Amyloidosis Program, Brigham and Women's Hospital, Boston, Massachusetts. Singh Avinainder A Cardiac Amyloidosis Program, Brigham and Women's Hospital, Boston, Massachusetts (...) Neuropathies, Familial complications Arm Female Humans Male Middle Aged Rupture, Spontaneous Tendon Injuries etiology 2017 9 13 6 0 2017 9 13 6 0 2017 9 29 6 0 ppublish 28898370 2653726 10.1001/jama.2017.9236 PMC5818850 Clin Orthop Relat Res. 2002 Nov;(404):275-83 12439270 Eur Heart J. 2015 Oct 7;36(38):2585-94 26224076 Circulation. 2016 Jun 14;133(24):2404-12 27143678 Hum Pathol. 2011 Sep;42(9):1259-64 21334722 Circulation. 2016 Jan 19;133(3):282-90 26660282

2017 JAMA PubMed

6. Management of chronic distal biceps tendon ruptures: primary repair vs. semitendinosus autograft reconstruction. (PubMed)

Management of chronic distal biceps tendon ruptures: primary repair vs. semitendinosus autograft reconstruction. Delayed presentation of distal biceps tendon ruptures can make primary repair difficult, in which case reconstruction using a tendon graft is an option. The aim of this study was to compare outcomes and complications between delayed distal biceps tendon ruptures managed with repair vs. semitendinosus autograft reconstruction.Nineteen delayed distal biceps tendon rupture cases treated (...) groups. The Patient-Rated Elbow Evaluation (P = .02) and Mayo Elbow Performance Index (P = .04), however, were better in the delayed repair group compared with the reconstruction group. Complications were similar between groups (P = .87).Delayed reconstruction of irreparable distal biceps tendon ruptures with semitendinosus autograft produces similar strength, range of motion, and complication rates but slightly worse functional outcome scores compared with delayed primary repair. This suggests

2019 Journal of Shoulder and Elbow Surgery

7. Distal biceps reconstruction using an Achilles tendon allograft, transosseous EndoButton, and Pulvertaft weave with tendon wrap technique for retracted, irreparable distal biceps ruptures. (PubMed)

Distal biceps reconstruction using an Achilles tendon allograft, transosseous EndoButton, and Pulvertaft weave with tendon wrap technique for retracted, irreparable distal biceps ruptures. Distal biceps ruptures can result in ongoing pain and weakness when treated nonoperatively. If retraction of the tendon renders primary repair impossible, reconstruction using a graft is recommended. The current literature includes a variety of techniques with studies reporting small patient numbers. The aim (...) of this study was to report the results of a larger cohort of patients using a technique modified from those previously described in the literature.Twenty-one consecutive male patients underwent distal biceps reconstruction through 2 small anterior incisions using an Achilles tendon allograft that was fixed distally using a transosseous EndoButton and secured proximally using a Pulvertaft weave and tendon wrap. The mean age was 44 years, and the mean time to surgery was 25 months (range, 2-96 months

2016 Journal of Shoulder and Elbow Surgery

8. The prevalence of rotator cuff pathology in the setting of acute proximal biceps tendon rupture. (PubMed)

The prevalence of rotator cuff pathology in the setting of acute proximal biceps tendon rupture. The prevalence and severity of concomitant rotator cuff pathology in the setting of proximal biceps tendon ruptures are poorly understood. Concomitant rotator cuff disease may have important implications in the prognosis and natural history of this shoulder condition. Therefore, an observational cohort of patients with an acute rupture of the long head of the biceps tendon (LHBT) was evaluated (...) to determine the prevalence and severity of concomitant rotator cuff disease.Thirty consecutive patients diagnosed with acute proximal biceps tendon rupture were prospectively enrolled. Magnetic resonance imaging of the affected shoulder was obtained in 27 patients and reviewed by a fellowship-trained orthopedic surgeon.The cohort consisted of 20 men (74%) and 7 women (26%) (mean age, 61.0 years [range, 42-78 years]). The dominant side was involved in 20 injuries (74%), and a low-energy trauma mechanism

2018 Journal of Shoulder and Elbow Surgery

9. Editorial Commentary: "Popeye" Deformity After Spontaneous Proximal Biceps Tendon Rupture: Image, Treat, or Ignore? (PubMed)

Editorial Commentary: "Popeye" Deformity After Spontaneous Proximal Biceps Tendon Rupture: Image, Treat, or Ignore? We have long been accustomed to treat proximal biceps tendon ruptures with reassurance unless the patient cannot accept the resulting "Popeye" deformity. A recent study hypothesizes that these patients deserve a magnetic resonance imaging scan to identify associated rotator cuff pathology, specifically supraspinatus and subscapularis tendon tears. The authors of this study ask

2018 Arthroscopy

10. Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers (Full text)

Anatomic Single-Incision Repair of Distal Biceps Tendon Ruptures Using Flexible Reamers Distal biceps tendon ruptures are treated operatively in active healthy individuals. Treatment consists of either single- or double-incision techniques, each with its own set of advantages and complications. The double incision was traditionally preferred for a more anatomic reattachment of the distal biceps tendon, but there has been renewed interest in the single-incision anterior approach given its lower (...) risk for heterotopic ossification. However, current single-incision techniques cannot achieve anatomic reconstruction of the distal biceps because of a restricted operational angle with standard rigid instruments. The purpose of this study was to introduce a single-incision technique using flexible instrumentation, flexible guide pins, and flexible reamers that allows for an insertion point that better approximates the anatomic footprint of the distal biceps on the tuberosity. This offers

2018 Arthroscopy techniques PubMed

11. Tuberculous Distal Biceps Tendon Rupture: Case Report and Review of the Literature (Full text)

Tuberculous Distal Biceps Tendon Rupture: Case Report and Review of the Literature Tuberculous distal biceps tendon rupture is a rare condition in orthopedics. Musculoskeletal tuberculosis usually presents with bursitis, synovitis, myositis, and osteomyelitis, conditions which demonstrate an excellent response to antituberculosis chemotherapy. Tendon rupture is often associated with delayed diagnosis and treatment. We report a rare manifestation of musculoskeletal tuberculosis in the distal (...) biceps tendon with delayed diagnosis.

2018 Case reports in orthopedics PubMed

12. Distal biceps tendon rupture: advantages and drawbacks of the anatomical reinsertion with a modified double incision approach. (Full text)

Distal biceps tendon rupture: advantages and drawbacks of the anatomical reinsertion with a modified double incision approach. Distal biceps tendon rupture occurs more often in middle-aged male population, involving the dominant arm. In this retrospective study, it's been described the occurrence of the most frequent adverse events and the clinical outcomes of patients undergoing surgical repair of distal biceps tendon rupture with the modified Morrey's double-incision approach, to determine (...) better indications for patients with acute tendon injury.Sixty-three patients with acute distal biceps tendon rupture treated with a modified double-incision technique between 2003 and 2015 were retrospectively evaluated at a mean 24 months of follow-up. Clinical evaluation including range of motion (ROM) and isometric strength recovery compared to the healthy contralateral side assessment, together with documentation of nerve injury, was performed. Patients were asked to answer DASH, OES and MEPS

2018 BMC Musculoskeletal Disorders PubMed

13. Intramedullary Cortical Button Repair for Distal Biceps Tendon Rupture: A Single-Center Experience. (PubMed)

Intramedullary Cortical Button Repair for Distal Biceps Tendon Rupture: A Single-Center Experience. The aim of this retrospective study was to evaluate the clinical outcome and complication rate of intramedullary cortical button repair for distal biceps tendon rupture (partial and complete tears).Between 2010 and 2014, a total of 28 patients with an acute distal biceps tendon rupture underwent intramedullary cortical button repair. Twenty-four patients (mean age, 49 years) with a mean follow-up (...) , the active range of motion (ROM) was the same. The mean strength for flexion was 100.8% ± 14% and for supination 93.1% ± 22% compared with the uninjured side. The mean MEPS for all patients was 95.6 ± 8.2, the mean ACS 194.2 ± 9.4 and the QuickDASH 3.8 ± 7.6. Heterotopic ossification (HO) was seen on radiographs in 46% of patients, but was symptomatic in only 1 patient. One patient suffered a tendon rerupture, and 1 asymptomatic button migration was seen in the follow-up.Intramedullary cortical button

2018 Journal of Hand Surgery - American

14. Delayed repair of distal biceps tendon ruptures is successful: a case-control study. (PubMed)

Delayed repair of distal biceps tendon ruptures is successful: a case-control study. The literature has shown an increased complication rate with a delay to surgical repair of acute distal biceps tendon ruptures; however, little has been documented regarding the outcome of delayed repairs. This case-control study compared a study cohort of delayed (>21 days) distal biceps tendon repairs with a control cohort repaired acutely (<21 days).Sixteen delayed repair cases were reviewed and matched (...) % in the acute cohort (P = .04); however, 90% of the delayed cohort's complications consisted of transient paresthesias. Follow-up scores on the Patient-Rated Elbow Evaluation, Disabilities of the Arm, Shoulder and Hand questionnaire, and American Shoulder and Elbow Surgeons elbow questionnaire were not statistically different between cohorts (P > .37, P > .22, and P > .46, respectively).Despite a high rate of initial complications, patients treated with distal biceps tendon repair after a delay (>21 days

2017 Journal of Shoulder and Elbow Surgery

15. Retrospective Evaluation of Surgical Anatomical Repair of Distal Biceps Brachii Tendon Rupture Using Suture Anchor Fixation (Full text)

Retrospective Evaluation of Surgical Anatomical Repair of Distal Biceps Brachii Tendon Rupture Using Suture Anchor Fixation BACKGROUND To date, no consensus has been reached regarding the preferred fixation method to use in the repair of distal biceps brachii tendon rupture. The aim of this study was to clinically and functionally (Mayo Elbow Performance Index, MEPI) assess the upper limb after surgical anatomic reinsertion of the distal biceps brachii tendon with the use of suture anchor (...) were not in line with objectively measured features. CONCLUSIONS The results of the comprehensive retrospective evaluation justify the clinical use of suture anchors fixation method in the surgical anatomical reinsertion of a ruptured distal biceps brachii tendon. The assessment of a patient should always report both subjective and objective measures.

2017 Medical science monitor : international medical journal of experimental and clinical research PubMed

16. Single-Incision Anatomic Repair Technique for Distal Biceps Tendon Rupture Using Tunneling Device (Full text)

Single-Incision Anatomic Repair Technique for Distal Biceps Tendon Rupture Using Tunneling Device Distal biceps tendon ruptures are uncommon and generally occur in men aged 30 to 50 years in their dominant arm as a result of a strong eccentric load. Numerous surgical exposures and methods of fixation exist for repair of a ruptured distal biceps tendon. The goal of surgical management is to restore the anatomic footprint of the biceps tendon on the radial tuberosity to maximize flexion strength (...) , supination strength, and muscle endurance. When compared with 2-incision repair techniques, single-incision repairs historically may not have restored the anatomic footprint of the distal biceps. Single-incision repair with the ArthroTunneler is a safe and effective technique that provides the anatomic restoration of a 2-incision approach with the decreased complication profile of a single-incision approach and does not require suture anchors, buttons, screws, or other implants.

2017 Arthroscopy techniques PubMed

17. Repair of chronic distal biceps tendon ruptures using autologous hamstring graft and the Endobutton. (PubMed)

Repair of chronic distal biceps tendon ruptures using autologous hamstring graft and the Endobutton. The purpose of this study was to report the results of anatomic repair for chronic distal biceps tendon ruptures by use of a semitendinosus autograft with the Endobutton. All 9 patients were satisfied with their outcome (mean, 8.0 on a visual analog scale ranging from 1-10) and were able to return to their jobs. The mean pain score was 0.5, and the postoperative flexion arc was from 3 degrees (...) to 147 degrees, with supination to 75 degrees and pronation to 62 degrees. The mean Mayo Clinic Elbow Score was 96.3 (range, 85-100). Cybex testing was carried out on 1 patient, demonstrating a marked improvement in supination strength. This technique yields good results with a high degree of patient satisfaction and no complications. An advantage of the technique is the concept of prefabrication, allowing the graft to be sutured to the biceps outside the wound and locked onto the radial tuberosity

2017 Journal of Shoulder and Elbow Surgery

18. Patient-oriented functional outcome after repair of distal biceps tendon ruptures using a single-incision technique. (PubMed)

Patient-oriented functional outcome after repair of distal biceps tendon ruptures using a single-incision technique. Using a patient-oriented outcome questionnaire, in addition to standard outcome measures, we sought to determine the outcome of patients who had repair of a complete rupture of the distal biceps tendon via a single anterior incision technique with suture anchors. We identified 62 patients who were treated operatively by a single surgeon over an 8-year period for a diagnosis (...) of complete rupture of the distal biceps tendon. Of the patients, 9 could not be located for final follow-up, and 53 of 62 (85%) participated in the study. All patients were men, and their mean age was 42 years. All repairs were performed via a single anterior incision by use of 2 suture anchors in the bicipital tuberosity on an outpatient basis. There were 4 complications (4/53 [7.5%]): 1 wound infection, 2 transient paresthesias in the lateral cutaneous nerve distribution, and 1 posterior interosseous

2017 Journal of Shoulder and Elbow Surgery

19. Complete rupture of the distal biceps tendon in a woman: case report. (PubMed)

Complete rupture of the distal biceps tendon in a woman: case report. Complete ruptures of the distal biceps tendon are rare in women. The pathogenesis and gender bias of distal biceps ruptures remain poorly understood. We report a case of a woman with a complete distal biceps rupture who had a successful 1-incision repair with bone anchors.

2017 Journal of Hand Surgery - American

20. Surgical treatment of partial biceps tendon ruptures at the elbow. (PubMed)

Surgical treatment of partial biceps tendon ruptures at the elbow. We present the treatment and results of a consecutive series of 7 patients (mean age, 42.7 years) with partial ruptures of the distal biceps tendon. All injuries occurred as the result of either heavy labor or weightlifting. Diagnosis in all cases was made with magnetic resonance imaging. After failure of conservative therapy, the patients were treated with repair of the distal biceps tendon. Mean follow-up was 30.6 months (...) (range, 25-39 months). Results were uniformly good, with all patients satisfied with the outcome. All patients maintained their preoperative range of motion, with none reporting significant postoperative pain. The only complication was transient neurapraxias of the lateral antebrachial cutaneous nerve in 2 cases. We conclude that patients presenting with chronic pain in the cubital fossa should be evaluated for possible partial biceps tendon tear. If the diagnosis of partial tendon tear is made

2017 Journal of Shoulder and Elbow Surgery

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