Distal brachii biceps tendon repair with bone tunnel
https://doi.org/10.17238/ISSN2223-2524.2018.4.65
Abstract
Objective: subcutaneous rupture of the distal biceps tendon is the most common tendon injury of the elbow. Recently with the best understanding of the anatomy and the advent of new fixations many surgeons took up the use of single incision surgery, as an alternative to replace the tendon. Materials and methods: 40 male patients (average age 45,2) operated from 2006 to 2016. Results: only 3 cases had post-surgery complications: 1. a transient neurapraxia of the posterior interosseous nerve, 2. a radio-ulnar synostosis with stiffness in pronation and supination, and 3. a stiffness of the elbow in extension of approximately 5° degrees. Conclusions: the reinsertion of the distal biceps tendon with bone tunnel in anatomical site is a safe, reproducible technique that offers excellent clinical results. Patients achieve a complete recovery of the elbow range of motion, strength and endurance, with minimal risk of complications
About the Authors
A. Santucci
клиника «Вилла Стюарт»
Russian Federation
Russian Federation
A. Stancati
клиника «Вилла Стюарт»
Russian Federation
Russian Federation
S. Giannetti
клиника «Вилла Стюарт»
Russian Federation
Russian Federation
E. D. Pagano
клиника «Вилла Стюарт»
Russian Federation
Russian Federation
References
1. Morrey B.F. Biceps tendon injury. Instr Course Lecture. 1999; 45: 405-10.
2. Safran M.R., Graham S.M. Distal biceps tendon ruptures: incidence, demographics and effect of smoking. Clin Orthop. 2002; (404): 275-83.
3. Dillon M.T., Bollier M.J., King J.C. Repair of acute and chronic distal biceps tendon ruptures using the Endobutton. Hand. 2011; 6(l): 39-46. DOI: 10.1007/sll552-010-9286-4.
4. Santucci A., De Palma L. L’impiego delle ancore Mitek nelle reinserzioni tendinee e legamentose dell’arto superiore. Indicazioni e tecnica chirurgica. Riv Chir Mano. 2002; 39: 64-71.
5. Bernstein A.D., Breslow M.J., Jazrawi L.M. Distal biceps tendon ruptures: a historical perspective and current concepts. Am J Orthop. 2001; 30(3): 193-200.
6. Bain G.I. Repair of distal biceps tendon avulsion with the endobutton technique. Tech Shoulder Elb Surg. 2003; 12: 484-90.
7. Boyd H.B., Anderson L.D. A method for reinsertion of the distal biceps brachii tendon. J Bone Jt Surg Am. 1961; 43(7): 1041-43.
8. D’Alessandro D.F., Shields Cljr, Tibone J.E., Chandler R.W. Repair of distal biceps tendon ruptures in athletes. Am J Sports Med. 1993; 21(1): 114-9.
9. Wall L.B., Galatz L.M. Single - incision distal biceps tendon repair. Oper Tech Orthop. 2009; 91: 2329-34.
10. Nicoletti S., Bucciarelli G., MAffei G. LA reinserzione del tendine distale del bicipite conendobutton. Lo Scalpello. 2013; 27: 17-21.
11. Chew M.L., Giuffrè B.M. Disorders of the distal biceps brachii tendon. Radiographies. 2005; 25(5): 1227-37.
12. Idler C.S., Montgomery W.H., Lindsey D.P. et. al. Distal biceps tendon repair: a biomechanical comparison of intact tendon and 2 repair techmiques. Am J Sports Med. 2006; 34(6): 968-74.
13. Sotereanos D.G., Pierce T.D., Varitimidis S.E. A simplified method for repair of distal biceps tendon ruptures. J Shoulder Elb Surg. 2000; 9(3): 227-33.
14. Kettler M., Lunger J., Kuhn V. et. al. Failure strengths in distal biceps tendon repair. AM J Sports Med. 2007; 35(9): 1544-48.
15. Kettler M., Tingart M.J., Lunger J. et.al. Reattachment of the distal tendon of biceps: factors affecting the failure strength of the repair. J Bone Jt Surg Br. 2008; 90: 103-6.
16. Mazzocca A.D., Burton K.J., Romeo A.A. et.al. Biomechanical evaluation of 4 techniques of distal biceps brachii tendon repair. Am J Sports Med. 2007; 35(2): 252-8.
17. Woo S.L., Gelberman R.H., Cobb N.G. et. al. The importance of controlled passive mobilization on flexor tendon healing. A biomechanical study. Acta Orthop Scand. 1981; 52(6): 615-22.
18. Checo F.J., Rodner C.M. Bone tunnel and suture anchor fixation of distal biceps tendon ruptures. Sports Med Arthrose. 2008; 16(3): 124-9.
19. Pereira D.S., Kvitne R.S. Liang M. et. al. Surgical repair of distal biceps tendon ruptures: a biomechanical comparison of two techniques. Am J Sports Med. 2002; 30(3): 432-6.
Review
For citations:
Santucci A., Stancati A., Giannetti S., Pagano E.D. Distal brachii biceps tendon repair with bone tunnel. Sports medicine: research and practice. 2018;8(4):65-70. (In Russ.) https://doi.org/10.17238/ISSN2223-2524.2018.4.65
Views:
721
Email this article 