Anatomical repair of distal biceps brachial tendon lesions using double-incision surgical approach.

Revista española de cirugía ortopédica y traumatología
E IbáñezJ M López-Alcorocho

Abstract

and objective The aim of this work was to evaluate clinical outcomes of patients with biceps brachii tendon rupture who underwent a surgical tendon reconstruction using our own modified double approach technique. The study was performed in 20 patients (21 cases) with biceps brachii tendon rupture. Patients were treated with our own double-approach surgical technique consisting of 2 minimum incisions. After one year follow-up, functional evaluation was assessed using the mayo Elbow Performance Score, muscle strength was estimated with the Medical Research Council questionnaire and pain was evaluated with the Visual Analogic Scale. Range of motion was determined by measuring extension and flexion. One year after surgery all patients had returned to sports at the same level they had previously. Visual Analogic Scale was 1.90±0.89 (mean±standard deviation) and median Mayo Elbow Performance Score was 90 (minimum-maximum: 80-100). Of them, 16 patients (76.2%) showed the highest Medical Research Council score, score 5, while 6 cases (26.1%) still scored 4+. Patients had a mean of 136.67° flexion (95% CI: 134.14°-139.19°) and -7.38° extension (95% CI: -10.04° to -4.72°). Double-incision surgical approach for distal biceps brachial tend...Continue Reading

References

Aug 2, 2005·Clinical Orthopaedics and Related Research·Robert T RulandJames D Bowen
Aug 10, 2007·The American Journal of Sports Medicine·Shawn W O'DriscollPatricio Dietz
Jun 10, 2008·British Medical Bulletin·Umile Giuseppe LongoVincenzo Denaro
Nov 29, 2011·The Journal of Hand Surgery·Jennifer B GreenBruce M Leslie
Dec 4, 2012·Injury·Praveen SardaNeil Bayliss
Mar 12, 2013·The Journal of Hand Surgery·Christopher C SchmidtBrandon T Brown
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Jul 24, 2018·Orthopaedics & Traumatology, Surgery & Research : OTSR·Nikolaus W LangJulian Joestl

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