Repair of distal biceps tendon ruptures using suture anchors through a single anterior incision

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Abdul D KhanSimon P Frostick

Abstract

The purpose of this study was to review the results of distal biceps tendon repair via suture anchors through a single anterior incision. This is a retrospective review of 17 patients (18 repairs) treated for complete distal biceps tendon rupture between 1998 and 2005 by use of G4 Superanchors (DePuy Mitek, Raynham, MA) in our unit. The length of follow-up was 14 to 70 months (mean, 45 months). There was a mean loss of 5.3 degrees (range, 0 degrees to 50 degrees ; SD, 14.12) of extension when compared with the uninjured side. Of the 17 patients, 6 achieved full extension when compared with the uninvolved elbow. The mean loss of flexion was 6.2 degrees (range, 0 degrees to 15 degrees; SD, 6.11). There was a mean loss of 11.0 degrees of pronation (range, 0 degrees to 30 degrees; SD, 11.34) and 6.4 degrees of supination (range, 0 degrees to 45 degrees; SD, 17.45). Flexion in supination strength measured by a handheld dynamometer was 82.1% of that of the injured side (range, 59% to 102%; SD, 11.26). There were two complications in our series: transient superficial radial nerve palsy in one case and heterotopic ossification in the other. The mean Disabilities of the Arm, Shoulder and Hand score was 14.45 (range, 0 to 55.17; SD, 4.76...Continue Reading

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