Repair of Subacute Intrasubstance Rupture of the Biceps Brachii in a 16-Year-Old Patient

A 16-year-old boy sustained a complete, closed, intrasubstance rupture of both heads of the biceps brachii after a rope swing accident. The patient was managed with open direct repair of the muscle belly. After the surgery, he underwent an extensive physical therapy regimen and regained full range o...

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Main Authors: Joshua T. Lackey, MD, Erin P. Murray, MD, Mark J. Winston, MD, Daniel J. Stechschulte, Jr., MD, PhD
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Journal of Hand Surgery Global Online
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589514122000718
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author Joshua T. Lackey, MD
Erin P. Murray, MD
Mark J. Winston, MD
Daniel J. Stechschulte, Jr., MD, PhD
author_facet Joshua T. Lackey, MD
Erin P. Murray, MD
Mark J. Winston, MD
Daniel J. Stechschulte, Jr., MD, PhD
author_sort Joshua T. Lackey, MD
collection DOAJ
description A 16-year-old boy sustained a complete, closed, intrasubstance rupture of both heads of the biceps brachii after a rope swing accident. The patient was managed with open direct repair of the muscle belly. After the surgery, he underwent an extensive physical therapy regimen and regained full range of motion and strength. To our knowledge, this is the youngest reported case of a subacute intrasubstance rupture of the biceps brachii muscle treated surgically in the literature. There is no consensus in the literature regarding the optimal management of these injuries. Given the satisfactory outcome, we suggest that open direct repair of the muscle belly is a reasonable option for the pediatric population.
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spelling doaj.art-007976330dcd4fccba96489655fadc002022-12-22T04:26:21ZengElsevierJournal of Hand Surgery Global Online2589-51412022-09-0145295298Repair of Subacute Intrasubstance Rupture of the Biceps Brachii in a 16-Year-Old PatientJoshua T. Lackey, MD0Erin P. Murray, MD1Mark J. Winston, MD2Daniel J. Stechschulte, Jr., MD, PhD3Department of Orthopaedic Surgery, University of Missouri - Kansas City School of Medicine, Kansas City, MO; Corresponding author: Joshua Taylor Lackey, MD, Department of Orthopaedic Surgery, University of Missouri - Kansas City School of Medicine, 2301 Holmes Street, Kansas City, MO 64018.Department of Orthopaedic Surgery, University of Missouri - Kansas City School of Medicine, Kansas City, MODepartment of Orthopaedic Surgery, University of Missouri - Kansas City School of Medicine, Kansas City, MODepartment of Orthopaedic Surgery, University of Missouri - Kansas City School of Medicine, Kansas City, MO; Kansas City Orthoaedic Institute, Leawood, KSA 16-year-old boy sustained a complete, closed, intrasubstance rupture of both heads of the biceps brachii after a rope swing accident. The patient was managed with open direct repair of the muscle belly. After the surgery, he underwent an extensive physical therapy regimen and regained full range of motion and strength. To our knowledge, this is the youngest reported case of a subacute intrasubstance rupture of the biceps brachii muscle treated surgically in the literature. There is no consensus in the literature regarding the optimal management of these injuries. Given the satisfactory outcome, we suggest that open direct repair of the muscle belly is a reasonable option for the pediatric population.http://www.sciencedirect.com/science/article/pii/S2589514122000718Arm injuriesMuscle rupturePediatrics
spellingShingle Joshua T. Lackey, MD
Erin P. Murray, MD
Mark J. Winston, MD
Daniel J. Stechschulte, Jr., MD, PhD
Repair of Subacute Intrasubstance Rupture of the Biceps Brachii in a 16-Year-Old Patient
Journal of Hand Surgery Global Online
Arm injuries
Muscle rupture
Pediatrics
title Repair of Subacute Intrasubstance Rupture of the Biceps Brachii in a 16-Year-Old Patient
title_full Repair of Subacute Intrasubstance Rupture of the Biceps Brachii in a 16-Year-Old Patient
title_fullStr Repair of Subacute Intrasubstance Rupture of the Biceps Brachii in a 16-Year-Old Patient
title_full_unstemmed Repair of Subacute Intrasubstance Rupture of the Biceps Brachii in a 16-Year-Old Patient
title_short Repair of Subacute Intrasubstance Rupture of the Biceps Brachii in a 16-Year-Old Patient
title_sort repair of subacute intrasubstance rupture of the biceps brachii in a 16 year old patient
topic Arm injuries
Muscle rupture
Pediatrics
url http://www.sciencedirect.com/science/article/pii/S2589514122000718
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