Reinsertion of Distal Brachial Biceps Tendon Rupture through Single Incision Using Anchors

Abstract Objective To evaluate 15 patients with ruptured distal biceps tendon submitted to reinsertion via a single, anterior and transverse approach using two anchors. They were submitted to a rehabilitation protocol and, within six months, to an evaluation of the range of motion and strength inte...

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Main Authors: Carlos Augusto de Mattos, Danilo Maia, Rodolfo Castro, Maurício Etchebehere
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000200191&lng=en&tlng=en
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author Carlos Augusto de Mattos
Danilo Maia
Rodolfo Castro
Maurício Etchebehere
author_facet Carlos Augusto de Mattos
Danilo Maia
Rodolfo Castro
Maurício Etchebehere
author_sort Carlos Augusto de Mattos
collection DOAJ
description Abstract Objective To evaluate 15 patients with ruptured distal biceps tendon submitted to reinsertion via a single, anterior and transverse approach using two anchors. They were submitted to a rehabilitation protocol and, within six months, to an evaluation of the range of motion and strength intensity during flexion and supination of the operated elbow. Methods The data were collected prospectively, and were analyzed through the Mann-Whitney test and the mixed-model test to evaluate the force between the operated and non-operated elbows. Results A total of 80% of the patients were men, 60% were injured on the dominant side, 46% were manual workers, and 73% led sedentary lifestyles. The use of anabolic steroids was reported by two patients. After the treatment, the patients recovered supination strength by 98% and flexion by 94%. According to the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, 73% of the patients presented the score expected of a normal population. Conclusion The single, anterior and transverse approach associated with tendon repair using anchors was esthetically satisfactory, with good strength recovery during flexion and supination, and no occurrence of heterotopic ossification.
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spelling doaj.art-35a7e7b772f14224bca369ed56c3e9792024-02-02T03:24:26ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia0102-36161982-437855219119710.1055/s-0039-3400525S0102-36162020000200191Reinsertion of Distal Brachial Biceps Tendon Rupture through Single Incision Using AnchorsCarlos Augusto de MattosDanilo MaiaRodolfo CastroMaurício EtchebehereAbstract Objective To evaluate 15 patients with ruptured distal biceps tendon submitted to reinsertion via a single, anterior and transverse approach using two anchors. They were submitted to a rehabilitation protocol and, within six months, to an evaluation of the range of motion and strength intensity during flexion and supination of the operated elbow. Methods The data were collected prospectively, and were analyzed through the Mann-Whitney test and the mixed-model test to evaluate the force between the operated and non-operated elbows. Results A total of 80% of the patients were men, 60% were injured on the dominant side, 46% were manual workers, and 73% led sedentary lifestyles. The use of anabolic steroids was reported by two patients. After the treatment, the patients recovered supination strength by 98% and flexion by 94%. According to the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, 73% of the patients presented the score expected of a normal population. Conclusion The single, anterior and transverse approach associated with tendon repair using anchors was esthetically satisfactory, with good strength recovery during flexion and supination, and no occurrence of heterotopic ossification.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000200191&lng=en&tlng=enbicepselbow/surgeryelbow/injuriesheterotopic ossification
spellingShingle Carlos Augusto de Mattos
Danilo Maia
Rodolfo Castro
Maurício Etchebehere
Reinsertion of Distal Brachial Biceps Tendon Rupture through Single Incision Using Anchors
Revista Brasileira de Ortopedia
biceps
elbow/surgery
elbow/injuries
heterotopic ossification
title Reinsertion of Distal Brachial Biceps Tendon Rupture through Single Incision Using Anchors
title_full Reinsertion of Distal Brachial Biceps Tendon Rupture through Single Incision Using Anchors
title_fullStr Reinsertion of Distal Brachial Biceps Tendon Rupture through Single Incision Using Anchors
title_full_unstemmed Reinsertion of Distal Brachial Biceps Tendon Rupture through Single Incision Using Anchors
title_short Reinsertion of Distal Brachial Biceps Tendon Rupture through Single Incision Using Anchors
title_sort reinsertion of distal brachial biceps tendon rupture through single incision using anchors
topic biceps
elbow/surgery
elbow/injuries
heterotopic ossification
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000200191&lng=en&tlng=en
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