Reconstruction of the distal biceps tendon using semitendinosus grafting: Description of the technique

ABSTRACT Distal ruptures of the biceps are rare when compared to proximal ruptures, with a different epidemiology and mechanism of trauma. There is no exact pathophysiology, though the hypovascular distal insertion and the mechanical impact during movement should be considered important factors. The...

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Main Authors: Leandro Masini Ribeiro, Jose Inacio de Almeida Neto, Paulo Santoro Belangero, Alberto de Castro Pochini, Carlos Vicente Andreoli, Benno Ejnisman
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=S0102-36162018000500651&lng=en&tlng=en
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author Leandro Masini Ribeiro
Jose Inacio de Almeida Neto
Paulo Santoro Belangero
Alberto de Castro Pochini
Carlos Vicente Andreoli
Benno Ejnisman
author_facet Leandro Masini Ribeiro
Jose Inacio de Almeida Neto
Paulo Santoro Belangero
Alberto de Castro Pochini
Carlos Vicente Andreoli
Benno Ejnisman
author_sort Leandro Masini Ribeiro
collection DOAJ
description ABSTRACT Distal ruptures of the biceps are rare when compared to proximal ruptures, with a different epidemiology and mechanism of trauma. There is no exact pathophysiology, though the hypovascular distal insertion and the mechanical impact during movement should be considered important factors. The surgical treatment of chronic cases presents worse prognosis due to muscle shortening with tendon retraction, making anatomical repair of the injury difficult, requiring the use of grafts for its reconstruction. This is a prospective study involving four patients with chronic distal biceps injury. The tendons were reconstructed with an autologous graft from the semitendinosus tendon from the ipsilateral knee and secured to the radial tuberositywith the help of two anchors. The surgical technique proved to be a simple and viable procedure for the reconstruction of chronic ruptures of the distal biceps.
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spelling doaj.art-b212194b3e8848518e716f67f5e9319a2024-02-02T01:16:16ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-437853565165510.1016/j.rboe.2018.07.008S0102-36162018000500651Reconstruction of the distal biceps tendon using semitendinosus grafting: Description of the techniqueLeandro Masini RibeiroJose Inacio de Almeida NetoPaulo Santoro BelangeroAlberto de Castro PochiniCarlos Vicente AndreoliBenno EjnismanABSTRACT Distal ruptures of the biceps are rare when compared to proximal ruptures, with a different epidemiology and mechanism of trauma. There is no exact pathophysiology, though the hypovascular distal insertion and the mechanical impact during movement should be considered important factors. The surgical treatment of chronic cases presents worse prognosis due to muscle shortening with tendon retraction, making anatomical repair of the injury difficult, requiring the use of grafts for its reconstruction. This is a prospective study involving four patients with chronic distal biceps injury. The tendons were reconstructed with an autologous graft from the semitendinosus tendon from the ipsilateral knee and secured to the radial tuberositywith the help of two anchors. The surgical technique proved to be a simple and viable procedure for the reconstruction of chronic ruptures of the distal biceps.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500651&lng=en&tlng=enElbow/injuriesRuptureReconstructive surgical proceduresTreatment outcome
spellingShingle Leandro Masini Ribeiro
Jose Inacio de Almeida Neto
Paulo Santoro Belangero
Alberto de Castro Pochini
Carlos Vicente Andreoli
Benno Ejnisman
Reconstruction of the distal biceps tendon using semitendinosus grafting: Description of the technique
Revista Brasileira de Ortopedia
Elbow/injuries
Rupture
Reconstructive surgical procedures
Treatment outcome
title Reconstruction of the distal biceps tendon using semitendinosus grafting: Description of the technique
title_full Reconstruction of the distal biceps tendon using semitendinosus grafting: Description of the technique
title_fullStr Reconstruction of the distal biceps tendon using semitendinosus grafting: Description of the technique
title_full_unstemmed Reconstruction of the distal biceps tendon using semitendinosus grafting: Description of the technique
title_short Reconstruction of the distal biceps tendon using semitendinosus grafting: Description of the technique
title_sort reconstruction of the distal biceps tendon using semitendinosus grafting description of the technique
topic Elbow/injuries
Rupture
Reconstructive surgical procedures
Treatment outcome
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500651&lng=en&tlng=en
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