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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(02): 191-197
DOI: 10.1055/s-0039-3400525
Artigo Original
Cotovelo
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

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

Article in several languages: português | English
Carlos Augusto de Mattos 
1   Departamento de Ortopedia, Pontifícia Universidade Católica de Campinas, Campinas, São Paulo, Brasil
,
Danilo Maia
1   Departamento de Ortopedia, Pontifícia Universidade Católica de Campinas, Campinas, São Paulo, Brasil
,
Rodolfo Castro
1   Departamento de Ortopedia, Pontifícia Universidade Católica de Campinas, Campinas, São Paulo, Brasil
,
Maurício Etchebehere 
2   Departamento de Ortopedia, Universidade Estadual de Campinas, Campinas, SP, Brasil
› Author Affiliations
Further Information

Publication History

24 April 2018

04 December 2018

Publication Date:
27 April 2020 (online)

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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.

Keywords

biceps - elbow/surgery - elbow/injuries - heterotopic ossification

* Study performed at Hospital Puc-Campinas, Campinas, SP, Brazil.


 

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