Acute distal biceps ruptures: single incision repair by use of suture anchors

Detalhes bibliográficos
Autor(a) principal: Maciel,Rafael Almeida
Data de Publicação: 2017
Outros Autores: Costa,Priscilla Silva, Figueiredo,Eduardo Antônio, Belangero,Paulo Santoro, Pochini,Alberto de Castro, Ejnisman,Benno
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Ortopedia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000200148
Resumo: ABSTRACT OBJECTIVE: Clinical and functional assessment of the surgical treatment for acute injury of the distal insertion of the biceps brachial performed with a surgical technique using a single incision in proximal forearm and fixation with suture anchors in the radial tuberosity. METHODS: This study reviewed the medical records of patients who underwent surgical treatment of distal biceps injury during the period between January 2008 and July 2014. In a mean follow-up of 12 months, 22 patients with complete and acute injury, diagnosed through physical examination and imaging studies, were functionally assessed in the postoperative period regarding the range of motion (degrees of flexion-extension and pronation-supination), the presence of pain (VAS), the Andrews Carson-score, and the Mayo Elbow Performance Score (MEPS). RESULTS: During the postoperative follow-up assessment, no patient reported pain by VAS scale; all were satisfied with the esthetic appearance of the surgery. The range of articular movement remained unchanged at 95.4% of patients, with the loss of 8° of supination in one patient. No changes in muscle strength were observed. The results of the Andrews-Carson score were good in 4.6% and excellent in 95.4% of cases; the MEPS presented 100% of excellent results. The rate of complications was 27.2%, similar to the literature. CONCLUSION: Surgical repair of acute injury of the distal biceps trough a single incision in the proximal forearm and fixation with two suture anchors in the radial tuberosity is an effective and safe therapeutic option, allowing early motion and good functional results.
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spelling Acute distal biceps ruptures: single incision repair by use of suture anchorsElbow/surgeryElbow/injuriesTreatment outcomeABSTRACT OBJECTIVE: Clinical and functional assessment of the surgical treatment for acute injury of the distal insertion of the biceps brachial performed with a surgical technique using a single incision in proximal forearm and fixation with suture anchors in the radial tuberosity. METHODS: This study reviewed the medical records of patients who underwent surgical treatment of distal biceps injury during the period between January 2008 and July 2014. In a mean follow-up of 12 months, 22 patients with complete and acute injury, diagnosed through physical examination and imaging studies, were functionally assessed in the postoperative period regarding the range of motion (degrees of flexion-extension and pronation-supination), the presence of pain (VAS), the Andrews Carson-score, and the Mayo Elbow Performance Score (MEPS). RESULTS: During the postoperative follow-up assessment, no patient reported pain by VAS scale; all were satisfied with the esthetic appearance of the surgery. The range of articular movement remained unchanged at 95.4% of patients, with the loss of 8° of supination in one patient. No changes in muscle strength were observed. The results of the Andrews-Carson score were good in 4.6% and excellent in 95.4% of cases; the MEPS presented 100% of excellent results. The rate of complications was 27.2%, similar to the literature. CONCLUSION: Surgical repair of acute injury of the distal biceps trough a single incision in the proximal forearm and fixation with two suture anchors in the radial tuberosity is an effective and safe therapeutic option, allowing early motion and good functional results.Sociedade Brasileira de Ortopedia e Traumatologia2017-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000200148Revista Brasileira de Ortopedia v.52 n.2 2017reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2017.03.004info:eu-repo/semantics/openAccessMaciel,Rafael AlmeidaCosta,Priscilla SilvaFigueiredo,Eduardo AntônioBelangero,Paulo SantoroPochini,Alberto de CastroEjnisman,Bennoeng2017-05-04T00:00:00Zoai:scielo:S0102-36162017000200148Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2017-05-04T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv Acute distal biceps ruptures: single incision repair by use of suture anchors
title Acute distal biceps ruptures: single incision repair by use of suture anchors
spellingShingle Acute distal biceps ruptures: single incision repair by use of suture anchors
Maciel,Rafael Almeida
Elbow/surgery
Elbow/injuries
Treatment outcome
title_short Acute distal biceps ruptures: single incision repair by use of suture anchors
title_full Acute distal biceps ruptures: single incision repair by use of suture anchors
title_fullStr Acute distal biceps ruptures: single incision repair by use of suture anchors
title_full_unstemmed Acute distal biceps ruptures: single incision repair by use of suture anchors
title_sort Acute distal biceps ruptures: single incision repair by use of suture anchors
author Maciel,Rafael Almeida
author_facet Maciel,Rafael Almeida
Costa,Priscilla Silva
Figueiredo,Eduardo Antônio
Belangero,Paulo Santoro
Pochini,Alberto de Castro
Ejnisman,Benno
author_role author
author2 Costa,Priscilla Silva
Figueiredo,Eduardo Antônio
Belangero,Paulo Santoro
Pochini,Alberto de Castro
Ejnisman,Benno
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Maciel,Rafael Almeida
Costa,Priscilla Silva
Figueiredo,Eduardo Antônio
Belangero,Paulo Santoro
Pochini,Alberto de Castro
Ejnisman,Benno
dc.subject.por.fl_str_mv Elbow/surgery
Elbow/injuries
Treatment outcome
topic Elbow/surgery
Elbow/injuries
Treatment outcome
description ABSTRACT OBJECTIVE: Clinical and functional assessment of the surgical treatment for acute injury of the distal insertion of the biceps brachial performed with a surgical technique using a single incision in proximal forearm and fixation with suture anchors in the radial tuberosity. METHODS: This study reviewed the medical records of patients who underwent surgical treatment of distal biceps injury during the period between January 2008 and July 2014. In a mean follow-up of 12 months, 22 patients with complete and acute injury, diagnosed through physical examination and imaging studies, were functionally assessed in the postoperative period regarding the range of motion (degrees of flexion-extension and pronation-supination), the presence of pain (VAS), the Andrews Carson-score, and the Mayo Elbow Performance Score (MEPS). RESULTS: During the postoperative follow-up assessment, no patient reported pain by VAS scale; all were satisfied with the esthetic appearance of the surgery. The range of articular movement remained unchanged at 95.4% of patients, with the loss of 8° of supination in one patient. No changes in muscle strength were observed. The results of the Andrews-Carson score were good in 4.6% and excellent in 95.4% of cases; the MEPS presented 100% of excellent results. The rate of complications was 27.2%, similar to the literature. CONCLUSION: Surgical repair of acute injury of the distal biceps trough a single incision in the proximal forearm and fixation with two suture anchors in the radial tuberosity is an effective and safe therapeutic option, allowing early motion and good functional results.
publishDate 2017
dc.date.none.fl_str_mv 2017-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000200148
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1016/j.rboe.2017.03.004
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
dc.source.none.fl_str_mv Revista Brasileira de Ortopedia v.52 n.2 2017
reponame:Revista Brasileira de Ortopedia (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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repository.name.fl_str_mv Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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