Functional evaluation after cortical button fixation for distal biceps ruptures - Is there any difference between manual or non-manual workers?
Evaluación funcional después de la fijación con botón cortical para roturas del bíceps distal: ¿Existe alguna diferencia entre trabajadores manuales y no manuales?
Ana Batistaa,b,
, Nuno Mourac, Marco Sarmentoc, Tiago Coelhob,d, Diogo Gomesc, Renato Ramosb,e, António Cartuchoc
Corresponding author
a Department of Orthopaedic and Trauma Surgery, Hospital Senhora da Oliveira, Unidade Local de Saúde do Alto Ave, Guimarães, Portugal
b Fellowship in Shoulder and Elbow Surgery Unit, Hospital CUF Descobertas, Lisbon, Portugal
c Shoulder and Elbow Surgery Unit, Hospital CUF Descobertas, Lisbon, Portugal
d Hospital CUF Almada, Lisbon, Portugal
e Department of Orthopaedic and Trauma Surgery, Hospital Padre Américo, Unidade Local de Saúde do Tâmega e Sousa, Penafiel, Porto, Portugal
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Included cases have a minimum of 3 months follow-up, post-operative x-ray and signed informed consent for the investigation.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Results: Supination and flexion strength was higher in manual workers vs. non-manual workers (<span class="elsevierStyleItalic">p-value</span> 0,192 and 0,878, respectively). Nine patients showed loss of range of motion, concerning supination and pronation, and this was correlated to worse functional scores. Functional scores tend to be superior in non-manual workers. Ten patients had heterotopic ossification and 20 patients reported lateral antebrachial cutaneous nerve neuropraxia; one had both. Most of them had a full recovery.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Conclusion: According to clinical evaluation and postoperative scores, the performed surgical procedure provides good to excellent mid-term functional results. Nevertheless, there were not any differences between manual or non-manual workers.</p></span>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Introducción: este estudio tiene como objetivo comparar los resultados clínicos y funcionales tras de la reparación del tendón distal del bíceps braquial (RTDBB) entre trabajadores manuales y no manuales.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Material y Método: <span class="elsevierStyleCrossOut">E</span>estudio retrospectivo comparativo de 57 casos con rotura del tendón distal del bíceps, divididos en trabajadores manuales (24 codos) y no manuales (33), tratados mediante una única incisión de la piel con botón cortical y fijación con tornillo<span class="elsevierStyleCrossOut">s</span> de interferencia. Los casos incluidos tienen un seguimiento mínimo de 3 meses, radiografía postoperatoria y consentimiento informado firmado para la investigación.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Resultados: la fuerza de supinación y flexión fue superior en los trabajadores manuales que en los trabajadores no manuales (<span class="elsevierStyleItalic">p-value</span> 0,192 y 0,878, respectivamente).</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Nueve pacientes presentaron pérdida de rango de movimiento, relativo a supinación y pronación, y se han correlacionado con peores puntuaciones funcionales. Las puntuaciones funcionales tienden a ser superiores en los trabajadores no manuales. Diez pacientes han presentado osificación heterotópica y 20 pacientes neuropraxia del nervio cutáneo antebraquial lateral; uno ha tenido ambas. La mayoría se recuperaron por completo.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Conclusión: en consecuencia de los resultados clínicos y los funcionales, la RTDBB aporta buenos a excelentes a mediano plazo, sin complicaciones significativas. Aunque no han podido apreciarse diferencias entre trabajadores manuales y no manuales.</p></span>" ] ] ] "idiomaDefecto" => "en" "url" => "/18884415/unassign/S1888441524001644/v1_202410150427/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/18884415/unassign/S1888441524001644/v1_202410150427/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1888441524001644?idApp=UINPBA00004N" ]
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