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Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Anterior Surgical Repair of Distal Ruptures of the Brachial Biceps Tendon
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Vol. 52. Issue 1.
Pages 9-14 (January - February 2008)
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Vol. 52. Issue 1.
Pages 9-14 (January - February 2008)
Original paper
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Anterior Surgical Repair of Distal Ruptures of the Brachial Biceps Tendon
Reparación quirúrgica por vía anterior de la rotura distal del tendón del bíceps braquial
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P. Guerra-Vélez
Corresponding author
pericarmen@yahoo.es

Corresponding author: C/ Doctor Mariano Alcaraz, 4, 1.o C. 28220 Majadahonda. Madrid.
, F.J. Sanz-Hospital, J. Cano-Egea, J. Escalera-Alonso, A. Coello-Nogués
Department of Orthopedic and Trauma Surgery I. 12 de Octubre University Hospital. Madrid
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Article information
Purpose

Distal ruptures of the brachial biceps tendon are an infrequent injury. The purpose of this paper is to assess the outcome of distal ruptures of the tendon addressed surgically through an anterior approach between November 1998 and December 2003.

Materials and methods

Retrospective study of 12 patients and 13 injuries with a mean follow-up of 37 months (range: 12-60). Mean age was 37.6 years and all patients were male. All injuries were located in the dominant arm, except for one case in which the rupture was bilateral. All were operated with an anterior approach. In ten injuries (76.9%) harpoon sutures were used, in two (15.4%) bone tunnels and in one instance (7.7%) an endobutton anchor. All patients but one were immobilized with a brachioantebrachial plaster splint during the first two weeks post-op. In five patients, this immobilization was continued, whereas in four it was replaced by an articulated brace.

Results

Range of movement, strength, pain and personal satisfaction were the parameters assessed. All patients had full mobility. Eleven patients (91.6%) recovered their full strength. As far as complications are concerned, we had a transient radial nerve palsy. Personal satisfaction was excellent in eleven patients (91.6%) and good in one (8.4%). There was no re-rupture.

Conclusions

Our clinical and functional results are excellent, for which reason we recommend harpoon suturing with an anterior approach.

Key words:
rupture
distal biceps tendon
anterior approach
harpoon suture
Objetivos

La rotura distal del tendón del bíceps braquial es una lesión poco frecuente. El objetivo de nuestro estudio es evaluar los resultados de las roturas distales de dicho tendón, intervenido quirúrgicamente por vía anterior entre noviembre de 1998 y diciembre de 2003.

Material y método

Estudio retrospectivo con 12 pacientes y 13 lesiones, con un seguimiento medio de 37 meses (12-60). La edad media fue de 37,6 años, y todos los pacientes eran del sexo masculino. Todas las lesiones se localizaron en el brazo dominante, excepto un caso de rotura bilateral. Todos fueron intervenidos a través de un abordaje anterior. Diez lesiones (76,9%) se suturaron con arpones, dos (15,4%) con túneles óseos y una (7,7%) se suturó con un anclaje con endobutton. Todos los pacientes, excepto uno, fueron inmovilizados con una férula de escayola braquioantebraquial posterior durante las dos primeras semanas postoperatorias. En cinco pacientes se continuó con esta inmovilización y en seis se sustituyó por una ortesis articulada.

Resultados

Se evaluaron los parámetros de: movilidad, fuerza, dolor y satisfacción personal. Todos los pacientes presentaron una movilidad completa. Once pacientes (91,6%) recuperaron la fuerza totalmente. Como complicaciones se encontró una paresia transitoria del nervio radial. La satisfacción personal fue excelente en once pacientes (91,6%) y buena en un paciente (8,4%). No existió ninguna nueva re-ruptura.

Conclusiones

Los resultados clínicos y funcionales han sido en la mayoría de los pacientes excelentes, por lo que se recomienda la sutura con arpones por vía anterior.

Palabras clave:
rotura
tendón distal del bíceps
vía anterior
arpones
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This paper was submitted as an oral presentation at the SEXOT Meeting held in Madrid in the year 2004.

Copyright © 2008. Sociedad Española de Cirugía Ortopédica y Traumatología (SECOT). All rights reserved
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