Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 5 Issue 11

Mini Invasive Anterior Approach for the Reinsertion of Distal Biceps Tendon: Our Experience

Massimo Massarella, Eleonora Piccirilli* and Domenico Sergio Poggi

Department of Orthopaedics and Traumatology, POLICLINICO Tor VERGATA, Tor VRGATA University, Italy

*Corresponding Author: Eleonora Piccirilli, Department of Orthopaedics and Traumatology, POLICLINICO Tor VERGATA, Tor VRGATA University, Italy.

Received: August 29, 2022; Published: October 17, 2022

Abstract

Introduction: elbow injuries are not uncommon and distal ruptures of the biceps are rare when compared to proximal ones. They often occur in men during eccentric contraction of the biceps or after overload with flexed elbow. Usually, surgical treatment is the best choice, except in elderly patients or in patients who have a low functional demand.

Aim: the aim of our work is to evaluate the mid-term results of a mini-invasive anterior approach for the reinsertion of distal biceps tendon using a resorbable anchor.

Materials and methods: we collected data from 22 patients treated for total distal biceps tendon rupture from January 2019 to March 2021. We included all male patients, mean age 40 years (35-55) who underwent distal biceps tendon rupture after sport injuries. The tendon was repaired through a single anterior longitudinal mini open approach (3 cm incision) using a resorbable anchor (2.9mm) inserted into the bicep’s radial tuberosity. We used DASH test to evaluate patient satisfaction rate. The average follow-up of our study was 12 months.

Results: twelve months after the surgical procedure, patients’ satisfaction was very good (mean score 82), and all the patients came back to their daily living activities in forty days.

Conclusions: the mini-invasive single longitudinal anterior approach is a valid surgical option in distal biceps tendon rupture. This technique has a minimal aesthetic impact, and it allows a good functional outcome. On a functional point of view, the anchored tendon allows the complete range of motion of the elbow after five weeks. In four months, patients were completely back to their previous sport activities.

Keywords: Distal Biceps Tendon, Mini Invasive Anterior Approach

References

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  3. Pitsilos C., et al. “Systematic review of distal biceps tendon rupture in athletes: treatment and rehabilitation”. Journal of Shoulder and Elbow Surgery 8 (2022): 1763-1772.
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  7. PL Hudak., et al. “Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG)”. American Journal of Industrial Medicine 6 (996): 602-608.

Citation

Citation: Eleonora Piccirilli., et al. “Mini Invasive Anterior Approach for the Reinsertion of Distal Biceps Tendon: Our Experience". Acta Scientific Orthopaedics 5.11 (2022): 107-110.

Copyright

Copyright: © 2022 Eleonora Piccirilli., et al.This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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