Repair of distal biceps tendon ruptures using a suture anchor and an anterior approach.
In a prospective study, eight consecutive patients with nine ruptures of the distal biceps tendon underwent repair through a single incision. All patients were satisfied with their clinical results and had full ranges of elbow and forearm motion. There were no radial nerve injuries and no radio-ulnar synostoses. Isokinetic testing, after correction for dominance, demonstrated a 6% strength deficit, but 7% higher endurance in the repaired extremity for the flexion-concentric test, and no strength deficit and 13% higher endurance for supination. The improved endurance is probably explained by initial reduced effort due to apprehension which minimized subsequent fatigue.
Balabaud
L
L
Centre de Traumatologie et d'Orthopédie, 10 Avenue Achille Baumann, Boîte Postale 96, Illkirch Cedex, France and the Centre de Réadaptation Fonctionnelle Clemenceau, 45 Boulevard Clemenceau, Strasbourg Cedex, France. lbalabaud@wanadoo.fr
Ruiz
C
C
Nonnenmacher
J
J
Seynaeve
P
P
Kehr
P
P
Rapp
E
E
D000328:Adult; D004551:Elbow Joint / Q000503:physiopathology / Q000601:surgery*; D005542:Forearm / Q000503:physiopathology; D006801:Humans; D008875:Middle Aged; D009119:Muscle Contraction / Q000502:physiology; D010807:Physical Endurance / Q000502:physiology; D011446:Prospective Studies; D016059:Range of Motion, Articular; D012421:Rupture / Q000601:surgery; D013484:Supination / Q000502:physiology; D013536:Suture Techniques; D013708:Tendon Injuries / Q000601:surgery*; D016896:Treatment Outcome; D000092464:Elbow Injuries