title: Mini-open 2-incision technique for repair of distal biceps tendon ruptures.
abstract: The purpose of this study was to review a series of distal biceps tendon ruptures treated with a 2-incision mini-open repair. The procedure is performed through a transverse incision in the antecubital fossa of 2 cm or less and a 3-cm posterior incision. It requires minimal soft-tissue dissection and uses a combined incision length that is typically less than a single anterior incision. The described technique was used to repair distal biceps tendon ruptures in 33 men. Patients were started on an immediate active range-of-motion protocol. Subjective and objective data were obtained on follow-up examination. All patients were satisfied with the surgical outcome. Heterotopic ossification developed in 1 patient, which was functionally insignificant. This technique is an effective method of repair of distal biceps tendon rupture that can be performed safely, with minimal surgical dissection, and appealing cosmesis.
authors.affiliation: Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: Michael W
authors.initials: MW
authors.lastname: Hartman
authors.forename: Sheri M
authors.initials: SM
authors.lastname: Merten
authors.forename: Scott P
authors.initials: SP
authors.lastname: Steinmann
mesh_terms: D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D018482:Muscle, Skeletal; D019637:Orthopedic Procedures / Q000379:methods; D010147:Pain Measurement; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D012421:Rupture / Q000601:surgery; D013536:Suture Techniques; D013708:Tendon Injuries / Q000534:rehabilitation / Q000601:surgery*; D013710:Tendons / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D000092464:Elbow Injuries